Utzinger Linsey M, Gowey Marissa A, Zeller Meg, Jenkins Todd M, Engel Scott G, Rofey Dana L, Inge Thomas H, Mitchell James E
Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota.
Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine & Health Sciences, Fargo, North Dakota.
Int J Eat Disord. 2016 Oct;49(10):947-952. doi: 10.1002/eat.22546. Epub 2016 May 19.
This study assessed loss of control (LOC) eating and eating disorders (EDs) in adolescents undergoing bariatric surgery for severe obesity.
Preoperative baseline data from the Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) multisite observational study (n = 242; median BMI = 51 kg/m ; mean age= 17; 76% female adolescents; 72% Caucasian) included anthropometric and self-report questionnaires, including the Questionnaire of Eating and Weight Patterns-Revised (QEWP-R), the Night Eating Questionnaire (NEQ), the Beck Depression Inventory (BDI-II), and the Impact of Weight on Quality of Life-Kids (IWQOL-Kids) RESULTS: LOC eating (27%) was common and ED diagnoses included binge-eating disorder (7%), night eating syndrome (5%), and bulimia nervosa (1%). Compared to those without LOC eating, those with LOC eating reported greater depressive symptomatology and greater impairment in weight-related quality of life.
Before undergoing bariatric surgery, adolescents with severe obesity present with problematic disordered eating behaviors and meet diagnostic criteria for EDs. LOC eating, in particular, was associated with several negative psychosocial factors. Findings highlight targets for assessment and intervention in adolescents before bariatric surgery. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:947-952).
本研究评估了接受减肥手术治疗严重肥胖症的青少年的失控性进食及饮食失调情况。
青少年减肥手术纵向评估（Teen-LABS）多中心观察性研究的术前基线数据（n = 242；BMI中位数 = 51 kg/m²；平均年龄 = 17岁；76%为女性青少年；72%为白种人）包括人体测量和自我报告问卷，其中有修订版饮食与体重模式问卷（QEWP-R）、夜间进食问卷（NEQ）、贝克抑郁量表（BDI-II）以及体重对儿童生活质量的影响量表（IWQOL-Kids）。结果：失控性进食（27%）很常见，饮食失调诊断包括暴饮暴食症（7%）、夜间进食综合征（5%）和神经性贪食症（1%）。与没有失控性进食的青少年相比，有失控性进食的青少年报告有更严重的抑郁症状和与体重相关的生活质量方面更大的损害。
在接受减肥手术之前，患有严重肥胖症的青少年存在有问题的饮食紊乱行为，并符合饮食失调的诊断标准。尤其是失控性进食与几个负面的心理社会因素相关。研究结果突出了减肥手术前青少年评估和干预的目标。© 2016威利期刊公司（《国际进食障碍杂志》2016年；49:947 - 952）
