Luiz Luciano Billodre, Brito César Luis de Souza, Debon Letícia Manoel, Brandalise Lívia Nora, Azevedo Juliana Tainski de, Monbach Karin Daniele, Heberle Luísa Schmidt, Mottin Cláudio Corá
Center of Obesity and Metabolic Syndrome, São Lucas Hospital of Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
Faculty of Medicine, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
PLoS One. 2016 Dec 19;11(12):e0167577. doi: 10.1371/journal.pone.0167577. eCollection 2016.
Bariatric surgery is the most effective treatment for obesity classes II and III. However, some patients do not get the desired results or initially lose and then regain the lost weight. Identifying these individuals early on and treating them adequately remains a challenge. As binge eating directly affects food intake, the study of this symptom and its relation to bariatric surgery and its results is increasing, because it appears to have an influence on the results of surgery.
This study aimed to see how binge eating changes, measured with the Binge Eating Scale, interferes in the % excess weight loss one year after Roux-en-Y gastric bypass.
We conducted a cross-sectional study with 149 patients older than 18 years who were evaluated one year after undergoing Roux-en-Y gastric bypass. The variation in the intensity of binge eating was measured with the pre- and postoperative Binge Eating Scale scores.
The variation of one unit in the Binge Eating Scale implied an inverse variation of 0.41% of % excess weight loss (p<0.05). The correlation coefficient between the variation of binge eating and the % excess weight loss was -0.186 (p = 0.033). The correlation coefficient between the binge eating symptoms one year after surgery and the % excess weight loss was -0.353 (p<0.001).
There was a correlation between the variation of binge eating one year after gastric bypass and the % excess weight loss. The correlation between binge eating and the % excess weight loss was greater after the surgery than it was at the preoperative stage. This study provides new, valuable information on the intensity and variation of binge eating symptoms one year after gastric bypass, which, to the best of our knowledge, have not been studied in depth earlier.
减肥手术是治疗II级和III级肥胖最有效的方法。然而，一些患者并未获得理想的效果，或者最初体重减轻后又重新反弹。早期识别这些个体并给予适当治疗仍然是一项挑战。由于暴饮暴食直接影响食物摄入量，对该症状及其与减肥手术及其结果之间关系的研究日益增多，因为它似乎对手术结果有影响。
本研究旨在观察用暴饮暴食量表测量的暴饮暴食变化如何影响Roux-en-Y胃旁路术后一年的超重体重减轻百分比。
我们对149名18岁以上的患者进行了一项横断面研究，这些患者在接受Roux-en-Y胃旁路术后一年接受评估。用术前和术后暴饮暴食量表评分来测量暴饮暴食强度的变化。
暴饮暴食量表上一个单位的变化意味着超重体重减轻百分比有0.41%的反向变化（p<0.05）。暴饮暴食变化与超重体重减轻百分比之间的相关系数为-0.186（p = 0.033）。术后一年暴饮暴食症状与超重体重减轻百分比之间的相关系数为-0.353（p<0.001）。
胃旁路术后一年暴饮暴食的变化与超重体重减轻百分比之间存在相关性。暴饮暴食与超重体重减轻百分比之间的相关性在术后比术前更大。本研究提供了关于胃旁路术后一年暴饮暴食症状强度和变化的新的有价值信息，据我们所知，此前尚未对此进行过深入研究。
