Sanford Research, Center for Biobehavioral Research, Fargo, North Dakota; Department of Psychiatry and Behavioral Science, School of Medicine and Health Sciences, University of North Dakota, Fargo, North Dakota.
Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, Cleveland, Ohio.
Surg Obes Relat Dis. 2024 Dec;20(12):1381-1387. doi: 10.1016/j.soard.2024.07.006. Epub 2024 Jul 16.
Disordered eating is a concern for patients seeking metabolic and bariatric surgery (MBS), but little is known about how these behaviors are reflected in typical dietary intake prior to surgery.
This study examined the relationships between disordered eating behavior and the content and context of typical dietary intake among patients seeking MBS using an innovative combination of rigorous self-report and interview assessments.
Participants were recruited from two academic medical centers in the United States.
Adults were enrolled prior to MBS. Participants completed the Eating Disorder Examination-Bariatric Surgery Version (EDE-BSV) and then reported details of their dietary intake for three consecutive days using a validated 24-hour dietary recall system.
Among the sample (n = 140), objective overeating (OOE) was prevalent and related to greater daily energy and macronutrient intake. Individuals engaging in recurrent OOE were also more likely to consume meals past 8 pm Findings failed to identify significant associations between other disordered eating behaviors, such as objective binge eating (OBE), and contextual factors related to dietary intake.
The timing of eating may play a greater role in recurrent overeating than social and physical aspects of the environment. Individuals reporting frequent OOE before MBS may benefit from targeted education and intervention aimed at reducing OOE and subsequently promoting better adherence to dietary recommendations.
饮食障碍是寻求代谢和减重手术（MBS）患者关注的问题，但对于这些行为在手术前的典型饮食摄入中是如何体现的，知之甚少。
本研究通过严格的自我报告和访谈评估相结合的创新方法，研究了在寻求 MBS 的患者中，饮食障碍行为与典型饮食摄入的内容和背景之间的关系。
参与者从美国的两个学术医疗中心招募。
在 MBS 之前，参与者完成了饮食障碍检查-减重手术版（EDE-BSV），然后使用经过验证的 24 小时膳食回忆系统报告连续三天的详细饮食摄入情况。
在样本中（n=140），客观进食过量（OOE）很普遍，与每日能量和宏量营养素摄入增加有关。经常发生 OOE 的人也更有可能在 8 点以后进食。研究结果未能发现其他饮食障碍行为（如客观暴食）与饮食摄入相关的环境社会和物理方面的因素之间存在显著关联。
进食时间可能比环境的社会和物理方面对反复性进食过量的影响更大。在 MBS 之前报告经常发生 OOE 的人可能受益于针对减少 OOE 并随后促进更好地遵守饮食建议的目标教育和干预。
