Reas Deborah Lynn, Lie Selma Øverland, Mala Tom, Lundin Kvalem Ingela
Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Eur Eat Disord Rev. 2025 May;33(3):544-550. doi: 10.1002/erv.3161. Epub 2024 Dec 13.
Little is known about the longer-term maintenance, remission, or development of binge eating behaviour (BE) following metabolic and bariatric surgery (MBS). This brief report investigated BE prior to and 10 years following MBS and examined mental health and weight outcomes between BE groups (never BE, continued BE, remitted BE, or developed 'de novo' BE).
One hundred and eighty-three participants (76.1% females) with a mean age of 44.8 (± 9.5) years and mean BMI of 42.9 kg/m (± 5.4) were assessed before and 10 years following MBS (94.0% Roux-n-Y).
At 10 years, 48% had never engaged in BE, 27.9% had remitted, 15.8% had continued BE, and 8.2% reported de novo BE. Individuals who continued BE were younger, reported higher levels of anxiety and depression, and had regained more weight. Individuals who continued or developed de novo BE reported higher levels of post-surgical repetitive eating behaviour and were more likely to regain ≥ 25% of maximum weight lost.
Approximately 25% of the sample reported post-operative BE a decade following MBS, including 8.2% de novo cases. Individuals who engaged in post-operative BE demonstrated significantly worse mental health and weight outcomes, especially those with a lifetime history who continued to engage in BE after 10 years. Findings provide nuance to the existing literature and underscore the value of assessing BE at pre- and post-surgery.
关于代谢和减重手术后暴饮暴食行为（BE）的长期维持、缓解或发展情况，目前所知甚少。本简短报告调查了代谢和减重手术前及术后10年的暴饮暴食行为，并比较了不同暴饮暴食行为组（从未有过暴饮暴食行为、持续存在暴饮暴食行为、暴饮暴食行为缓解、或新发“从头开始”的暴饮暴食行为）的心理健康和体重结果。
183名参与者（76.1%为女性），平均年龄44.8（±9.5）岁，平均体重指数为42.9kg/m（±5.4），在代谢和减重手术前及术后10年接受评估（94.0%为Roux-n-Y手术）。
术后10年，48%的人从未有过暴饮暴食行为，27.9%的人暴饮暴食行为已缓解，15.8%的人持续存在暴饮暴食行为，8.2%的人报告有新发的暴饮暴食行为。持续存在暴饮暴食行为的个体更年轻，焦虑和抑郁水平更高，体重反弹更多。持续存在或新发暴饮暴食行为的个体报告的术后重复性进食行为水平更高，且更有可能重新增加至最大减重的≥25%。
约25%的样本在代谢和减重手术后十年报告有术后暴饮暴食行为，包括8.2%的新发病例。术后出现暴饮暴食行为的个体心理健康和体重结果明显更差，尤其是那些有终生暴饮暴食史且术后10年仍持续存在暴饮暴食行为的个体。研究结果为现有文献提供了细微差别，并强调了在手术前后评估暴饮暴食行为的价值。
