暴饮暴食行为与代谢和减肥手术后体重反复增加有关。

Binge eating behaviours are associated with recurrent weight gain after metabolic and bariatric surgery.

作者信息

Cali Matthew, Ernest Deepali K, Xie Luyu, Schellinger Jeffrey N, Mathew M Sunil, Chandrasekhar Aparajita, Guo Jane, Vega Gloria L, Messiah Sarah E, Almandoz Jaime P

机构信息

University of Texas Southwestern Medical School, Dallas, Texas, USA.

University of Texas Health Science Center, School of Public Health, Houston, Texas, USA.

出版信息

Clin Obes. 2025 Jun;15(3):e12735. doi: 10.1111/cob.12735. Epub 2025 Jan 27.

DOI:10.1111/cob.12735

PMID:39866029

Abstract

BACKGROUND

Recurrent weight gain (RWG) is a major post-operative challenge among metabolic and bariatric surgery (MBS) patients. Binge eating behaviours (BEB) and food addiction (FA) have been identified as significant predictors of post-MBS RWG. However, limited research has investigated their independent associations with post-MBS RWG.

METHODS

This cross-sectional study collected data via a self-reported questionnaire of post-MBS patient demographics and eating behaviours from a single-site academic obesity medicine program. The Binge Eating Scale and Yale Food Addiction Scale 2.0 collected data on BEB and FA exposure variables, respectively. ANOVA/chi-square tests determined bivariate associations with BEB and FA, while multivariable logistic regression models examined independent adjusted associations of BEB and FA with RWG% cut-offs.

RESULTS

Of the 294 MBS patients (90.48% female, and 51.71% non-Hispanic white), 42.3% had BEB, 12.55% had severe FA, 7.36% moderate FA, and 7.36% mild FA. After adjustment, BEB was significantly associated with all magnitudes of post-MBS RWG, with the highest odds observed at 50% RWG [OR = 3.07; 95% CI: 1.45, 6.49; p = 0.003]. FA was not significantly associated with post-MBS RWG.

CONCLUSION

Results showed that BEB, but not FA, was associated with post-MBS RWG. MBS patient support teams should consider screening for BEB at post-MBS visits.

摘要

背景

体重反复增加（RWG）是代谢和减重手术（MBS）患者术后面临的一项主要挑战。暴饮暴食行为（BEB）和食物成瘾（FA）已被确定为MBS术后RWG的重要预测因素。然而，针对它们与MBS术后RWG的独立关联的研究有限。

方法

这项横断面研究通过一份自我报告的问卷收集了来自一个单中心学术性肥胖医学项目的MBS术后患者的人口统计学和饮食行为数据。暴饮暴食量表和耶鲁食物成瘾量表2.0分别收集了关于BEB和FA暴露变量的数据。方差分析/卡方检验确定了与BEB和FA的双变量关联，而多变量逻辑回归模型则检验了BEB和FA与RWG%临界值的独立校正关联。

结果

在294例MBS患者中（90.48%为女性，51.71%为非西班牙裔白人），42.3%有BEB，12.55%有重度FA，7.36%有中度FA，7.36%有轻度FA。调整后，BEB与MBS术后所有程度的RWG均显著相关，在RWG为50%时观察到的优势比最高[比值比（OR）=3.07；95%置信区间（CI）：1.45，6.49；p=0.003]。FA与MBS术后RWG无显著关联。