Loss of control eating and eating disorders in adolescents before bariatric surgery

卷:49

Utzinger, Linsey M. ; Gowey, Marissa A. ; Zeller, Meg ; Jenkins, Todd M. ; Engel, Scott G. ; Rofey, Dana L. ; Inge, Thomas H. ; Mitchell, James E.

Neuropsychiat Res Inst

关键词: eating disorders;    bariatric surgery;    adolescents;    obesity;    loss of control;    disordered eating;   

DOI  :  10.1002/eat.22546

学科分类：食品科学和技术

【 摘 要 】

ObjectiveThis study assessed loss of control (LOC) eating and eating disorders (EDs) in adolescents undergoing bariatric surgery for severe obesity. MethodPreoperative baseline data from the Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) multisite observational study (n=242; median BMI=51 kg/m(2); 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) ResultsLOC 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. DiscussionBefore 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. (c) 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:947-952)