Decreased emotional eating behavior is associated with greater excess weight loss five years after gastric banding. (1st June 2020)

• Record Type: Journal Article
• Authors: Nandrino, Jean-Louis; Grynberg, Delphine; Gandolphe, Marie-Charlotte; Willem, Clémence; Benaisa, Karima; Van de maele, Justine; Taccoen, Aurore; Verkindt, Hélène; Pattou, François
• Is Part Of: Appetite. Volume 149(2020)
• Publication Date: 2020-06-01
• Subjects: Obesity -- Eating behaviors -- Gastric restriction -- Adjustable gastric banding -- Excess weight loss -- Emotional eating -- Restrained eating; Food habits -- Periodicals; Appetite -- Periodicals; Appetite disorders -- Periodicals; Electronic journals; 306.4613
• DOI: 10.1016/j.appet.2020.104620
• Languages: English
• ISSNs: 0195-6663

Abstract

Abstract: While significant weight loss has been observed in the first two years following adjustable gastric banding (AGB), research on the long-term effectiveness of gastric restriction (e.g., 5 years) both on weight loss and eating behavior changes is scarce. The present study examined obese patients' changes in eating behavior preoperatively and 5 years after AGB and examined their associations with excess weight loss (EWL). Specifically, we focused on the association between the modification of three eating behavior profiles (i.e., restrained eating, emotional eating and external eating) and %EWL at 5 years. Among the 197 participants who underwent AGB, 136 completed the clinical assessments (weight, depression with the BDI, eating behavior with the DEBQ) before surgery, and after 5 years. Resultsshowed that the mean percentage of EWL was 47% after 5 years. Moreover, patients reported lower emotional eating and external eating after 5 years in comparison to the baseline, whereas there were no differences concerning restrained eating. Importantly, patients who presented higher %EWL at 5 years also reported a greater decrease in emotional eating between the two sessions than those with low %EWL. Our study underlines that eating behaviors are major variables involved in weight loss after gastric restriction. Results showed that emotional and external eating decreased significantly at 5 years whereas restrained eating behaviors did not vary between the pre- and postoperative stages. Moreover, the data suggest that a decrease in emotional eating accounts for the extent of EWL.