Physical activity and psychosocial correlates following bariatric surgery among patients with loss-of-control eating. (October 2020)

• Record Type: Journal Article
• Authors: Lawson, Jessica L.; Kerrigan, Stephanie G.; Carr, Meagan M.; Wiedemann, Ashley A.; Ivezaj, Valentina; Grilo, Carlos M.
• Is Part Of: Mental health and physical activity. Volume 19(2020)
• Publication Date: 2020-10
• Subjects: Physical activity -- Bariatric surgery -- Depression -- Loss of control eating -- Obesity; Mental illness -- Prevention -- Periodicals; Exercise -- Psychological aspects -- Periodicals; Depression, Mental -- Exercise therapy -- Periodicals; Anxiety -- Exercise therapy -- Periodicals; 616.89
• DOI: 10.1016/j.mhpa.2020.100343
• Languages: English
• ISSNs: 1755-2966

Abstract

Abstract: Objective: Physical activity (PA) is an integral component of the medical management of patients following bariatric surgery as it is thought to be associated with biopsychosocial outcomes, including mood and physical function. This study examined self-reported PA (SR-PA) and psychosocial correlates among patients with loss-of-control (LOC) eating following bariatric surgery. Method: Participants were 145 patients (82.8% female, 53.8% White) who were experiencing recurrent LOC-eating approximately six months after having undergone sleeve gastrectomy surgery. Body mass index (BMI) and percent total weight loss were calculated using measured height and weight.. Eating-disorder symptoms were assessed using the Eating Disorder Examination-Bariatric Surgery Version interview and participants completed established self-report measures assessing PA, health-related quality of life (mental and physical functioning domains), weight-related disability, and depression. Results: Approximately two-thirds of the participant group reported at least one bout (≥15 min) of moderate PA per week. SR-PA was significantly negatively associated with LOC-eating frequency, dissatisfaction with weight and shape, depression, and weight-related disability, and was significantly positively correlated with physical functioning. After adjusting for depression and BMI, SR-PA remained significantly associated with better physical functioning but no longer contributed significant independent variance to eating-disorder psychopathology or weight-related disability. Conclusions: Among patients with LOC-eating following bariatric surgery, an inactive lifestyle is common. Greater PA was associated with better psychosocial functioning and finding ways to promote greater engagement with recommended levels of PA following bariatric surgery may contribute to improved bariatric surgery outcome. Highlights: After bariatric surgery, patients with loss-of-control (LOC) eating reported overall low levels of physical activity (PA). Those who reported any PA engagement also endorsed better psychosocialand physical functioning. Greater PA was related to lower eating-disorder psychopathology: LOC-eating frequency, shape/weight dissatisfaction.