Binge eating in obesity: a longitudinal study following biliopancreatic diversion

• Published in: The International journal of eating disorders Vol. 20; no. 4; pp. 405 - 413
• Main Authors: Adami, G.F. (University of Genoa, Italy.), Gandolfo, P, Meneghelli, A, Scopinaro, N
• Format: Journal Article
• Language: English
• Published: New York Wiley Subscription Services, Inc., A Wiley Company 01.12.1996; Wiley; Wiley Subscription Services, Inc
• Subjects: Adult; Adult and adolescent clinical studies; APETITO; APPETIT; Biliopancreatic Diversion; Binge eating; binging; Biological and medical sciences; body image; Body Mass Index; Body Weight; COMPORTEMENT ALIMENTAIRE; DELGADEZ; Eating; Eating behavior disorders; Eating disorders; FACTEUR PSYCHOLOGIQUE; FACTORES PSICOLOGICOS; feeding behavior; Female; FEMME; HABITOS ALIMENTARIOS; Humans; hunger; Longitudinal Studies; MAIGREUR; Male; Medical sciences; Middle Aged; Miscellaneous; MUJERES; Obesity; Obesity, Morbid; Obesity, Morbid - psychology; Obesity, Morbid - surgery; OPERACIONES QUIRURGICAS; OPERATION CHIRURGICALE; PESO; POIDS; Psychology; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; SOBREPESO; surgery; SURPOIDS; Surveys and Questionnaires; Time Factors; TRASTORNOS ALIMENTICIOS; TROUBLE ALIMENTAIRE; women; Human; Obesity; Binge eating; Follow up study; Nutrition disorder; Eating disorder; Differential diagnostic; Nutritional status
• ISSN: 0276-3478; 1098-108X
• DOI: 10.1002/(SICI)1098-108X(199612)20:4<405::AID-EAT8>3.0.CO;2-R

Objective: Evaluating the influence of dieting and of being overweight on binge-eating episodes and on psychological traits in severely obese patients. Method: Clinical interviews and self-report questionnaires prior to and 2 years following biliopancreatic diversion (BPD) when subjects adopt a completely free eating style and achieve in maintaining a normal or nearly normal body weight. Results: At two years following the operation, the prevalence of binge-eating episodes sharply fell and the subjects' overall psychological conditions improved; only a few patients started binging. Discussion: These results point out the importance of dieting and of overweight itself in determining eating behavior disturbances or psychopathology. The fact that only a very small number of patients continue or start binging following BDP suggests that a minority of obese bingers should be considered as true eating-disordered patients