Associations of lifetime traumatic experience with dysfunctional eating patterns and postsurgery weight loss in adults with obesity: A retrospective study.
This study aimed to examine the associations of lifetime traumatic experience with presurgery and postsurgery eating pathology and postoperative weight loss in a sample of adult bariatric surgery patients using electronic medical record (EMR) data. Presurgery lifetime exposure to traumatic event, presurgery and postsurgery dysfunctional eating patterns, and post-operative total and excess weight losses were extracted from electronic medical records of 200 adult bariatric surgery patients in 2013 and 2014. Logistic regression analyses were conducted. During their lifetime, 60.5% of the patients (81.5% women, age = 44.4 ± 11.5 years; BMIpre = 44.9 ± 5.5 kg/m2 ) reported that they were exposed to a traumatic event. Before surgery, trauma exposure was associated with impulsive, compulsive, or restrictive eating patterns (OR = 2.40), overeating or disturbed eating (OR = 1.55), and grazing or night eating behaviours (OR = 1.72). After surgery, trauma exposure was associated with lower total weight loss at 6 (OR = 2.06) and 24 months (OR = 2.06), and to overeating or disturbed eating (OR = 1.53) 12 months after surgery. Bariatric surgery candidates with a history of trauma exposure could benefit from closer medical, dietetic, and/or psychological follow-up care to avoid insufficient postoperative weight loss as well as reappearance of dysfunctional eating patterns after surgery.
['Ruffault|Alexis|A|http://orcid.org/0000-0001-6610-4169', 'Vaugeois|Fanny|F|', 'Barsamian|Charles|C|', 'Lurbe I Puerto|Kàtia|K|', 'Le Quentrec-Creven|Gérane|G|', 'Flahault|Cécile|C|', 'Naudé|Anne-Jeanne|AJ|', 'Ferrand|Margot|M|', 'Rives-Lange|Claire|C|', 'Czernichow|Sébastien|S|', 'Carette|Claire|C|']
D000328:Adult D050110:Bariatric Surgery D015897:Comorbidity D057286:Electronic Health Records D001068:Feeding and Eating Disorders D005260:Female D005500:Follow-Up Studies D006801:Humans D008297:Male D008875:Middle Aged D009765:Obesity D017063:Outcome Assessment, Health Care D000067073:Psychological Trauma D012189:Retrospective Studies D015431:Weight Loss
weight loss obesity bariatric surgery traumatic events eating behaviour