Binge eating in obesity: a longitudinal study following biliopancreatic diversion.
OBJECTIVE
Evaluating the influence of dieting and of being overweight on binge-eating episodes and on psychological traits in severely obese patients.


METHODS
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.


CONCLUSIONS
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.
Adami
G F
GF
Department of Internal Medicine, University of Genoa, Italy.
Gandolfo
P
P
Meneghelli
A
A
Scopinaro
N
N
D000328:Adult; D015904:Biliopancreatic Diversion; D015992:Body Mass Index; D001835:Body Weight; D004435:Eating; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000523:psychology* / Q000601:surgery*; D011795:Surveys and Questionnaires; D013997:Time Factors