Sleep and aberrant eating behaviors in metabolic/bariatric presurgical candidates.

Autor:	Schruff MA; Department of Psychology, University of Mississippi, University, Mississippi. Electronic address: maschruf@go.olemiss.edu., Himes SM; Massachusetts General Hospital Weight Center, Harvard Medical School, Boston, Massachusetts., Reilly-Harrington NA; Massachusetts General Hospital Weight Center, Harvard Medical School, Boston, Massachusetts., Penava SJ; Massachusetts General Hospital Weight Center, Harvard Medical School, Boston, Massachusetts., Sogg S; Massachusetts General Hospital Weight Center, Harvard Medical School, Boston, Massachusetts., Pinson T; North Mississippi Medical Center Bariatric Clinic, Tupelo, Mississippi., Young J; Department of Psychology, University of Mississippi, University, Mississippi.
Jazyk:	angličtina
Zdroj:	Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2024 Oct; Vol. 20 (10), pp. 910-915. Date of Electronic Publication: 2024 Jun 19.
DOI:	10.1016/j.soard.2024.06.003
Abstrakt:	Background: Metabolic/bariatric surgery (MBS) is the most effective treatment for obesity, yet many factors influence successful individual weight loss. Among those are a variety of health behaviors that are assessed in the process of presurgical psychological evaluations, including eating pathology and sleep disturbance (both of which are relatively common among surgical candidates). Objectives: This study aims to examine the relationship between sleep, binge eating, and night eating behaviors among individuals seeking MBS. Setting: Medical center and private psychological practice in Mississippi. Methods: Patients (N = 311) seeking presurgical psychological evaluations for bariatric surgery completed self-report measures. Of these, 83.0% were females and 70.7% of those with ethnicity data identified as White. Average body mass index (BMI) in the sample was 46.5 (standard deviation [SD] = 8.02). Correlations between variables were calculated and examination of the indirect effect of sleep disturbance on night eating as mediated by binge eating was conducted. Results: Sleep disturbance, binge eating, and night eating were significantly associated (b = .22-.45). Mediation analysis yielded a significant indirect effect, indicating that binge eating propensity explains the relationship between impaired sleep and night eating symptoms (b = .09, standard error [SE] = .03, confidence interval [CI]: .04-.18). Conclusions: The observed relationship between sleep disturbance, night eating, and binge eating among bariatric candidates provides implications for future research and treatment approaches. Specifically, additional attention to sleep disturbance in the presurgical assessment process and consideration of sleep hygiene as a potential target for intervention may facilitate improvements in overall health, adjustment, and sustained weight loss. (Copyright © 2024 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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