Chronic Dieting Among Extremely Obese Bariatric Surgery Candidates
Autor: | Bruce S. Rothschild, Marney A. White, Megan Roehrig, Robin M. Masheb, Carolyn H. Burke-Martindale, Carlos M. Grilo |
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Rok vydání: | 2009 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Psychometrics Endocrinology Diabetes and Metabolism Comorbidity Article Body Mass Index Young Adult Feeding behavior Quality of life Surveys and Questionnaires medicine Humans Clinical significance Bulimia Patient group Young adult Aged Caloric Restriction Demography Nutrition and Dietetics Depression business.industry Feeding Behavior Middle Aged medicine.disease Self Concept Obesity Morbid Surgery Quality of Life Female medicine.symptom business Body mass index Dieting |
Zdroj: | Obesity Surgery. 19:1116-1123 |
ISSN: | 1708-0428 0960-8923 |
Popis: | Extremely obese bariatric surgery candidates report numerous episodes of both successful and unsuccessful dieting attempts, but little is known about the clinical significance of frequent dieting attempts in this patient group.The current study examined psychological and weight-related correlates of self-reported dieting frequency in 219 bariatric surgery candidates (29 men and 190 women). Prior to surgery, patients completed a battery of established self-report assessments. Patients were dichotomized into chronic dieters (n=109) and intermittent dieters (n=110) based on a median split of self-reported percent time spent dieting during adulthood. The two dieting groups were compared on demographics, eating and weight history, eating disorder psychopathology, and global functioning.Chronic dieters had significantly lower pre-operative body mass indexes (BMIs), lower highest-ever BMIs, more episodes of weight cycling, and earlier ages of onset for overweight and dieting than intermittent dieters. After controlling for differences in BMI, chronic dieters were found to have statistically but not clinically significant elevations in eating concerns, dietary restraint, and body dissatisfaction than infrequent dieters. The two groups, however, did not differ significantly on depressive symptoms, self-esteem, or health-related quality of life; nor did they differ in binge-eating status.Chronic dieting is commonly reported among extremely obese bariatric candidates and is not associated with poorer psychological functioning or binge eating and may be beneficial in attenuating even greater weight gain. Our findings provide preliminary data to suggest that requiring additional presurgical weight loss attempts may not be warranted for the vast majority of extremely obese bariatric candidates. |
Databáze: | OpenAIRE |
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