Update on eating disorders and disordered eating behaviors in metabolic bariatric surgery patients

被引:1
|
作者
Conceicao, Eva [1 ]
Mitchell, James E. [2 ]
Sarwer, David B. [3 ]
机构
[1] Univ Porto, Ctr Psychol, Fac Psychol & Educ Sci, Porto, Portugal
[2] Univ North Dakota, Sch & Med & Hlth Sci, Grand Forks, ND USA
[3] Temple Univ, Coll Publ Hlth, Ctr Obes Res & Educ, Philadelphia, PA USA
关键词
bariatric surgery; DSM-5; criteria; eating disorders; postoperative interventions; predictors of weight loss;
D O I
10.1097/YCO.0000000000000962
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of reviewRecent literature suggests a potential causal link between metabolic bariatric surgery (MBS) and an increased risk of eating disorders. However, the available literature offers unclear results regarding the definition of eating problems among MBS patients, their potential impact on weight outcomes, and the efficacy of adjunctive treatment.Recent findingsAlthough eating disorders may be rare phenomena after surgery, disordered eating behaviors are more common and tend to be more consistently associated with suboptimal weight loss. There also appear to be clear problems when using Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) criteria to assess eating disorders among MBS patients, particularly for restrictive eating, binge-eating episodes, and the core psychopathology of eating disorders. Finally, preoperative interventions appear to offer effects limited to the presurgery period, and the evidence for the efficacy of postoperative interventions remains limited. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) offer promising benefits for weight loss and the treatment of binge-eating problems, but their potential risks must be carefully managed.SummaryRecognizing the diverse presentations of these problems among individuals undergoing MBS is crucial. Clinical attention should focus on intensive specialized care during the postoperative period for those who develop eating-related problems.
引用
收藏
页码:424 / 429
页数:6
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