PDF(Pubmed)
Abstract：
BACKGROUND: While some bariatric surgery outcomes vary by race/ethnicity, less is known about racial/ethnic differences in loss-of-control (LOC) eating and psychosocial outcomes post-surgery.
OBJECTIVE: This prospective study examined and extended initial short-term findings regarding racial differences in post-bariatric surgery LOC eating and weight loss to longer-term outcomes through 24-month follow-ups.
METHODS: Academic medical center in the United States.
METHODS: Participants were 140 patients (46.4% non-White) in a 3-month randomized, controlled trial for LOC eating performed about 6 months after bariatric surgery. Participants were reassessed at 6, 12, 18, and 24 months after treatment ended (about 33 mo after surgery). Doctoral assessors administered the Eating Disorder Examination-Bariatric Surgery Version interview to assess LOC eating and eating-disorder psychopathology at 12- and 24-month follow-ups. The Beck Depression Inventory II was repeated, and measured weight was obtained at all follow-ups.
RESULTS: White patients had significantly greater percent excess weight loss at all follow-ups than non-White patients (p < .03). White patients reported significantly more LOC eating at 12- (p = .004) and 24-month (p = .024) follow-ups and significantly greater eating disorder psychopathology at 12-month follow-up (p < .028). Racial groups did not differ significantly in eating disorder psychopathology at 24-month follow-ups or in Beck Depression Inventory II depression scores at any follow-ups.
CONCLUSIONS: Our findings suggest that among patients with LOC eating after bariatric surgery, non-White patients attain a lower percent excess weight loss than White patients but have comparable or better outcomes in LOC eating, associated eating disorder psychopathology, and depression over time.
OBJECTIVE: This prospective study examined and extended initial short-term findings regarding racial differences in post-bariatric surgery LOC eating and weight loss to longer-term outcomes through 24-month follow-ups.
METHODS: Academic medical center in the United States.
METHODS: Participants were 140 patients (46.4% non-White) in a 3-month randomized, controlled trial for LOC eating performed about 6 months after bariatric surgery. Participants were reassessed at 6, 12, 18, and 24 months after treatment ended (about 33 mo after surgery). Doctoral assessors administered the Eating Disorder Examination-Bariatric Surgery Version interview to assess LOC eating and eating-disorder psychopathology at 12- and 24-month follow-ups. The Beck Depression Inventory II was repeated, and measured weight was obtained at all follow-ups.
RESULTS: White patients had significantly greater percent excess weight loss at all follow-ups than non-White patients (p < .03). White patients reported significantly more LOC eating at 12- (p = .004) and 24-month (p = .024) follow-ups and significantly greater eating disorder psychopathology at 12-month follow-up (p < .028). Racial groups did not differ significantly in eating disorder psychopathology at 24-month follow-ups or in Beck Depression Inventory II depression scores at any follow-ups.
CONCLUSIONS: Our findings suggest that among patients with LOC eating after bariatric surgery, non-White patients attain a lower percent excess weight loss than White patients but have comparable or better outcomes in LOC eating, associated eating disorder psychopathology, and depression over time.
摘要：
背景：虽然一些减肥手术的结果因种族/民族而异，关于手术后失控(LOC)饮食和社会心理结局的种族/民族差异的了解较少.
目的：这项前瞻性研究通过24个月的随访，对减肥手术后LOC饮食和体重减轻的种族差异进行了初步的短期研究，并将其扩展到长期结果。
方法：美国学术医学中心。
方法：在3个月的随机分组中，参与者为140名患者（46.4%非白人），在减肥手术后约6个月进行LOC饮食的对照试验。在治疗结束后6、12、18和24个月（手术后约33个月）重新评估参与者。博士评估人员进行了饮食失调检查-减肥手术版访谈，以评估12个月和24个月随访时的LOC饮食和饮食失调心理病理学。重复贝克抑郁量表II，并在所有随访中获得测量的体重。
结果：在所有随访中，白种人患者比非白种人患者的体重减少百分比显著更高（p<.03）。白人患者在12-（p=.004）和24个月（p=.024）随访时报告的LOC饮食显着增加，在12个月随访时（p<.028），进食障碍精神病理学显着增加。在24个月的随访中，种族组在进食障碍心理病理学方面或在任何随访中的贝克抑郁量表II抑郁评分均无显着差异。
结论：我们的研究结果表明，在减肥手术后进食LOC的患者中，非白人患者比白人患者获得更低的超重损失百分比，但在LOC饮食方面具有可比或更好的结果，相关的进食障碍精神病理学，随着时间的推移，抑郁症。
目的：这项前瞻性研究通过24个月的随访，对减肥手术后LOC饮食和体重减轻的种族差异进行了初步的短期研究，并将其扩展到长期结果。
方法：美国学术医学中心。
方法：在3个月的随机分组中，参与者为140名患者（46.4%非白人），在减肥手术后约6个月进行LOC饮食的对照试验。在治疗结束后6、12、18和24个月（手术后约33个月）重新评估参与者。博士评估人员进行了饮食失调检查-减肥手术版访谈，以评估12个月和24个月随访时的LOC饮食和饮食失调心理病理学。重复贝克抑郁量表II，并在所有随访中获得测量的体重。
结果：在所有随访中，白种人患者比非白种人患者的体重减少百分比显著更高（p<.03）。白人患者在12-（p=.004）和24个月（p=.024）随访时报告的LOC饮食显着增加，在12个月随访时（p<.028），进食障碍精神病理学显着增加。在24个月的随访中，种族组在进食障碍心理病理学方面或在任何随访中的贝克抑郁量表II抑郁评分均无显着差异。
结论：我们的研究结果表明，在减肥手术后进食LOC的患者中，非白人患者比白人患者获得更低的超重损失百分比，但在LOC饮食方面具有可比或更好的结果，相关的进食障碍精神病理学，随着时间的推移，抑郁症。
