Maladaptive eating patterns, quality of life, and weight outcomes following gastric bypass: results of an Internet survey

Obesity (Silver Spring). 2010 Oct;18(10):1938-43. doi: 10.1038/oby.2010.27. Epub 2010 Feb 18.


Bariatric surgery is the most effective treatment for severe obesity. However, evidence suggests that maladaptive eating behaviors such as binge eating, grazing, and a loss of control when eating may impact postsurgical weight outcomes. The current study sought to characterize the weight outcomes, eating patterns, and perceived health-related quality of life of individuals 3-10 years following gastric bypass (GBP) surgery and to assess the relationships between eating behaviors, weight outcomes, and quality of life. Eligible participants (N = 497) completed an Internet survey of their eating behaviors, health-related quality of life, and weight history. Participants self-reported a mean maximum postsurgical loss of 81% of their excess weight and maintained a mean weight loss of 70% 3-10 years following surgery (mean 4.2 years). Eighty-seven percent reported weight regain ranging from 1 to 124 lb (mean 22.6 lb). Frequency of binge eating, a loss of control when eating, and grazing were all significantly correlated with greater weight regain (binge eating r = 0.24, P = 0.006; loss of control r = 0.36, P < 0.01; grazing r = 0.39, P < 0.001) and lesser excess weight loss (EWL) (binge eating r = -0.21, P = 0.013; loss of control r = -0.41, P < 0.001; grazing r = -0.27, P < 0.001). Poorer health-related quality of life was associated with binge eating disorder (BED) (t[463] = 9.7, P < 0.001) and grazing two or more times per week (t[361] = 9.0, P < 0.001). These findings suggest that eating disturbances and a loss of control when eating are significant following GBP and are risk factors for diminished weight outcomes.

MeSH terms

  • Adult
  • Appetite Regulation
  • Bulimia*
  • Feeding Behavior*
  • Female
  • Gastric Bypass*
  • Health Surveys
  • Humans
  • Internet
  • Male
  • Middle Aged
  • Obesity, Morbid / surgery*
  • Postoperative Period
  • Quality of Life*
  • Risk Factors
  • Self Report
  • Social Control, Informal
  • Weight Gain*
  • Weight Loss