Eating Compulsion Behavior Assessment in Patients Before and After Bariatric Surgery: A Systematic Review.
Isabella S D Faria, Daniel E Proença, Mayra L S Helfenstein et al.
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In 30 seconds
This systematic review examined 22 PubMed/Medline articles on compulsive eating and related psychological factors in patients before and after bariatric surgery. The review reports that preoperative binge eating disorder (BED) was significantly associated with less effective weight loss, while compulsive eating behaviors often continued after surgery. Anxiety, depression, and emotional instability were also described as factors that may compromise outcomes. The authors emphasize psychological support before and after surgery and call for further research into comprehensive psychological care. The abstract does not provide a pooled effect estimate or other quantitative outcome beyond the number of articles reviewed.
Key findings
- The review included 22 articles identified through PubMed/Medline.
- Pre-surgical BED was significantly associated with reduced effectiveness of weight loss.
- Compulsive eating behaviors often persisted after bariatric surgery.
- Anxiety, depression, and emotional instability were reported as factors that may compromise outcomes.
Why it matters
Eating behaviors and psychological health may remain relevant to weight-loss outcomes after bariatric surgery, rather than being resolved by the procedure alone. Recognizing these concerns supports attention to psychological needs across the surgical pathway. However, the review abstract provides no pooled effect estimate, so it does not quantify the size of the association or the benefit of psychological care.
What to keep in mind
The abstract reports no pooled effect estimate and does not describe the included studies’ designs or quality, limiting assessment of the strength and consistency of the evidence.