Obesity

Impact of eating behavior on 24‐month weight change after treatment of severe obesity—A clinical prospective cohort study

Obesity (Silver Spring)Published Prospective cohort study

Main finding · Weight lossResult — go to the resultDifference in weight loss 3.5 kg 95% CI 0.02–6.9

Authors' conclusion

The association between pretreatment eating behaviors and weight change was found to be generalizable and not restricted to any specific treatment. Certain eating behaviors may affect weight loss as well as attrition. Identifying eating behaviors that may impair treatment efficacy are suggested in the treatment of severe obesity.

Study context

Population
Adults with severe obesity in surgical or medical obesity treatment (75% women; mean BMI 42.0 [SD 4.9] kg/m²); eating behaviors assessed by Questionnaire on Eating and Weight Patterns-Revised and Three-Factor Eating Questionnaire75% women
Participants
971 adults
Exposure
Self-reported baseline eating behaviors and 24-month weight change
Outcome
Weight change
Follow-up
24 months
Methodological detailsnonrandomized, clinical cohort, surgical and medical obesity treatment
  • Nonrandomized
  • Clinical cohort
  • Surgical and medical obesity treatment

Main finding

Weight loss

Difference in weight loss

3.5 kg

95% CI 0.02–6.9

P < 0.05

Nocturnal eatingvs No nocturnal eating
difference in weight loss 3.5 kg (95% CI 0.02–6.9); P < 0.05

As reported in the abstract

Observational data: associations, not effects.

Further findings

Emotional eating and weight loss · 12 months

Less weight loss per z score of emotional eating
1.16 kg (95% CI: 0.37-1.95; p < 0.05)

Dropout from medical obesity treatment vs completers

Dropout associated with baseline emotional and uncontrolled eating
both p < 0.001

Original publication

Impact of eating behavior on 24‐month weight change after treatment of severe obesity—A clinical prospective cohort study. Obesity (Silver Spring). Published 6 October 2024. doi:10.1002/oby.24131

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