Obesity

Real‐time versus retrospective self‐report assessment of loss‐of‐control eating in adults undergoing bariatric surgery

Obesity (Silver Spring)Published Prospective cohort study

Authors' conclusion

Agreement between real-time and retrospective assessments of LOC eating varied by episode size and time elapsed in the year following surgery. These findings should be considered when designing assessment batteries for bariatric surgery-seeking adults and when extrapolating research findings across studies with diverging methods of real-time versus retrospective self-report assessment of LOC eating in adults undergoing bariatric surgery.

Study context

Population
Adults with severe obesity undergoing bariatric surgery; assessed before surgery and at 3, 6 and 12 months after
Exposure
Real-time ecological momentary assessment (EMA) vs retrospective Eating Disorder Examination-Questionnaire (EDE-Q) self-report of loss-of-control (LOC) eating
Outcome
Agreement of EDE-Q and EMA reports of subjectively and objectively large LOC episodes
Follow-up
Before surgery and 3, 6, 12 months after

Main finding

As reported in the abstract

Subjectively large LOC episodes reported more frequently via EMA than EDE-Q across time points; differences not significant
all p > 0.05
Objectively large LOC episodes reported more frequently via EDE-Q than EMA; significant at 6 months post surgery only
p = 0.03

Observational data: associations, not effects.

Original publication

Real‐time versus retrospective self‐report assessment of loss‐of‐control eating in adults undergoing bariatric surgery. Obesity (Silver Spring). Published 10 January 2023. doi:10.1002/oby.23628

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