Examining Sleep Quality Following Sleeve Gastrectomy Among Patients with Loss-of-Control Eating

  • Jessica L. LawsonEmail author
  • Ashley A. Wiedemann
  • Meagan M. Carr
  • Valentina Ivezaj
  • Andrew J. Duffy
  • Carlos M. Grilo
Original Contributions



Sleep is associated with post-bariatric surgical outcomes; however, little is known about sleep in bariatric patients with loss-of-control (LOC) eating, a consistent predictor of poorer weight outcomes. This study examined sleep quality and clinical correlates in sleeve gastrectomy patients with LOC eating.


Participants (N = 145) were treatment-seeking post-operative sleeve gastrectomy patients with LOC eating. Eating-disorder features were assessed with the Eating Disorder Examination-Bariatric Surgery Version Interview (EDE-BSV) and participants completed established measures assessing sleep, health-related quality of life, perceived stress, depression, and night eating.


58.6% of participants were characterized with “poor” sleep. Poor sleep quality was significantly associated with greater eating-disorder psychopathology, physical and mental functioning, night eating, perceived stress, and less % excess weight loss (EWL); these findings remained significant after controlling for %EWL and race. Regression analyses, adjusting for correlated variables, revealed that sleep quality significantly predicted mental functioning.


Poor sleep quality was common among post-operative sleeve gastrectomy patients with LOC eating. Sleep quality was significantly associated with eating-disorder psychopathology, less post-operative weight loss, and psychosocial and physical functioning problems. These findings suggest the importance of assessment and treatment of sleep problems following sleeve gastrectomy.

Clinical Trial Registration identifier NCT02259322.


Sleep quality Sleeve gastrectomy Loss-of-control eating Psychosocial functioning 



This research was supported, in part, by an NIH grant R01 DK098492 (Dr. Grilo).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Program for Obesity, Weight, and Eating Research, Psychiatry DepartmentYale School of MedicineNew HavenUSA
  2. 2.Yale UniversityNew HavenUSA

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