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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
  • 29 Downloads

Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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

ClinicalTrials.gov identifier NCT02259322.

Keywords

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

Notes

Funding

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.

References

  1. 1.
    Theorell-Haglow J, Lindberg E. Sleep duration and obesity in adults: what are the connections? Curr Obes Rep. 2016;5:333–43.CrossRefGoogle Scholar
  2. 2.
    Nedeltcheva AV, Kilkus JM, Imperial J, et al. Insufficient sleep undermines dietary efforts to reduce adiposity. Ann Intern Med. 2010;153:435–41.CrossRefGoogle Scholar
  3. 3.
    Wrzosek M, Wojnar M, Sawicka A, et al. Insomnia and depressive symptoms in relation to unhealthy eating behaviors in bariatric surgery candidates. BMC Psychiatry. 2018;18:153.CrossRefGoogle Scholar
  4. 4.
    Lim DC, Pack AI. Obstructive sleep apnea: update and future. Annu Rev Med. 2017;68:99–112.CrossRefGoogle Scholar
  5. 5.
    Cai GH, Theorell-Haglow J, Janson C, et al. Insomnia symptoms and sleep duration and their combined effects in relation to associations with obesity and central obesity. Sleep Med. 2018;46:81–7.CrossRefGoogle Scholar
  6. 6.
    Hirotsu C, Tufik S, Andersen ML. Interactions between sleep, stress, and metabolism: from physiological to pathological conditions. Sleep Sci. 2015;8:143–52.CrossRefGoogle Scholar
  7. 7.
    Tomiyama AJ. Stress and obesity. Annu Rev Psychol. 2019;70:703–18.Google Scholar
  8. 8.
    Araghi MH, Jagielski A, Neira I, et al. The complex associations among sleep quality, anxiety-depression, and quality of life in patients with extreme obesity. Sleep. 2013;36:1859–65.CrossRefGoogle Scholar
  9. 9.
    Puzziferri N, Roshek TB, Mayo HG, et al. Long-term follow-up after bariatric surgery: a systematic review. JAMA. 2014;312:934–42.CrossRefGoogle Scholar
  10. 10.
    Pinto TF, de Bruin PFC, de Bruin VMS, et al. Obesity, hypersomnolence, and quality of sleep: the impact of bariatric surgery. Obes Surg. 2017;27:1775–9.CrossRefGoogle Scholar
  11. 11.
    Toor P, Kim K, Buffington CK. Sleep quality and duration before and after bariatric surgery. Obes Surg. 2012;22(6):890–5.CrossRefGoogle Scholar
  12. 12.
    Dilektasli E, Dilektasli AG. Laparoscopic sleeve gastrectomy improves excessive daytime sleepiness and sleep quality 6 months following surgery: a prospective cohort study. Adv Ther. 2016;33:774–85.CrossRefGoogle Scholar
  13. 13.
    American Psychiatric Association, DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Arlington: American Psychiatric Publishing, Inc. 2013.Google Scholar
  14. 14.
    Devlin MJ, King WC, Kalarchian MA, et al. Eating pathology and experience and weight loss in a prospective study of bariatric surgery patients: 3-year follow-up. Int J Eat Disord. 2016;49:1058–67.CrossRefGoogle Scholar
  15. 15.
    Meany G, Conceicao E, Mitchell JE. Binge eating, binge eating disorder and loss of control eating: effects on weight outcomes after bariatric surgery. Eur Eat Disord Rev. 2014;22:87–91.CrossRefGoogle Scholar
  16. 16.
    Ivezaj V, Kessler EE, Lydecker JA, et al. Loss-of-control eating following sleeve gastrectomy surgery. Surg Obes Relat Dis. 2017;13:392–8.CrossRefGoogle Scholar
  17. 17.
    White MA, Kalarchian MA, Masheb RM, et al. Loss of control over eating predicts outcomes in bariatric surgery patients: a prospective, 24-month follow-up study. J Clin Psychiatry. 2010;71:175–84.CrossRefGoogle Scholar
  18. 18.
    Royal S, Wnuk S, Warwick K, et al. Night eating and loss of control over eating in bariatric surgery candidates. J Clin Psychol Med Settings. 2015;22:14–9.CrossRefGoogle Scholar
  19. 19.
    Buysse DJ, Reynolds 3rd CF, Monk TH, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.CrossRefGoogle Scholar
  20. 20.
    Mollayeva T, Thurairajah P, Burton K, et al. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Med Rev. 2016;25:52–73.CrossRefGoogle Scholar
  21. 21.
    Fairburn CG, Cooper Z. The eating disorder examination. In: Fairburn CG, Wilson GT, editors. Binge eating: nature, assessment, and treatment. 12th ed. New York: Guilford Press; 1993. p. 317–56.Google Scholar
  22. 22.
    de Zwaan M, Hilbert A, Swan-Kremeier L, et al. Comprehensive interview assessment of eating behavior 18-35 months after gastric bypass surgery for morbid obesity. Surg Obes Relat Dis. 2010;6:79–85.CrossRefGoogle Scholar
  23. 23.
    Grilo CM, Reas DL, Hopwood CJ, et al. Factor structure and construct validity of the eating disorder examination-questionnaire in college students: further support for a modified brief version. Int J Eat Disord. 2015;48:284–9.CrossRefGoogle Scholar
  24. 24.
    Grilo CM, Crosby RD, Peterson CB, et al. Factor structure of the eating disorder examination interview in patients with binge-eating disorder. Obesity (Silver Spring). 2010;18:977–81.CrossRefGoogle Scholar
  25. 25.
    Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473–83.CrossRefGoogle Scholar
  26. 26.
    Kolotkin RL, Andersen JR. A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life. Clin Obes. 2017;7:273–89.CrossRefGoogle Scholar
  27. 27.
    Krukowski RA, Friedman KE, Applegate KL. The utility of the Beck Depression Inventory in a bariatric surgery population. Obes Surg. 2010;20:426–31.CrossRefGoogle Scholar
  28. 28.
    Allison KC, Lundgren JD, O'Reardon JP, et al. The Night Eating Questionnaire (NEQ): psychometric properties of a measure of severity of the Night Eating Syndrome. Eat Behav. 2008;9:62–72.CrossRefGoogle Scholar
  29. 29.
    Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96.CrossRefGoogle Scholar
  30. 30.
    Brethauer SA, Kim J, El Chaar M, et al. Standardized outcomes reporting in metabolic and bariatric surgery. Obes Surg. 2015;25:587–606.CrossRefGoogle Scholar
  31. 31.
    Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation’s updated sleep duration recommendations: final report. Sleep Health. 2015;1:233–43.CrossRefGoogle Scholar
  32. 32.
    Liu Y, Wheaton AG, Chapman DP, et al. Prevalence of healthy sleep duration among adults--United States, 2014. MMWR Morb Mortal Wkly Rep. 2016;65:137–41.CrossRefGoogle Scholar
  33. 33.
    Matthews EE, Li C, Long CR, et al. Sleep deficiency among Native Hawaiian/Pacific Islander, Black, and White Americans and the association with cardiometabolic diseases: analysis of the National Health Interview Survey Data. Sleep Health. 2018;4:273–83.CrossRefGoogle Scholar
  34. 34.
    Seng EK, Cervoni C, Lawson JL, et al. The burden of sleep problems: a pilot observational study in an ethnically diverse urban primary care setting. J Prim Care Community Health. 2016;7:276–80.CrossRefGoogle Scholar
  35. 35.
    Patel SR, Hu FB. Short sleep duration and weight gain: a systematic review. Obesity (Silver Spring). 2008;16:643–53.CrossRefGoogle Scholar
  36. 36.
    Hindle A, de la Piedad Garcia X, Brennan L. Early post-operative psychosocial and weight predictors of later outcome in bariatric surgery: a systematic literature review. Obes Rev. 2017;18:317–34.CrossRefGoogle Scholar
  37. 37.
    Chaput JP, Despres JP, Bouchard C, et al. The association between short sleep duration and weight gain is dependent on disinhibited eating behavior in adults. Sleep. 2011;34:1291–7.CrossRefGoogle Scholar
  38. 38.
    Yeh SS, Brown RF. Disordered eating partly mediates the relationship between poor sleep quality and high body mass index. Eat Behav. 2014;15:291–7.CrossRefGoogle Scholar
  39. 39.
    Allison KC, Spaeth A, Hopkins CM. Sleep and eating disorders. Curr Psychiatry Rep. 2016;18:92.CrossRefGoogle Scholar
  40. 40.
    Wu JQ, Appleman ER, Salazar RD, et al. Cognitive behavioral therapy for insomnia comorbid with psychiatric and medical conditions: a meta-analysis. JAMA Intern Med. 2015;175:1461–72.CrossRefGoogle Scholar
  41. 41.
    Fernandez-Mendoza J, Calhoun SL, Bixler EO, et al. Sleep misperception and chronic insomnia in the general population: role of objective sleep duration and psychological profiles. Psychosom Med. 2011;73:88–97.CrossRefGoogle Scholar

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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