Page 43 - When surgery alone won’t cut it - Valerie Maureen Monpellier

Figure 4: Results of meta-analysis effect of depressive symptoms on weight loss in RYGB patients
Study %
ID ES (95% CI) Weight
Hatoum, 2008 Silver, 2006 Kruseman, 2010
3.21 (1.57, 4.85)
-0.83 (-2.48, 0.82) -5.60 (-7.22, -3.98) 0.67 (-0.96, 2.30)
3.58 (1.95, 5.21)
3.71 (2.08, 5.34)
6.01 (4.37, 7.65) 15.96 (14.33, 17.59) 14.40 (12.77, 16.03) 9.27 (7.65, 10.89) 6.38 (4.74, 8.02)
-0.05 (-1.66, 1.56) 2.71 (1.10, 4.32)
0.29 (-1.32, 1.90) -2.70 (-4.31, -1.09) -2.10 (-3.74, -0.46) 1.93 (0.30, 3.56)
-0.55 (-2.18, 1.08) -0.85 (-2.43, 0.73) -8.94 (-10.48, -7.40) -1.10 (-2.67, 0.47) 0.88 (-0.28, 2.04)
2.34 (0.89, 3.79) -13.33 (-14.99, -11.67) 1.47 (-1.01, 3.95)
4.16 4.16 4.17 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.17 4.17 4.17 4.17 4.16 4.16 4.16 4.17 4.17 4.17 4.20 4.18 4.16 100.00
Alger-Mayer, Alger-Mayer, Alger-Mayer, Alger-Mayer, Alger-Mayer, Alger-Mayer, Alger-Mayer, Alger-Mayer, Sallet, 2007 Sallet, 2007 Sallet, 2007 Sallet, 2007 gorin
Love, 2008
Love, 2008
Beck, 2012 Yanos, 2014
Fox, 2015
Wise, 2015
Wise, 2015 Brandao, 2015 Overall (I-squared
2009 2009 2009 2009 2009 2009 2009 2009
= 98.3%, p = 0.000)
NOTE: Weights are from random effects analysis
-17.6 0 17.6
Binge eating
Twenty-four studies assessed self-reported binge eating 29,30,38,40,43,44,46,54,55,57,58,63,66,69- 79. Binge eating symptomatology was assessed with the Questionnaire of Eating and Weight Patterns - Revised in five studies 44,58,70,71,79, the DSM-IV in seven stud- ies 30,40,55,57,63,69,72, the Eating Disorder Examination-Questionnaire in three 46,73,78, Binge Eating Scale in five 29,38,54,74,75 and the Inventory of Binge Eating Situations in one 76 (Table 1). In three studies binge eating was assessed without a specified question- naire 43,66,77. Eighteen studies focused on the effect of self-reported binge eating prior to surgery, 20-361 patients were included, follow-up ranged from 6-72 months. Nine studies found no effect of binge eating on outcome 46,54,63,66,74,75,77,78. In one study binge eating prior to surgery was associated with higher weight loss 38. In six studies binge eating was significantly correlated with less weight loss 55,58,69,71,72,76. In one study suc- cessful patients (< 30 kg/m2 at 1-year post RYGB) were less likely to report binge eating though this difference disappeared when successful weight loss was defined otherwise 30. The effect of binge-eating post-surgery was described in five studies; in
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