EATING DISORDERS IN MORBID OBESITY PATIENTS

Abstract

Objectives. To determine the prevalence and typology, as well as to establish the factors influencing the change of eating behavior in patients with morbid obesity. Material and methods. The method of continuous sampling was used to analyze the incidence of eating disorders types in 154 patients with morbid obesity who underwent planned surgical treatment for obesity at the Center for Herniology and Bariatric Surgery of the 4th City Clinical Hospital named after N.E. Savchenko during the period from 2016 to 2017. Additionally, a survey on the type of eating disorders was carried out in 81 patients with morbid obesity in the pre- and postoperative period after providing bariatric treatment. Results. The prevalence, typology of eating disorders associated with morbid obesity were studied, the assessment of the presence of correlation between body mass index (BMI) and the threshold value of eating disorders, as well as the assessment of changes of eating behavior in patients with morbid obesity in the postoperative period were made. Conclusions. Deviant forms of eating behavior are a specific criterion for morbid obesity with a dominant emocyogenic type of eating disorder with a body mass index of more than 60 kg / m2. Performing restrictive or combined bariatric surgery in patients with a restrictive type of eating disorder completely eliminates the existing eating disorder in 12 months after the operation, while maintaining a positive result in the long-term period.