"Grazing": A High-Risk Behavior

  title={"Grazing": A High-Risk Behavior},
  author={Ronna Saunders},
  journal={Obesity Surgery},
Background: Gastric bypass patients with a range of disturbed eating patterns before surgery may be at risk of returning to old patterns postoperatively. Recent research has shown that binge eating is common among the obese before surgery as well as in the postoperative maintenance phase and appears to be linked to poorer outcome. Although "grazing" behavior has not been specifically studied, it is also a high-risk pattern. This paper is a descriptive investigation summarizing postoperative… 
Post-Surgery Group Therapy for Gastric Bypass Patients
A postoperative psychotherapy group process designed specifically for gastric bypass patients with compulsive eating problems is described, which is a highly effective intervention but must be designed for the special needs of these patients.
Postoperative grazing as a risk factor for negative outcomes after bariatric surgery.
Development of grazing is frequent after bariatric surgery, especially when weight loss has reached a plateau, and systematic screening of grazing after BS is warranted.
Grazing Behavior Hinders Weight Loss in Long-Term Post Bariatric Surgery: a Cross-Sectional Study
Grazing behavior is common in the long-term among patients who have undergone bariatric surgery and is negatively related to weight loss parameters.
Maladaptive eating patterns after weight-loss surgery.
  • M. Rusch, D. Andris
  • Medicine
    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
  • 2007
Clinical responses to weight-loss surgery are described to highlight problems the authors have encountered when following bariatric surgery patients in the early postoperative period, as well as in a long-term setting.
Eating Behaviors Post-Bariatric Surgery: A Qualitative Study of Grazing
Post-bariatric surgery patients seem to view grazing as a healthy eating behavior characterized by mindful food choices that are consumed in small amounts frequently throughout the day, but grazing may also be viewed as an unhealthy eating pattern when it is perceived as unplanned, mindless, continuous food consumption.
Binge eating in the bariatric surgery population: a review of the literature.
Clinically significant BE is related to poorer surgical outcomes, and additional interventions may be needed to improve long term outcomes.
Eating Behavior as a Prognostic Factor for Weight Loss after Gastric Bypass
The presence of a history of binge eating prior to treatment is associated with poorer weight loss in obese patients submitted to RYGBP, and preliminary results at 3-year follow-up suggest that such an effect may be enduring.
Comprehensive interview assessment of eating behavior 18-35 months after gastric bypass surgery for morbid obesity.
A substantial subgroup of patients with a preoperative eating disorder will develop binge eating after surgery that might be associated with less weight loss, and a subsample will start vomiting for weight and shape reasons after bariatric surgery.
Binge eating, binge eating disorder and loss of control eating: effects on weight outcomes after bariatric surgery.
The data suggests that it is important to identify individuals at high risk for these problems, to follow them post-operatively, and, if appropriate interventions can be developed if such behaviours occur in order to maximize weight loss outcomes.
Emotional Eating: A Virtually Untreated Risk Factor for Outcome Following Bariatric Surgery
It is demonstrated that EE may be a conscious or reflexive behavior motivated by multiple negative emotions and/or feelings of distress about loss-of-control eating and three cases suggest that cognitive behavioral treatment (CBT) might alleviate EE.


Binge Eating in Gastric Bypass Patients Before Surgery
Binge eating in the obese, specifically those undergoing bariatric surgery, has only recently been investigated, and the identification and treatment of such disorders may be critical to successful long-term outcome in these patients.
Binge Eating Among Gastric Bypass Patients at Long-term Follow-up
Self-reported loss of control over eating was related to weight regain after GBP and may be an important target for clinical intervention.
Compulsive Eating and Gastric Bypass Surgery: What does Hunger have to do with It?
Since long-term weight maintenance depends on post-operative changes in eating behaviors, it is important to identify patients at risk for a range of disordered eating patterns so that a comprehensive treatment plan that targets the eating disturbances and associated psychological components can be implemented.
Eating disturbances and outcome of gastric bypass surgery: a pilot study.
Patients with a presurgical eating disorder may experience a short-term improvement in their eating disorder following GBP that erodes on or after 2 years and is related to weight regain.
Diagnosis and treatment of normal eating.
  • J. Polivy, C. Herman
  • Psychology, Medicine
    Journal of consulting and clinical psychology
  • 1987
Comparisons between normal dieters and individuals with an eating disorder are explored and it is concluded that many normal eaters display characteristics of eating-disorder pathologies and should be treated accordingly.
Binge eating disorder: A multisite field trial of the diagnostic criteria
Diagnostic criteria have been developed for a new eating disorder, binge eating disorder (BED), to describe the many individuals who have problems with recurrent binge eating but do not engage in the
The spectrum of eating disturbances.
It is indicated that the prevalence of partial syndrome eating disorders in nonclinical populations is at least twice that of full syndrome EDs, and that there is a progression in some individuals from less to more severe disturbances in eating behavior.
Subthreshold binge eating disorder.
OBJECTIVE To examine the clinical features of subthreshold binge eating disorder (BED). METHOD Participants were recruited directly from the community as part of an ongoing study of risk factors