Emotion Self-Regulation Moderates the Association Between Symptoms of ADHD and Weight Loss After Bariatric Surgery

Williamson, Tamara M.; Campbell, Tavis S.; Telfer, Jo Ann; Rash, Joshua A.

doi:10.1007/s11695-017-3037-3

Cited by 13 publications

(13 citation statements)

References 60 publications

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“…which in turns favoured a better adherence to the weight loss programme. The conclusion of the Levy et al study are in line with the findings from another more recent clinical study [43] highlighting how symptoms of ADHD were associated with an attenuation of weight loss following bariatric surgery in 30 adults with severe obesity, accounted for by deficit in emotional regulation. Interestingly, the Levy et al study also resonates with the findings of a recent meta-analysis [44], showing that, compared to patients without ADHD, those with ADHD presented with a statistically significant reduction in postoperative follow-up (poor adherence to follow-up visits).…”

Section: Which Are the Implications Of The Link Adhd–obesity For Tsupporting

confidence: 82%

The Association between ADHD and Obesity: Intriguing, Progressively More Investigated, but Still Puzzling

Cortese

2019

Brain Sciences

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This narrative review is aimed at presenting the most recent evidence on the association between attention-deficit/hyperactivity disorder (ADHD) and obesity. The review is informed by previous relevant systematic reviews and a search in Pubmed and PsycINFO up to 1 August 2019. Although the association between ADHD and obesity would seem, at first, paradoxical, in the past two decades there has been an increasing number of studies on this topic. The present review shows that there is meta-analytic evidence supporting a significant association between these two conditions, at least in adults. Growing evidence is also being published on the genetic and environmental factors underlying the association. However, the cause–effects paths, as well as the exact mechanisms explaining the association, remain unclear. Additionally, empirical evidence guiding the management/treatment of patients with the two conditions is still limited. Therefore, after almost 20 years from the first report of a link between ADHD and obesity, this association continues to be puzzling.

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Section: Which Are the Implications Of The Link Adhd–obesity For Tsupporting

confidence: 82%

The Association between ADHD and Obesity: Intriguing, Progressively More Investigated, but Still Puzzling

Cortese

2019

Brain Sciences

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“…Some studies show that ADHD symptoms are associated with high emotion dysregulation [117,135], impacting the ability to cope with daily difficulties, and involving greater negative affectivity and a higher risk of mood disorder comorbidity. As expected, some studies indicated that negative affectivity and emotion dysregulation mediates the association between ADHD and addictive-like eating behavior [108,109,112,126,135,[137][138][139], supported by publications which showed association between ADHD and emotional eating [126][127][128]. Negative affectivity and lack of emotion regulation, commonly observed in ADHD, would trigger food intake.…”

Section: Discussionsupporting

confidence: 55%

“…Williamson and colleagues (2017) [139] investigated the role of emotion self-regulation and ADHD symptoms in the weight loss of obesity patients after bariatric surgery. The interaction between ADHD symptomatology and emotion self-regulation accounted for 13% of the weight loss variance.…”

Section: Adultsmentioning

confidence: 99%

Negative Affectivity and Emotion Dysregulation as Mediators between ADHD and Disordered Eating: A Systematic Review

et al. 2020

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Attention-Deficit/Hyperactivity Disorder (ADHD) is associated with disordered eating, especially addictive-like eating behavior (i.e., binge eating, food addiction, loss of control overeating). The exact mechanisms underlying this association are unclear. ADHD and addictive-like eating behavior are both associated with negative affectivity and emotion dysregulation, which we hypothesized are mediators of this relationship. The purpose of this systematic review was to review the evidence related to this hypothesis from studies assessing the relationship between childhood or adulthood ADHD symptomatology, negative affectivity, emotion dysregulation and addictive-like eating behavior. The systematic review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) recommendations. The literature search was conducted in PubMed and PsycINFO (publication date: January 2015 to August 2020; date of search: 2nd September 2020). Out of 403 potentially relevant articles, 41 were retained; 38 publications reported that ADHD and disordered eating or addictive-like eating behavior were significantly associated, including 8 articles that suggested a mediator role of negative affectivity or emotion dysregulation. Sixteen publications reported that the association between ADHD symptomatology and disordered eating or addictive-like eating behavior differed according to gender, eating behavior and ADHD symptoms (hyperactivity, impulsivity and inattention). We discuss the practical implications of these findings and directions future research.

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“…Few studies have examined the relationship between intelligence and weight loss outcome. A previous study reported that patients with poorly controlled developmental disorders showed insufficient weight loss after bariatric surgery [16], and the prevalence of mental retardation/developmental disorders tended to be higher in patients with %TWL <15% in the J-SMART study [6]. Few studies have reported weight loss outcomes in patients with binge eating.…”

Section: Discussionmentioning

confidence: 99%

Impact of Mental Health Background and Nutrition Intake on Medium-Term Weight Loss in Japanese Patients Undergoing Laparoscopic Sleeve Gastrectomy

et al. 2020

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Objectives: Bariatric surgery is the most effective weight loss therapy, and recently laparoscopic sleeve gastrectomy (LSG) is gaining popularity worldwide. On the other hand, patients undergoing bariatric surgery have a high prevalence of mental disorders. A Japanese nationwide survey reported high prevalence of mental disorders in patients with low percent total weight loss (%TWL) and also in those with high %TWL. The aim of this study was to investigate the relationship of 1-year %TWL with background mental health status, 3-year outcomes, and nutrition intake in Japanese patients after LSG. Methods: This study was a single-center retrospective database analysis. A total of 89 Japanese patients who underwent LSG and were followed for 3 years were enrolled (mean age 41.9 years, baseline body mass index 44.9, baseline glycosylated hemoglobin, HbA1c, 7.0%). The patients were divided into 3 groups according to 1-year %TWL as follows: ≤19.9% (insufficient group), 20.0–34.9% (average group) and ≥35.0% (excessive group). Psychosocial and nutritional status as well as physical data were collected from all patients. Results: The prevalence of mental disorders was 51.7%, and 1-year %TWL was 28.1% in all patients. No significant differences were observed in the changes in body weight and HbA1c between patients with and those without mental disorders. The prevalence of mental disorders was particularly high in the insufficient and excessive groups. In the insufficient group, mood disorders and mental retardation/developmental disorders were frequent, and snacking and eating out habits were often observed. In the excessive group, the frequencies of mood disorders and binge eating were high, and a decrease in skeletal muscle mass due to low protein intake was observed. Furthermore, weight regain was shown 12 months after LSG in both groups. In the average group, there were fewer problems in weight loss outcomes, mental health, nutrition intake and body composition. Conclusions: Psychosocial and nutritional problems were often found not only in patients with insufficient weight loss, but also in those with seemingly “excellent” weight reduction. To improve long-term weight loss outcome and future health, a multidisciplinary approach focusing on mental health and nutrition is essential for patients undergoing bariatric surgery.

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Emotion Self-Regulation Moderates the Association Between Symptoms of ADHD and Weight Loss After Bariatric Surgery

Abstract: ESR moderated the association between sADHD and %EWL, suggesting that sADHD may attenuate weight loss following bariatric surgery among individuals deficient in ESR. This finding has implications for bariatric surgery pre-surgical psychological assessment.

Cited by 13 publications

References 60 publications

The Association between ADHD and Obesity: Intriguing, Progressively More Investigated, but Still Puzzling

The Association between ADHD and Obesity: Intriguing, Progressively More Investigated, but Still Puzzling

Negative Affectivity and Emotion Dysregulation as Mediators between ADHD and Disordered Eating: A Systematic Review

Impact of Mental Health Background and Nutrition Intake on Medium-Term Weight Loss in Japanese Patients Undergoing Laparoscopic Sleeve Gastrectomy

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