Chew and spit (CHSP) in bariatric patients: a case series
Abstract Background Studies into the disordered eating behaviour of chew and spit have alluded to several cohorts more likely to engage in the behaviour, one such group being bariatric surgery candidates and patients. Weight-loss surgery candidates have received little to no attention regarding enga...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-021-00441-5 |
| _version_ | 1811173682295341056 |
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| author | Phillip Aouad Kristin Stedal Gro Walø-Syversen Phillipa Hay Camilla Lindvall Dahlgren |
| author_facet | Phillip Aouad Kristin Stedal Gro Walø-Syversen Phillipa Hay Camilla Lindvall Dahlgren |
| author_sort | Phillip Aouad |
| collection | DOAJ |
| description | Abstract Background Studies into the disordered eating behaviour of chew and spit have alluded to several cohorts more likely to engage in the behaviour, one such group being bariatric surgery candidates and patients. Weight-loss surgery candidates have received little to no attention regarding engaging in chew and spit behaviour. Changes in pre- and post- surgery eating pathology related to chew and spit behaviour has yet to be explored and described in academic literature. Case presentation The current study reports on three cases of individual women, aged 30, 35, and 62 respectively, who indicated engagement in chew and spit. All three cases underwent bariatric surgery (two underwent gastric bypass, one underwent vertical sleeve gastrectomy). Eating pathology—including chew and spit behaviour, anxiety and depression, and adherence to the Norwegian nutritional guidelines were examined pre-operatively and post-operatively (one and two-year follow-up). At baseline (pre-surgery), two participants reported that they engaged in chew and spit, compared to one patient post-surgery. All three cases reported that they, to at least some extent, adhered to dietary guidelines post-surgery. Subjective bingeing frequency appeared to be relatively low for all three cases, further declining in frequency at one-year follow-up. At baseline, one participant reported clinically significant depression and anxiety, with no clinically significant depression or anxiety reported at follow-ups in participants that chew and spit. Conclusions The current study provides a starting point for the exploration of chew and spit as a pathological symptom of disordered eating in bariatric patients. It highlights the need to further explore chew and spit before and after weight-loss surgery. |
| first_indexed | 2024-04-10T17:51:06Z |
| format | Article |
| id | doaj.art-b209d9ecd6db48dbb9d45230bbfce3da |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T17:51:06Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-b209d9ecd6db48dbb9d45230bbfce3da2023-02-02T21:25:17ZengBMCJournal of Eating Disorders2050-29742021-07-01911710.1186/s40337-021-00441-5Chew and spit (CHSP) in bariatric patients: a case seriesPhillip Aouad0Kristin Stedal1Gro Walø-Syversen2Phillipa Hay3Camilla Lindvall Dahlgren4InsideOut Institute, University of SydneyRegional Department for Eating Disorders, Oslo University HospitalRegional Department for Eating Disorders, Oslo University HospitalTranslational Health Research Institute, Western Sydney UniversityRegional Department for Eating Disorders, Oslo University HospitalAbstract Background Studies into the disordered eating behaviour of chew and spit have alluded to several cohorts more likely to engage in the behaviour, one such group being bariatric surgery candidates and patients. Weight-loss surgery candidates have received little to no attention regarding engaging in chew and spit behaviour. Changes in pre- and post- surgery eating pathology related to chew and spit behaviour has yet to be explored and described in academic literature. Case presentation The current study reports on three cases of individual women, aged 30, 35, and 62 respectively, who indicated engagement in chew and spit. All three cases underwent bariatric surgery (two underwent gastric bypass, one underwent vertical sleeve gastrectomy). Eating pathology—including chew and spit behaviour, anxiety and depression, and adherence to the Norwegian nutritional guidelines were examined pre-operatively and post-operatively (one and two-year follow-up). At baseline (pre-surgery), two participants reported that they engaged in chew and spit, compared to one patient post-surgery. All three cases reported that they, to at least some extent, adhered to dietary guidelines post-surgery. Subjective bingeing frequency appeared to be relatively low for all three cases, further declining in frequency at one-year follow-up. At baseline, one participant reported clinically significant depression and anxiety, with no clinically significant depression or anxiety reported at follow-ups in participants that chew and spit. Conclusions The current study provides a starting point for the exploration of chew and spit as a pathological symptom of disordered eating in bariatric patients. It highlights the need to further explore chew and spit before and after weight-loss surgery.https://doi.org/10.1186/s40337-021-00441-5Case reportCase seriesChew and spitCHSPBariatricWeight loss surgery |
| spellingShingle | Phillip Aouad Kristin Stedal Gro Walø-Syversen Phillipa Hay Camilla Lindvall Dahlgren Chew and spit (CHSP) in bariatric patients: a case series Journal of Eating Disorders Case report Case series Chew and spit CHSP Bariatric Weight loss surgery |
| title | Chew and spit (CHSP) in bariatric patients: a case series |
| title_full | Chew and spit (CHSP) in bariatric patients: a case series |
| title_fullStr | Chew and spit (CHSP) in bariatric patients: a case series |
| title_full_unstemmed | Chew and spit (CHSP) in bariatric patients: a case series |
| title_short | Chew and spit (CHSP) in bariatric patients: a case series |
| title_sort | chew and spit chsp in bariatric patients a case series |
| topic | Case report Case series Chew and spit CHSP Bariatric Weight loss surgery |
| url | https://doi.org/10.1186/s40337-021-00441-5 |
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