Loading
Life sciences · Journal article
International Journal of Eating Disorders · September 26, 2026
No summary has been generated for this record yet. What follows is drawn from its source metadata only.
Journal article.
No findings were extractable from the material analysed.
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
The source did not state who this applies to in practice.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
This record has not been graded across any dimension yet. Treat the label above as provisional and read the source.
What is missing. This record has no bottom line, key findings, reported figures, evidence dimensions. That is a gap in the analysis, not a judgement about the study.
ABSTRACT Objective To examine the applicability of current diagnostic criteria for atypical anorexia nervosa (AAN) to patients 1 year post Metabolic Bariatric Surgery (MBS). Method This prospective ongoing cohort study included patients from the multicenter Psychosocial Registry of Obesity Surgery assessed before surgery and 1 year‐post‐MBS. From a consecutive sample of 1117 volunteers with planned MBS, 985 received surgery, 721 had the 1 year‐post‐MBS assessment and were eligible for the study. DSM‐5 criteria for AAN 1 year‐post‐MBS were assessed using diagnostic items of the Eating Disorder Examination (EDE) interview. Main outcomes were percentage of total weight loss (%TWL), body mass index (BMI) 1 year‐post‐MBS, and eating disorder (ED) psychopathology (EDE questionnaire; pre‐ and 1 year‐post‐MBS). Results Of the 721 patients [490 (66.7%) female; mean(SD) age 46.72 (11.52)], 65.6% ( n = 469) reported EDE item “Maintained low weight” (DSM‐5 Criterion A), and 61.1% ( n = 440) reported “Importance of shape and/or weight” (Criterion C). EDE item “Dietary restriction” (Criterion A) and “Fear of weight gain” (Criterion B) were reported by 4.1% ( n = 29) and 4.6% ( n = 33) of patients, respectively. Only 1.8% ( n = 13) engaged in “Extreme weight control behaviors” (Criterion B). Following a DSM‐5‐based coding scheme, 3.9% (95% CI. 2.7–5.6; n = 28) of patients had AAN 1 year‐post‐MBS. AAN and non‐EDs patients did not differ on %TWL/BMI. All EDE diagnostic items, except “Dietary restriction,” significantly explained ED psychopathology ( F (7,586) = 28.97, p < 0.001, R 2 = 0.26) with “Fear of weight gain” and “Extreme weight control behaviors” being associated with the highest variance explained. Conclusion While BMI and %TWL did not distinguish AAN from non‐ED, “Fear of weight gain” and “Extreme weight control behaviors” may be a better indicator of these problems among patients 1 year‐post‐MBS.