Changes in Quality of Alimentation, Anthropometric Measurements, Emotional and Appetite Status of Bariatric Surgery Patients: A Retrospective Cohort Study
DOI:
https://doi.org/10.6000/1929-6029.2024.13.32Keywords:
Appetite, Bariatric Surgery, Emotion, Food Intolerance, Obesity, Weight LossAbstract
Introduction: Laparoscopic adjustable gastric band (LAGB) operation is one of the bariatric surgery methods used to treat extreme obesity.
Objective: This study aimed to evaluate the changes in food tolerance, quality of alimentation, anthropometric measurements, and emotional and appetite status following LAGB.
Materials and methods: A retrospective cohort study was conducted with 98 patients, 1 year had passed since LAGB. In this study, no sample selection method was used; all patients who met the inclusion criteria and volunteered participated. The questionnaire form included questions to determine the patients’ demographic information, anthropometric measurements, changing food consumption, pre- and post-operative meal consumption, appetite and emotional status. Quality of Alimentation (QA) reflects patients’ post-operative dietary satisfaction and tolerance. The QA Form was used to evaluate post-operative food tolerance.
Results: The average age was 38.61±9.82 years, and the mean QA score was 15.59±4.81. The patients lost an average of 30.80±17.76 kg of body weight from pre-operative to post-operative 1st year, and the percentage of patients’ excessive body weight loss was found to be 54.37±26.42. It was determined that the foods that were most difficult to consume after the operation were red meat, white meat, bread, rice, pasta, and salad, respectively.
Conclusions: This study uniquely evaluates food tolerance using the QA Form, offering insights into post-operative dietary challenges. LAGB effectively reduces appetite, promotes weight loss, and has a positive impact on patients’ emotional health.
References
Beitner M, Kurian MS. Laparoscopic adjustable gastric banding. Abdom Imaging 2012; 37(5): 687-9. https://doi.org/10.1007/s00261-012-9864-8 DOI: https://doi.org/10.1007/s00261-012-9864-8
Mognol P, Chosidow D, Marmuse J-P. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: a comparative study of 290 patients. Obes Surg 2005; 15(1): 76-81. https://doi.org/10.1381/0960892052993486 DOI: https://doi.org/10.1381/0960892052993486
Poulose BK, Griffin MR, Zhu Y, Smalley W, Richards WO, Wright JK, et al. National analysis of adverse patient safety events in bariatric surgery. Am Surg 2005; 71(5): 406-13. https://doi.org/10.1177/000313480507100508 DOI: https://doi.org/10.1177/000313480507100508
Allen JW. Laparoscopic gastric band complications. Med Clin North Am 2007; 91(3): 485-97, xii. https://doi.org/10.1016/j.mcna.2007.01.009 DOI: https://doi.org/10.1016/j.mcna.2007.01.009
Nasri B-N, Trainor L, Jones DB. Laparoscopic adjustable gastric band remains a safe, effective, and durable option for surgical weight loss. Surg Endosc 2022; 36(10): 7781-8. https://doi.org/10.1007/s00464-022-09278-8 DOI: https://doi.org/10.1007/s00464-022-09278-8
Suter M, Calmes J-M, Paroz A, Giusti V. A new questionnaire for quick assessment of food tolerance after bariatric surgery. Obes Surg 2007; 17(1): 2-8. https://doi.org/10.1007/s11695-007-9016-3 DOI: https://doi.org/10.1007/s11695-007-9016-3
Erdem NZ, Avşar FM. Effects of patients quality of alimentation on long-term clinical outcomes after laparoscopic adjustable gastric band: Prospective-cohort clinical study. Turkiye Klin J Med Sci 2023; 43: 269-80. https://doi.org/10.5336/medsci.2022-94459 DOI: https://doi.org/10.5336/medsci.2022-94459
Kaner G, Ayer Ç, Yalçın T. Evaluation of eating quality after laparoscopic sleeve gastrectomy. Karya J Heal Sci 2023; 4(3): 220-226. https://doi.org/10.52831/kjhs.1342510 DOI: https://doi.org/10.52831/kjhs.1342510
Schweiger C, Weiss R, Keidar A. Effect of different bariatric operations on food tolerance and quality of eating. Obes Surg 2010 ; 20(10): 1393-9. https://doi.org/10.1007/s11695-010-0233-9 DOI: https://doi.org/10.1007/s11695-010-0233-9
World Medical Association. WMA Declaration of Helsinki-Ethical principles for medical research involving human participants. Cited: 19 November 2024. Available from: https://www.wma.net/policies-post/wma-declaration-of-helsinki/.
Pekcan G. Beslenme Durumunun Saptanması. Elektronik. Ankara: T.C Sağlık Bakanlığı; 2008.
World Health Organization. A healthy lifestyle - WHO recommendations. Cited: 20 November 2024. Available from: https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle-who-recommendations.
Khalifa IG, Tobar WL, Hegazy TO, Balamoun HA, Mikhail S, Salman MA, et al. Food tolerance after laparoscopic sleeve gastrectomy with total antral resection. Obes Surg 2019; 29(7): 2263-9. https://doi.org/10.1007/s11695-019-03840-5 DOI: https://doi.org/10.1007/s11695-019-03840-5
IBMCORP IBM S. Statistics For Windows, Version 26.0. Armonk, NY: IBM Corp. 2024.
Kuzmak LI, Yap IS, McGuire L, Dixon JS, Young MP. Surgery for morbid obesity: using an inflatable gastric band. AORN J 1990; 51(5): 1307-24. https://doi.org/10.1016/S0001-2092(07)70154-0 DOI: https://doi.org/10.1016/S0001-2092(07)70154-0
Burton PR, Brown WA. The mechanism of weight loss with laparoscopic adjustable gastric banding: induction of satiety not restriction. Int J Obes 2011; 35(3): S26-S30. https://doi.org/10.1038/ijo.2011.144 DOI: https://doi.org/10.1038/ijo.2011.144
O’brien PE, Dixon JB, Brown W, Schachter LM, Chapman L, Burn AJ, et al. The laparoscopic adjustable gastric band (Lap-Band®): a prospective study of medium-term effects on weight, health and quality of life. Obes Surg 2002; 12(5): 652-60. https://doi.org/10.1381/096089202321019639 DOI: https://doi.org/10.1381/096089202321019639
Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004; 292(14): 1724-37. https://doi.org/10.1001/jama.292.14.1724 DOI: https://doi.org/10.1001/jama.292.14.1724
Stumpf MAM, Rodrigues MR da S, Kluthcovsky ACGC, Travalini F, Milléo FQ. Analysis of food tolerance in patients submitted to bariatric surgery using the questionnaire quality of alimentation. Arq Bras Cir Dig 2015; 28 Suppl 1(Suppl 1): 79-83. https://doi.org/10.1590/S0102-6720201500S100021 DOI: https://doi.org/10.1590/S0102-6720201500S100021
Salavatizadeh M, Amini MR, Abbaslou F, Amirbeigi A. Comparison of food tolerance among bariatric surgery procedures: a systematic review. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. 2024; https://doi.org/10.1016/j.soard.2024.10.009
Bhat ZF, Morton JD, Bekhit AE-DA, Kumar S, Bhat HF. Thermal processing implications on the digestibility of meat, fish and seafood proteins. Compr Rev food Sci food Saf 2021; 20(5): 4511-48. https://doi.org/10.1111/1541-4337.12802 DOI: https://doi.org/10.1111/1541-4337.12802
Iborra-Bernad C, García-Segovia P, Martínez-Monzó J. Physico-chemical and structural characteristics of vegetables cooked under sous-vide, cook-vide, and conventional boiling. J Food Sci 2015; 80(8): E1725-34. https://doi.org/10.1111/1750-3841.12950 DOI: https://doi.org/10.1111/1750-3841.12950
Ernst B, Thurnheer M, Wilms B, Schultes B. Differential changes in dietary habits after gastric bypass versus gastric banding operations. Obes Surg 2009; 19: 274-80. https://doi.org/10.1007/s11695-008-9769-3 DOI: https://doi.org/10.1007/s11695-008-9769-3
Dodsworth A, Warren-Forward H, Baines S. A systematic review of dietary intake after laparoscopic adjustable gastric banding. J Hum Nutr Diet Off J Br Diet Assoc 2011; 24(4): 327-41. https://doi.org/10.1111/j.1365-277X.2011.01155.x DOI: https://doi.org/10.1111/j.1365-277X.2011.01155.x
Nicolai A, Ippoliti C, Petrelli MD. Laparoscopic adjustable gastric banding: essential role of psychological support. Obes Surg 2002; 12(6): 857-63. https://doi.org/10.1381/096089202320995709 DOI: https://doi.org/10.1381/096089202320995709
Freire RH, Borges MC, Alvarez-Leite JI, Correia MITD. Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass. Nutrition 2012; 28(1): 53-8. https://doi.org/10.1016/j.nut.2011.01.011 DOI: https://doi.org/10.1016/j.nut.2011.01.011
Overs SE, Freeman RA, Zarshenas N, Walton KL, Jorgensen JO. Food tolerance and gastrointestinal quality of life following three bariatric procedures: Adjustable gastric banding, Roux-en-Y gastric bypass, and sleeve gastrectomy. Obes Surg 2012; 22(4): 536-43. https://doi.org/10.1007/s11695-011-0573-0 DOI: https://doi.org/10.1007/s11695-011-0573-0
Freeman RA, Overs SE, Zarshenas N, Walton KL, Jorgensen JO. Food tolerance and diet quality following adjustable gastric banding, sleeve gastrectomy and Roux-en-Y gastric bypass. Obesity Research & Clinical Practice 2014; 8(2): e183-e191. https://doi.org/10.1016/j.orcp.2013.02.002 DOI: https://doi.org/10.1016/j.orcp.2013.02.002
Salavatizadeh M, Amini MR, Abbaslou F, Amirbeigi A. Comparison of food tolerance among bariatric surgery procedures: A systematic review. Surgery for Obesity and Related Diseases 2024 Oct; [cited 2024 December 12]. https://doi.org/10.1016/j.soard.2024.10.009 DOI: https://doi.org/10.1016/j.soard.2024.10.009
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Policy for Journals/Articles with Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
Policy for Journals / Manuscript with Paid Access
Authors who publish with this journal agree to the following terms:
- Publisher retain copyright .
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work .
