scholarly journals Intuitive eating is associated with weight loss after bariatric surgery in women

2019 ◽  
Vol 110 (1) ◽  
pp. 10-15
Author(s):  
Muriel Nogué ◽  
Erika Nogué ◽  
Nicolas Molinari ◽  
Valérie Macioce ◽  
Antoine Avignon ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Eating Behaviors ◽  
Cross Sectional Study ◽  
Therapeutic Education ◽  
Intuitive Eating ◽  
Postoperative Phase ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
The Mean

ABSTRACT Background Although the data on eating behavior after bariatric surgery are substantial, data on “intuitive eating” are lacking. Objective The aim of this study was to evaluate the link between intuitive eating and weight loss after bariatric surgery. Methods This cross-sectional study used a self-administered questionnaire freely available on social networks and targeted women who had undergone bariatric surgery. Intuitive eating was evaluated with the Intuitive Eating Scale-2 (IES-2). The 3 questionnaire subscores (Eating for Physical Rather than Emotional Reasons, Reliance on Hunger and Satiety Cues, and Unconditional Permission to Eat) were also analyzed. The relation between IES-2 scores and the relative variation in body mass index [BMI (in kg/m2)] was assessed with linear regression models. Adjusted β (βAdj) and standardized β $( {{\rm{\beta }}_{{\rm{Adj}}}^{{\rm{STD}}}} )$ were reported. Results We analyzed the responses of 401 women with a mean age of 39 ± 11 y, a mean preoperative BMI of 45.5 ± 7.9, and a mean current BMI of 30.5 ± 7. The mean relative BMI loss was 32.7 ± 12.9%, and the mean IES-2 score was 3.3 ± 0.6. The total IES-2 score was associated with the relative BMI loss, with ∼2.6% BMI loss for each 1-point increase in the IES-2 score [PAdj = 0.007; βAdj = −2.57 (95% CI: −4.44, −0.70); ${\rm{\beta }}_{{\rm{Adj}}}^{{\rm{STD}}}$= −0.12] after adjusting for elapsed time since surgery and type of surgery. Eating for Physical Rather than Emotional Reasons was the subscore most strongly associated with BMI change after adjustment [PAdj = 0.002; βAdj = −2.08 (95% CI: −3.37, 0.79); ${\rm{\beta }}_{{\rm{Adj}}}^{{\rm{STD}}}$ = −0.14]. Conclusions This study highlights a significant association between intuitive eating and BMI decrease after bariatric surgery. Furthermore, eating behaviors changed with increasing time since surgery. An intuitive nutritional approach may be complementary with bariatric surgery in the postoperative phase, which should prompt complementary prospective studies to evaluate the effectiveness of therapeutic education programs centered on intuitive eating in the postoperative period.

Grazing Behavior Hinders Weight Loss in Long-Term Post Bariatric Surgery: a Cross-Sectional Study

2021 ◽  
Author(s):  
Larissa Cristina Lins Berber ◽  
Mariana Silva Melendez-Araújo ◽  
Eduardo Yoshio Nakano ◽  
Kênia Mara Baiocchi de Carvalho ◽  
Eliane Said Dutra
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Grazing Behavior ◽  
Post Bariatric Surgery

The presence of maladaptive eating behaviors after bariatric surgery in a cross sectional study: Importance of picking or nibbling on weight regain

2014 ◽  
Vol 15 (4) ◽  
pp. 558-562 ◽  
Author(s):  
Eva Conceição ◽  
James E. Mitchell ◽  
Ana R. Vaz ◽  
Ana P. Bastos ◽  
Sofia Ramalho ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Regain ◽  
Eating Behaviors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maladaptive Eating

scholarly journals A lipid-related metabolomic pattern of diet quality

2020 ◽  
Vol 112 (6) ◽  
pp. 1613-1630
Author(s):  
Minoo Bagheri ◽  
Walter Willett ◽  
Mary K Townsend ◽  
Peter Kraft ◽  
Kerry L Ivey ◽  
...  
Keyword(s):  
Diet Quality ◽  
Eating Behaviors ◽  
Principal Component ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Health Study ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Unhealthy Eating ◽  
Complementary Approach

ABSTRACT Background Adherence to a healthy diet has been associated with reduced risk of chronic diseases. Identifying nutritional biomarkers of diet quality may be complementary to traditional questionnaire-based methods and may provide insights concerning disease mechanisms and prevention. Objective To identify metabolites associated with diet quality assessed via the Alternate Healthy Eating Index (AHEI) and its components. Methods This cross-sectional study used FFQ data and plasma metabolomic profiles, mostly lipid related, from the Nurses’ Health Study (NHS, n = 1460) and Health Professionals Follow-up Study (HPFS, n = 1051). Linear regression models assessed associations of the AHEI and its components with individual metabolites. Canonical correspondence analyses (CCAs) investigated overlapping patterns between AHEI components and metabolites. Principal component analysis (PCA) and explanatory factor analysis were used to consolidate correlated metabolites into uncorrelated factors. We used stepwise multivariable regression to create a metabolomic score that is an indicator of diet quality. Results The AHEI was associated with 83 metabolites in the NHS and 96 metabolites in the HPFS after false discovery rate adjustment. Sixty-three of these significant metabolites overlapped between the 2 cohorts. CCA identified “healthy” AHEI components (e.g., nuts, whole grains) and metabolites (n = 27 in the NHS and 33 in the HPFS) and “unhealthy” AHEI components (e.g., red meat, trans fat) and metabolites (n = 56 in the NHS and 63 in the HPFS). PCA-derived factors composed of highly saturated triglycerides, plasmalogens, and acylcarnitines were associated with unhealthy AHEI components while factors composed of highly unsaturated triglycerides were linked to healthy AHEI components. The stepwise regression analysis contributed to a metabolomics score as a predictor of diet quality. Conclusion We identified metabolites associated with healthy and unhealthy eating behaviors. The observed associations were largely similar between men and women, suggesting that metabolomics can be a complementary approach to self-reported diet in studies of diet and chronic disease.

MO864PATIENT MEDICATION ADHERENCE ON HEMODIALYSIS

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Marwa Omrane ◽  
Amel Babchia ◽  
Raja Jaballah ◽  
Afef Mahersia ◽  
Olfa Saidane
Keyword(s):  
Side Effects ◽  
Cross Sectional Study ◽  
Chronic Hemodialysis ◽  
Therapeutic Education ◽  
Maintenance Hemodialysis ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Adherence Assessment ◽  
The Mean ◽  
Stage Renal Disease

Abstract Background and Aims Non-adherence to treatment is a major problem in patients with end stage renal disease and contributes to the significant increase in morbidity, mortality and health costs. Method The objective of this work was to assess adherence to treatment prescriptions for hemodialysis patients and to identify the predictive factors of poor compliance. This is a cross-sectional study of 59 patients on chronic hemodialysis. Adherence to treatment was evaluated by the adherence assessment test. Results The mean age of our patients was 51.8 years, with an M/F sex ratio of 1.26. The socio-economic level was considered low in 83% of cases. The mean duration of hemodialysis was 81.6 months [6 months-252 months]. Causal nephropathy was dominated by vascular nephropathy (13 cases). Forty-two patients had high blood pressure. A total of 23.9% of patients were good observers, 59.5% had minimal compliance problems, and 16.7% were poor observers. Statistical analysis has shown that poor adherence to treatment is associated with male gender, low socioeconomic and intellectual level, the presence of comorbidities, increased medication, number of medications taken per day, and less knowledge of the pathology and risks as side effects of drugs. Conclusion Treatment adherence is unsatisfactory in our population of patients on maintenance hemodialysis. Therapeutic education targeting the expected benefit of the treatments, their mode of action, their side effects as well as a simplification of the intake would improve long-term adherence in patients.

scholarly journals Weight Loss Results and Compliance with Follow-up after Bariatric Surgery

2021 ◽  
Author(s):  
Beata M. M. Reiber ◽  
Anna-Marie R. Leemeyer ◽  
Marjolein J. M. Bremer ◽  
Maurits de Brauw ◽  
Sjoerd C. Bruin
Keyword(s):  
Risk Factors ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Cross Sectional Study ◽  
Median Percentage ◽  
Cross Sectional ◽  
Vitamin Deficiencies

Abstract Purpose The importance of follow-up (FU) for midterm weight loss (WL) after bariatric surgery is controversial. Compliance to this FU remains challenging. Several risk factors for loss to FU (LtFU) have been mentioned. The aim was therefore to evaluate the association between WL and LtFU 3 to 5 years postoperatively and to identify risk factors for LtFU. Materials and Methods A single-center cross-sectional study in the Netherlands. Between June and October 2018, patients scheduled for a 3-, 4-, or 5-year FU appointment were included into two groups: compliant (to their scheduled appointment and overall maximally 1 missed appointment) and non-compliant (missed the scheduled appointment and at least 1 overall). Baseline, surgical, and FU characteristics were collected and a questionnaire concerning socio-economic factors. Results In total, 217 patients in the compliant group and 181 in the non-compliant group were included with a median body mass index at baseline of 42.0 and 42.9 respectively. Eighty-eight percent underwent a laparoscopic Roux-en-Y gastric bypass. The median percentage total weight loss for the compliant and non-compliant groups was 30.7% versus 28.9% at 3, 29.3% versus 30.2% at 4, and 29.6% versus 29.9% at 5 years respectively, all p>0.05. Age, persistent comorbidities and vitamin deficiencies, a yearly salary <20,000 euro, no health insurance coverage, and not understanding the importance of FU were risk factors for LtFU. Conclusion Three to 5 years postoperatively, there is no association between LtFU and WL. The compliant group demonstrated more comorbidities and vitamin deficiencies. Younger age, not understanding the importance of FU, and financial challenges were risk factors for LtFU. Graphical abstract

scholarly journals Psychosocial Predictors of Work Ability in Morbidly Obese Patients: Results of a Cross-Sectional Study in the Context of Bariatric Surgery

Obesity Facts ◽  
2020 ◽  
pp. 1-8
Author(s):  
Hinrich Köhler ◽  
Valentin Markov ◽  
Anna Watschke ◽  
Kerstin Gruner-Labitzke ◽  
Clara Böker ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Relationship Satisfaction ◽  
Work Ability ◽  
Eating Behaviors ◽  
Cross Sectional Study ◽  
Morbidly Obese ◽  
Psychosocial Predictors ◽  
Obese Patients ◽  
Sectional Study ◽  
Cross Sectional

<b><i>Background:</i></b> Obesity is associated with a higher risk of work disability and premature early retirement. <b><i>Objective:</i></b> The aim of this study was to examine psychosocial predictors for work ability prior to surgery. <b><i>Methods:</i></b> Based on a sample of 197 surgery-seeking obese patients (preoperative body mass index [BMI] above 35 kg/m<sup>2</sup>) from a German bariatric surgery unit, the present cross-sectional study examined based on standardized self-rating measures whether depressive symptoms, dysfunctional eating behaviors, relationship satisfaction, and life satisfaction have a predictive value for work ability. <b><i>Results:</i></b> Considerable impairment of work ability was found in 51.8% of morbidly obese participants (<i>n</i> = 102). Multiple regression analyses revealed that older age, greater depressive symptoms, and lower life satisfaction were significant predictors of preoperative work ability. BMI, gender, relationship satisfaction, and dysfunctional eating behaviors did not predict work ability. <b><i>Conclusions:</i></b> Our findings might indicate the use of further psychosocial measures following bariatric surgery to increase work ability.

scholarly journals Examining the Relationship Between Intuitive Eating and Diet Quality Among College Students

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1290-1290
Author(s):  
Julia Borelli ◽  
Giselle Pereira Pignotti ◽  
Adrianne Widaman
Keyword(s):  
College Students ◽  
Diet Quality ◽  
Online Survey ◽  
Eating Behaviors ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Intuitive Eating ◽  
Cross Sectional ◽  
Funding Sources ◽  
Study Participants

Abstract Objectives College students in the US tend to have low diet quality due to a confluence of interpersonal, intrapersonal, and environmental factors. Restrictive dieting is commonly used for weight management but often ineffective in the long term and can lead to dangerous eating behaviors. Intuitive eating is an adaptive form of eating that has gained interest as an alternative to restrictive dieting due to its successful use in eating disorder recovery and correlation with decreased body mass index in healthy populations. The objective of the current study was to identify if higher intuitive eating, as measured by the intuitive eating scale (IES-2), correlated with increased diet quality, as measured by the Healthy Eating Index 2015 (HEI-2015) in a college sample. Methods In this cross-sectional study, participants completed an online survey containing the IES-2 questionnaire which provides a total score for intuitive eating and four subscale scores representing the main behaviors of intuitive eating. The dietary intake of participants was assessed with up to three 24-hour diet recalls, which were completed over the phone. A total of 55 participants (40 females and 15 males) completed the survey and a minimum of two 24-hour diet recalls, which were used to calculate the HEI-2015. Independent sample t-test and Pearson's correlation were used for statistical analysis. Results The total IES-2 scores were higher for males than females (82.9 ± 8.1 vs. 76.3 ± 11.2, P = 0.04). The average total HEI-2015 score was 59.5 ± 15.1 and did not differ between gender (P = 0.93). The total IES-2 score was not significantly correlated with the total HEI scores (r = −0.218, P = 0.11), and one subscale of the IES-2, the Unconditional Permission to Eat subscale, was negatively correlated with the total HEI score (r = −0.418, P &lt; 0.01) and BMI (r = −0.335, P &lt; 0.05). Conclusions The results of the study do not support that intuitive eating is correlated with diet quality, furthermore, increased scores of the Unconditional Permission to Eat subscale of intuitive eating was correlated with a lower diet quality suggesting that intuitive eating and diet quality may be separate constructs that should be addressed individually. Funding Sources None.

scholarly journals Understanding the Gaps in Obesity Management in the UAE: Perceptions, Barriers, and Attitudes

2021 ◽  
pp. 1-13
Author(s):  
Rita Nawar ◽  
Elamin Ibrahim ◽  
Salah Abusnana ◽  
Fatheya Al Awadi ◽  
Fatema Hasan Al Hammadi ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
United Arab Emirates ◽  
Cross Sectional Study ◽  
Direct Patient Care ◽  
Obesity Management ◽  
Cross Sectional ◽  
Mean Delay ◽  
Perceptions And Attitudes ◽  
The Mean

<b><i>Introduction:</i></b> Obesity is a chronic relapsing disease of which, globally, the prevalence has reached epidemic proportions. The ACTION-IO study (NCT03584191) investigated the perceptions, attitudes, and behaviors of people with obesity (PwO) and healthcare professionals (HCPs), which can help in devising strategies for its optimal management. Here, we present the results from the United Arab Emirates (UAE). <b><i>Methods:</i></b> The ACTION-IO study was a cross-sectional study conducted in 11 countries, including the UAE, that collected data via a survey. Eligible UAE PwO were ≥18 years with a BMI of ≥30 kg/m<sup>2</sup> (self-reported height and weight). Eligible HCPs were in direct patient care. Data were collected in the UAE between July 11, 2018, and September 5, 2018. <b><i>Results:</i></b> A total of 750 PwO and 200 HCPs completed the survey in the UAE. Both PwO (82%) and HCPs (78%) acknowledged obesity as a chronic disease and agreed that it has a large impact on overall health (PwO 88% and HCPs 80%). More HCPs felt that diabetes and stroke (both 91%) had a larger impact on overall health than did obesity. Many PwO (76%) assumed full responsibility for their weight loss; 84% of HCPs acknowledged responsibility for actively contributing to patient weight loss efforts. The top motivator for weight loss among PwO was wanting to be more fit/in better shape (45%), while HCPs believed the main motivator was general health concerns (83%). The top barrier against initiating weight management discussions provided by HCPs was that they felt PwO were not interested in losing weight (69%), whereas only 10% of PwO selected this response. The mean delay between struggling with excess weight and having a weight management discussion with an HCP was 4 years. <b><i>Discussion/Conclusion:</i></b> These UAE results highlight differences in the perceptions and attitudes toward obesity from PwO and HCPs and reflect a need to understand weight management concerns to initiate earlier and more effective PwO–HCP conversations. The findings will inform educational needs on the biological basis of obesity and its clinical management and will help to address regional barriers for effective obesity care.

A Cross-sectional Study of Reported Exercise and Medium-Term Weight Loss Following Laparoscopic Bariatric Surgery

2018 ◽  
Vol 28 (12) ◽  
pp. 3923-3928 ◽  
Author(s):  
Dennis J. Kerrigan ◽  
Arthur M. Carlin ◽  
Semeret Munie ◽  
Steven J. Keteyian
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Cross Sectional Study ◽  
Laparoscopic Bariatric Surgery ◽  
Sectional Study ◽  
Medium Term ◽  
Cross Sectional

scholarly journals Assessment of bariatric surgery results

2015 ◽  
Vol 36 (1) ◽  
pp. 21-27 ◽  
Author(s):  
Lívia Moreira Barros ◽  
Natasha Marques Frota ◽  
Rosa Aparecida Nogueira Moreira ◽  
Thiago Moura de Araújo ◽  
Joselany Áfio Caetano
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Cross Sectional Study ◽  
The Body ◽  
Sectional Study ◽  
Cross Sectional ◽  
Exact Test ◽  
Chi Squared ◽  
Late Postoperative Period

The objective was to evaluate the results of bariatric surgery in patients in the late postoperative period using the Bariatric Analysis and Reporting Outcome System (BAROS). This cross-sectional study was conducted from November 2011 to June 2012 at a hospital in the state of Ceará, Brazil. Data were collected from 92 patients using the BAROS protocol, which analyzes weight loss, improved comorbidities, complications, reoperations and Quality of Life (QoL). Data were analysed using the chi-squared test, Fischer's exact test and the Mann-Whitney test. There was a reduction in the Body Mass Index (47.2 ± 6.8 kg/m2 in the pre-operatory and 31.3 ± 5.0 kg/m2 after surgery, p< 0.001). The comorbidity with the highest resolution was arterial hypertension (p<0.001), and QV improved in 94.6% of patients. The main complications were hair loss, incisional hernia and cholelithiasis. The surgery provided satisfactory weight loss and improvements in the comorbidities associated to a better QL. Use of the BAROS protocol allows nurses to plan interventions and maintain the good results.

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