scholarly journals “Food Meant Everything to Me, Now Food Is Something I Eat:” Managing Emotions, Perceptions, and Awareness of Food and Eating After Bariatric Surgery

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1356-1356
Author(s):  
Deema Ujayli ◽  
Isabella Quadrini ◽  
Amanda Lynch
Keyword(s):  
Bariatric Surgery ◽  
Emotional Eating ◽  
Beaumont Hospital ◽  
Food Choices ◽  
Theory Approach ◽  
Structured Interviews ◽  
Cognitive Changes ◽  
Funding Sources ◽  
Post Surgery ◽  
Before And After

Abstract Objectives This study explores the cognitive changes made by bariatric surgery patients, focusing on their perceptions of food, the role of food in their lives, and what drives them to make their food choices. Comparing pre-surgery and post-surgery experiences provides insight into the dietary changes that occur as a result of bariatric surgery. Methods Thirty bariatric surgery patients (24 women, 6 men) completed dietary and behavior questionnaires and participated in semi-structured interviews pre-surgery, and at 6 and 12 months post-surgery. Interview questions covered participants’ weight histories, dietary behaviors, perceptions of food, and surgery experiences. Verbatim interview transcripts were coded and analyzed using a constructivist, grounded theory approach. Emergent themes were compared across time points and within each time point to identify patterns of change and common experiences. Results Relationship to food emerged as a multidimensional phenomenon that included emotional eating, beliefs about the function of food and nutrients, and positive or negative perceptions of food. The majority of participants reported emotional eating before surgery. Post-surgery, half of the participants no longer struggled with emotional eating. The four most common emotions that led to eating were stress, depression, boredom, and happiness. The primary theme relating to the function of food was a shift from “living to eat” to “eating to live.” With this shift came an increased awareness and appreciation of food, nutrients, and health. Participants’ perceptions of food and eating were either positive, encompassing feelings of enjoyment, happiness, and/or appreciation, or negative, expressed by feelings of frustration, anxiety, and fear. Perceptions of food were influenced by pre-surgery relationship to food, dieting history, and current contexts. Conclusions Bariatric surgery patients have strong and multifaceted connections to food before and after surgery. Relationship to food impacts food choices as well as the mental effort and energy put forth in making dietary decisions. Understanding these relationships may be an important aspect of post-surgical counseling, particularly for patients experiencing less than ideal weight loss outcomes. Funding Sources Oakland University and William Beaumont Hospital.

scholarly journals “The Best Portion of Your Life Is Small:” The Impact of Bariatric Surgery on Food Choices and Eating Motivations

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 556-556
Author(s):  
Isabella Quadrini ◽  
Deema Ujayli ◽  
Amanda Lynch
Keyword(s):  
Bariatric Surgery ◽  
Dietary Patterns ◽  
Food Choice ◽  
Comparative Method ◽  
Beaumont Hospital ◽  
Food Choices ◽  
Portion Size ◽  
Food Groups ◽  
Post Surgery ◽  
The Impact

Abstract Objectives The purpose of this study was to describe food choice changes and explain food choice rationales to understand dietary intake patterns in the first year following bariatric surgery. Methods Thirty bariatric surgery candidates (19 sleeve gastrectomy, 11 gastric bypass) were recruited to participate in a mixed methods study. Semi-structured interviews were conducted with participants pre-surgery and at 6- and 12-months post-surgery to explore food choices, dietary patterns and behaviors. Block Food Frequency Questionnaires (FFQ) were completed at each time point. Transcripts were coded using a constant comparative method. Emergent themes were compared across time points. A matrix was created to display food classifications and dietary patterns. Pre-and post- surgery food group and macronutrient comparisons were made using paired t-tests. Results Three themes emerged to describe food choice patterns: macronutrient content at meals and snacks, eating structure and routine, and “eating out” habits. Both pre- and post-surgery, protein foods (e.g., dairy and lean meats) and vegetables were the most commonly reported “healthy” foods and were valued for satiety. Unhealthy foods included desserts, sweets, salty snacks, and fruit. Participants unanimously described reduced portion size, but not all chose foods based on perceptions of health. Other important food choice motivators included hunger, convenience, control and enjoyment. FFQ data revealed that participants reduced intake of all food groups at 6 months with increases in servings of fat (P < 0.05) 12 months. At 6 months, there was an increase in % calories from protein (P < 0.000) and a decrease in % calories from sweets (P < 0.021). At 12-months, there was a reversal of this trend: Protein decreased to 20% of calories (P < 0.007) and sweets increased to 18% (P < 0.045). Conclusions Participants’ perceptions of healthy and unhealthy food did not drive a majority of food choice decisions following bariatric surgery. Post-surgery changes in food choice patterns and dietary behaviors may not be long-term, which could impact weight loss outcomes. Funding Sources Oakland University and William Beaumont Hospital.

scholarly journals Bariatric Surgical Patients' Satisfaction with Nutrition and Dietetic Services in Saudi Hospitals (P10-065-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Elham Aljaaly
Keyword(s):  
Bariatric Surgery ◽  
Decision Making ◽  
Care Plans ◽  
Funding Sources ◽  
Care Services ◽  
Nutrition Care ◽  
Before And After ◽  
Bariatric Patients ◽  
Nutritional Needs ◽  
University Degree

Abstract Objectives The study was conducted to evaluate patient satisfaction and view quality of care and completed nutrition care services they received before and after bariatric surgery. Methods A survey was conducted using a self-completed questionnaire and was administered to bariatric patients. Survey assessed patients’ decision-making for bariatric surgery, patients’ view of their experience of the received nutrition care and the empowerment to follow the prescribed plan. Results Thirty-five patients (30 female and 4 males) completed the questionnaire. The majority of patients were Saudi national (88.6%, n = 31). More patients were holding a university degree (65.7%, n = 23). Bariatric surgery preferences was mostly selected by patients (88.6%, n = 31) with no shared decision-making with surgeons or family members. The decision to undergo bariatric surgery was more likely to be related to health risks issues (65.7%, n = 23) and not for beauty purposes. Patients (34.3%, n = 12) never be seen by a dietitian either before or after surgery, 20%, n = 7 were only seen before surgery or after surgery (17%, n = 6). Nutritional care plans were well explained by a dietitian (RD) to 77.8% of patients (n = 21),13% (n = 3) reported that RDs’ answers to their queries were confusing. Patients 85% (n = 23) find Rds as very cooperative and interactive when manage and plan their nutritional needs. Delivered information are clear and understandable by 87% of patients and all responded patients felt that they were treated with respect by dietitians. Nearly 61% (n = 17) reported that RDs’ involvement in their nutrition care was excellent and 57.1% had excellent overall experience. Twelve patients reported seeing a dietitian throughout their treatment. However, 6 of them saw the dietitian once every month and the rest used to see the dietitian once every 3 months. Conclusions The decision makers including and all Rds will benefit from the results of this study to improve the outcome measures of dietetics services in the scope of bariatric surgery. Funding Sources No Funding Body.

scholarly journals Role of Alternative Caregivers in Food Choices for Young Children in Semi-urban and Urban Mexico

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 959-959
Author(s):  
Gabriela Armendariz ◽  
Edward Frongillo ◽  
Ligia Reyes ◽  
Anabelle Bonveccho ◽  
Christine Blake
Keyword(s):  
South Carolina ◽  
Low Income ◽  
Research University ◽  
Vice President ◽  
Food Choices ◽  
Healthy Food ◽  
Theory Approach ◽  
Structured Interviews ◽  
University Of South Carolina ◽  
Convenience Sample

Abstract Objectives This work aimed to understand what alternative caregivers value in making food choices for children and the perspectives of alternative caregivers on their role in making food choices to feed children. Methods This qualitative study was conducted in low-income semi-urban and urban communities of the State of Mexico, Mexico. Primary caregivers of children aged 12–59 months named people they considered alternative caregivers. A convenience sample was used for the selection of 16 alternative caregivers. Semi-structured interviews were conducted with alternative caregivers. On average interviews lasted 37.2 minutes; interviews were audio-recorded and transcribed verbatim. All Transcriptions were read, coded, and analyzed using a grounded theory approach. NVivo 10 was used for data management and analysis. Results Alternative caregivers were related to children as grandmothers (n = 10), fathers (2), aunts (2), uncle (1), and friend (1). Their average age was 52 years. The highest education was technical school and the lowest was no schooling. Most were homemakers. Almost all shared the same house or land with the children. Alternative caregivers chose the foods fed to children based on how nutritious and healthy food was, children, wanting or desiring certain food, their desire of the child to eat well, the affordability of the food, and how appropriate the food was for the age of children. Alternative caregivers described more influence on the process of decisions about food purchase, cooking, and feeding the child when they were closely related to the child and lived in the same household or land. Alternative caregivers who were not as active in all the process of decisions participated with advice to mothers on what to feed the child. When alternative caregivers expressed affection for children, they showed more interest in what children eat. Conclusions Alternative caregivers had a substantial role in the process of making food choices for children. Considering how alternative caregivers participate and influence what children eat may be important in efforts to promote healthy food choices for children. Funding Sources Office of the Vice President for Research, University of South Carolina

scholarly journals PEDAGOGY OF CALCULUS IN INDIA: AN EMPIRICAL INVESTIGATION

2020 ◽  
Vol 17 (34) ◽  
pp. 164-180
Author(s):  
Ashraf ALAM
Keyword(s):  
Grounded Theory ◽  
Real Life ◽  
Teaching Experience ◽  
Study Data ◽  
Extensive Study ◽  
Pedagogical Practices ◽  
Theory Approach ◽  
Structured Interviews ◽  
Before And After ◽  
Grounded Theory Approach

When students learn a calculus construct, both a concept image as well as a concept definition is imprinted in their mind, and because of it, concrete and real-life examples become a prerequisite for a contextually rich learning environment for the abstractions inherently present in calculus. In the light of aforementioned propositions, the current study focusses on delving into several issues, few of the prominent ones include the epistemological nature of calculus curriculum in India’s senior-secondary schools, role of Indian calculus teachers in students’ cognition, possibility of enumeration of characteristics of a successful calculus teacher with regards to India’s socio-cultural milieu, challenges regarding complete immersion of calculus in manipulation of symbols that eventually give rise to cognitive obstacles, interrelationship between teachers’ calculus content knowledge and their pedagogical practices, effect of secondary school calculus on performance of Indian students’ college calculus, and the nature of effect on Indian learners having calculus in school on their procedural and conceptual performance. For this extensive study, data were collected from PGTs and Assistant/Associate Professors having more than 8 years of calculus teaching experience drawn from 76 different schools, colleges and universities belonging to 23 different states and union territories of India. A total of 323 teachers took part in this study. Multiple methods of data collection were used including naturalistic observation, structured interviews, classroom observations, focussed group interviews, and informal discussions, and these were done both before and after the classroom teaching. The researcher transcribed the interviews, identified emerging and repeated themes, and used NVivo and Concordance software to conduct content and classroom discourse analysis, with simple counting methods and applied grounded theory approach using which empirical data were thematically categorized and in the process of it, employed the induction approach. The researcher analyzed the transcripts using N5 (NUD*IST 5.0; QSR International, Melbourne) with the grounded theory approach. This research study is purely qualitative in nature and its framework lies within the interpretative paradigm. The current study was carried out between June 2016 and March 2019. Findings indicate that there are lots of cognitive obstacles in understanding the concepts inbuilt in calculus: two of the prominent ones that came out from the study include the one related to intuitions and the other related to linguistic/representational aspects.

scholarly journals Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system

2012 ◽  
Vol 56 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Cristina Khawali ◽  
Marcos Bosi Ferraz ◽  
Maria Tereza Zanella ◽  
Sandra R. G. Ferreira
Keyword(s):  
Bariatric Surgery ◽  
Healthcare System ◽  
Short Form ◽  
Public Healthcare ◽  
Obese Patients ◽  
Public Healthcare System ◽  
Post Surgery ◽  
Sf 36 ◽  
Before And After ◽  
Severely Obese

OBJECTIVES: To assess QoL of obese patients in the Brazilian public healthcare system, before and after bariatric surgery, and to determine the appropriateness of the Moorehead-Ardelt Questionnaire II (M-A-QoLQII) compared with the Short-Form Health Survey (SF-36). SUBJECTS AND METHODS: Forty-one severe obese patients in a waiting-list, and 84 patients who underwent bariatric surgery were included. Correlations were tested and reliability determined by the Cronbach's coefficient. RESULTS: BMI differed between the pre- and post-surgery groups (52.3 ± 8.3 kg/m² vs. 32.5 ± 6.4 kg/m², p < 0.001). The latter showed better scores in the SF-36 domains than in the pre-surgery. SF-36 and M-A-QoLQII categories were correlated (r = 0.53, 0.49 and 0.47, for vitality, mental health, and general health domains, p < 0.001). In the logistic regression, age, previous BMI, and loss of excess weight were associated with functional capacity. CONCLUSIONS: The outcomes of bariatric surgery obtained in a Brazilian public healthcare center were successful. M-A-QoLII represents a useful tool to assess surgery outcomes, including QoL.

scholarly journals All in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 990
Author(s):  
Eleanor R. Mackey ◽  
Megan M. York ◽  
Evan P. Nadler
Keyword(s):  
Social Support ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Children And Adolescents ◽  
Family Support ◽  
Psychosocial Factors ◽  
Emotional Eating ◽  
Weight Loss Surgery ◽  
Food Addiction ◽  
Post Surgery

Background: Bariatric surgery is the most effective current treatment option for patients with severe obesity. More children and adolescents are having surgery, many whose parents have also had surgery. The current study examines whether parental surgery status moderates the association between perceived social support, emotional eating, food addiction and weight loss following surgery, with those whose parents have had surgery evidencing a stronger relationship between the psychosocial factors and weight loss as compared to their peers. Methods: Participants were 228 children and adolescents undergoing sleeve gastrectomy between 2014 and 2019 at one institution. Children and adolescents completed self-report measures of perceived family social support, emotional eating, and food addiction at their pre-surgical psychological evaluation. Change in body mass index (BMI) from pre-surgery to 3, 6, and 12 months post-surgery was assessed at follow-up clinic visits. Parents reported their surgical status as having had surgery or not. Results: There were no differences in perceived family support, emotional eating, or food addiction symptoms between those whose parents had bariatric surgery and those whose parents did not. There were some moderating effects of parent surgery status on the relationship between social support, emotional eating/food addiction, and weight loss following surgery. Specifically, at 3 months post-surgery, higher change in BMI was associated with lower perceived family support only in those whose parents had not had surgery. More pre-surgical food addiction symptoms were associated with greater weight loss at 3 months for those whose parents had not had surgery, whereas this finding was true only for those whose parents had surgery at 12 months post-surgery. Conclusions: Children and adolescents whose parents have had bariatric surgery may have unique associations of psychosocial factors and weight loss. More research is needed to determine mechanisms of these relationships.

scholarly journals Vitamin D Trends During 12 Months After Bariatric Surgery Introduction

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1198-1198
Author(s):  
Fatemeh Bourbour
Keyword(s):  
Bariatric Surgery ◽  
Vitamin D ◽  
Gastric Bypass Surgery ◽  
Statistical Significance ◽  
Cohort Analysis ◽  
Serum Vitamin ◽  
Vitamin D Supplementation ◽  
Serum Vitamin D ◽  
Funding Sources ◽  
Post Surgery

Abstract Objectives To assess serum vitamin D trend from baseline to 12 months after gastric bypass surgery. Methods In this observational cohort analysis of longitudinal data, we assessed the trend of serum vitamin D, and its associations with anthropometric, and biochemical measurements. All participants were on &gt;800 IU/day vitamin D supplementation. Results Vitamin D, lipid profile, creatinine and albumin levels significantly improved at 12 months post-surgery. Vitamin D concentrations significantly increased from 26.52 ± 12.32 ng/mL to 54.52 ± 27.90 ng/mL at 12 months; however, we did not observe significant changes in ferritin, HbA1C or FBS at 12 months post-bariatric surgery versus baseline. The correlations between vitamin D concentrations and weight, BMI, TG, HDL-C, LDL-C, ferritin, HbA1c, FBS, and albumin were not significant. In addition, the correlations between vitamin D and PTH, vitamin D receptor, calcium, phosphorus, LBM, SLM, TBW, and basal metabolic rate (BMR) did not reach the threshold of statistical significance at 12 months following bariatric surgery. However, there was a significant correlation between body weight and LBM (r = 0.833, P = 0.000), SLM (r = 0.811, P = 0.000), TBW(r = 0.834, P = 0.000) and BMR (r = 0.762, P = 0.000) at 12 months. Conclusions Our results showed that supplementation of vitamin D with dosage of &gt; 800 IU/day is sufficient for prevention of vitamin D deficiency within 12 months after Roux-en-Y surgery. Funding Sources The ethical committee of Shahid Beheshti University of Medical Sciences approved this study. (1,399,215/787).

scholarly journals Projection of gut microbiome pre and post bariatric surgery to predict surgery outcome

2019 ◽  
Author(s):  
yoram louzoun ◽  
Meirav Ben Izhak ◽  
Ruti Cohen ◽  
Liora Madar Shapiro ◽  
Hamutal Meiri ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gut Microbiome ◽  
Eating Habits ◽  
Sugar Metabolism ◽  
Microbiome Composition ◽  
Surgery Outcome ◽  
Post Surgery ◽  
Obesity And Diabetes ◽  
Before And After ◽  
Main Components

Abstract Background: Bariatric surgery is often the preferred method to resolve obesity and diabetes, with ~800,000 cases worldwide yearly and high outcome variability. The ability to predict the long-term BMI change following surgery has important implications on individuals and the health care system in general. Given the tight connection between eating habits, sugar consumption, BMI and the gut microbiome, we tested whether the microbiome before any treatment is associated with different treatment outcomes, as well as other intakes (HDL, Triglycerides, etc.).Results: A projection of the gut microbiome composition of obese (sampled before and after bariatric surgery) and slim patients into principal components was performed and the relation between this projection and surgery outcome was studied. The projection reveals 3 different microbiome profiles belonging to slim, obese and obese who underwent bariatric surgery, with post-surgery more different from the slim than the obese. The same projection allows for a prediction of BMI loss following bariatric surgery, using only the pre-surgery microbiome. A different projection is associated with sugar metabolism and A1C levels. Conclusions: - the gut microbiome can be naturally decomposed into main components depicting the patient's development and predicting in advance the outcome. Those may be translated into a better clinical management of obese individuals planning to undergo metabolic surgery.

scholarly journals Prospective Study of Attachment as a Predictor of Binge Eating, Emotional Eating and Weight Loss Two Years after Bariatric Surgery

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1625 ◽  
Author(s):  
Samantha E. Leung ◽  
Susan Wnuk ◽  
Timothy Jackson ◽  
Stephanie E. Cassin ◽  
Raed Hawa ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Binge Eating ◽  
Prospective Study ◽  
Attachment Style ◽  
Emotional Eating ◽  
Attachment Insecurity ◽  
Eating Psychopathology ◽  
Post Surgery

Bariatric surgery remains the most effective treatment for severe obesity, though post-surgical outcomes are variable with respect to long-term weight loss and eating-related psychopathology. Attachment style is an important variable affecting eating psychopathology among individuals with obesity. To date, studies examining eating psychopathology and attachment style in bariatric surgery populations have been limited to pre-surgery samples and cross-sectional study design. The current prospective study sought to determine whether attachment insecurity is associated with binge eating, emotional eating, and weight loss outcomes at 2-years post-surgery. Patients (n = 108) completed questionnaires on attachment style (ECR-16), binge eating (BES), emotional eating (EES), depression (PHQ-9), and anxiety (GAD-7). Multivariate linear regression analyses were conducted to examine the association between attachment insecurity and 2-years post-surgery disordered eating and percent total weight loss. Female gender was found to be a significant predictor of binge eating (p = 0.007) and emotional eating (p = 0.023) at 2-years post-surgery. Avoidant attachment (p = 0.009) was also found to be a significant predictor of binge eating at 2-years post-surgery. To our knowledge, this study is the first to explore attachment style as a predictor of long-term post-operative eating pathology and weight outcomes in bariatric surgery patients.

scholarly journals Diabetes and Health Friendly Food Pantry Shelf Design and Implementation (P04-056-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Madison Kelly ◽  
Seung-Yeon Lee
Keyword(s):  
Community Based Participatory Research ◽  
Food Choices ◽  
Grocery Store ◽  
Healthy Foods ◽  
Dietary Recommendations ◽  
Community Based ◽  
Food Pantry ◽  
Partnership Development ◽  
Funding Sources ◽  
Before And After

Abstract Objectives The objective of this pilot study was to develop and examine the feasibility of implementing the “Most Diabetes and Health Friendly Shelf” initiative at an urban choice food pantry. Methods The “Most Diabetes and Health Friendly Shelf” initiative was developed using grocery store marketing techniques and community based participatory research (CBPR). The CBPR team designed marketing materials and food categorization criteria based on a literature review and current dietary recommendations. The program was designed to assist food pantry users in identifying healthy foods. We highlighted healthier food options within each pantry section using grocery store marketing techniques: priming, colored labeling, framing, and placement. Clients choose items from the highlighted intervention shelf or general shelf. The program was pilot tested in a choice pantry in Cincinnati, OH and usage was tracked for 6 months as part of a longitudinal observational study. The number of items on the intervention shelf versus general shelf was counted before and after pantry sessions. The total number items available, number items taken, and percentage items taken was tracked, calculated, then compared by section and shelf. Results Clients chose a higher total number of items from the intervention shelf (1987 items) compared to the general shelf (1863 items). The intervention shelf had a higher percentage of items taken per month (32–47%) compared to the general shelf (25–45%); however the percentage items taken from the general shelf increased overtime. There was no clear pattern of choices shown across food sections, suggesting factors other than nutrition impacted food choices. CBPR was a feasible mechanism to develop ideas and create an affordable, realistic, and attractive intervention. Despite this, results may be improved and better sustained with an individual assigned to training and marketing the intervention. Conclusions Findings suggested the initiative may be a feasible intervention to implement into a choice food pantry setting. Food pantry clients chose a higher percentage of diabetes-friendly foods, however further research is needed on identifying further outside factors that influence food choices within this population. Funding Sources The Center for Clinical and Translational Science and Training, Partnership Development Grant.

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