scholarly journals A Comparison of Total Food Intake at a Personalised Buffet in People with Obesity, before and 24 Months after Roux-en-Y-Gastric Bypass Surgery

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3873
Author(s):  
Natasha Kapoor ◽  
Werd al Najim ◽  
Camilo Menezes ◽  
Ruth K Price ◽  
Colm O’Boyle ◽  
...  

Long-term reductions in the quantity of food consumed, and a shift in intake away from energy dense foods have both been implicated in the potent bariatric effects of Roux-en-Y gastric bypass (RYGB) surgery. We hypothesised that relative to pre-operative assessment, a stereotypical shift to lower intake would be observed at a personalised ad libitum buffet meal 24 months after RYGB, driven in part by decreased selection of high energy density items. At pre-operative baseline, participants (n = 14) rated their preference for 72 individual food items, each of these mapping to one of six categories encompassing high and low-fat choices in combination with sugar, complex carbohydrate or and protein. An 18-item buffet meal was created for each participant based on expressed preferences. Overall energy intake was reduced on average by 60% at the 24-month buffet meal. Reductions in intake were seen across all six food categories. Decreases in the overall intake of all individual macronutrient groups were marked and were generally proportional to reductions in total caloric intake. Patterns of preference and intake, both at baseline and at follow-up appear more idiosyncratic than has been previously suggested by verbal reporting. The data emphasise the consistency with which reductions in ad libitum food intake occur as a sequel of RYGB, this being maintained in the setting of a self-selected ad libitum buffet meal. Exploratory analysis of the data also supports prior reports of a possible relative increase in the proportional intake of protein after RYGB.

2008 ◽  
Vol 18 (4) ◽  
pp. 415-422 ◽  
Author(s):  
Marianne W. Furnes ◽  
Karin Tømmerås ◽  
Carl-Jørgen Arum ◽  
Chun-Mei Zhao ◽  
Duan Chen

2016 ◽  
Vol 40 (11) ◽  
pp. 1699-1706 ◽  
Author(s):  
M S Svane ◽  
N B Jørgensen ◽  
K N Bojsen-Møller ◽  
C Dirksen ◽  
S Nielsen ◽  
...  

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Rafael Ríos-Varo ◽  
Ángela Vidal ◽  
Ana Isabel Raya ◽  
Carmen Pineda ◽  
Ignacio López ◽  
...  

Abstract Background and Aims Vascular calcification (VC) is an important contributor to the high rate of cardiovascular mortality associated to chronic kidney disease. The inability to eliminate phosphorus (P) and the subsequent P retention promotes CV. P metabolism and uremic VC are influenced by obesity and by the caloric content of the diet. Caloric restriction (CR) has been shown to have multiple beneficial effects on health, for example, CR has been reported to improve vascular health and retard vascular ageing. However, to our knowledge the effect of CR on the development of uremic VC has not been explored. We hypothesize that CR may be beneficial to prevent the development of uremic VCs. Thus, the objective of the present study was to determine if rats subjected to CR were protected against VC. Method 48 Wistar rats were divided in four groups. The control diet provided Metabolizable Energy = 3.528 kcal/g and contained 0.6% Calcium (Ca) and 0.6% P. Additional diets of identical composition to the control diet but containing varying levels of Ca and P: 0.9% Ca, 0.9% P; 0.6% Ca, 1.2% P; and 0.9% Ca, 1.8% P, were also used in the experiments. Rats in Group 1 and 3 were fed 15 g/day of the control diet. Rats in Group 2 and 4 were calorie restricted and fed 10 g/day of diet with Ca/P = 0.9%/0.9%. Thus the daily P intake should be identical in the four groups. Uremia was induced by 5/6 nephrectomy (Nx). After Nx rats in Group 1 and 2 were fed ad libitum a diet with 0.6% Ca and 1.2% P. While rats in Group 3 and 4 were fed ad libitum a diet with 0.9% Ca and 1.8% P. Rats were supplemented with calcitriol. At the end of the experiment, rats were sacrificed to obtain blood samples and tissue samples (thoracic and abdominal aortas). After blood collection, plasma was separated by centrifugation and stored at –20° C until assayed. Plasma creatinine, Ca and P were measured by spectrophotometry. Energy intake was calculated based on food intake. VC was studied by histology and by measuring the tissue Ca content. Values are expressed as mean ± standard error (SE), the difference between groups was assessed by ANOVA. Fisher LSD test was used as a post-hoc procedure. p<0.05 was considered significant. Results Before Nx, caloric intake was significantly lower in calorie restricted rats (35.4 ± 0.1 and 35.8 ± 0.1 kcal/day) than in rats eating normal calories (52.7 ± 0.1 and 52.8 ± 0.2 kcal/day); however, P intake was almost identical in the four groups and ranged between 89.8 and 91.6 mg/day. After Nx, rats in all groups reduced food intake and, consequently, caloric intake. Thus, although the P content of the diet was increased after Nx, daily P intake was not increased in Groups 1 and 2; however, P intake was significantly increased in Groups 3 and 4 (120.9 ± 4.6 and 122.2 ± 6.2 mg/day, respectively). In all groups, rats had high plasma concentrations of creatinine and P, and low plasma concentrations of Ca. Also, all rats had elevated Ca content in the aorta. No significant differences between the study groups were found in any of these parameters (Table 1). Von Kossa staining of the aortas showed abundant mineral deposition in the four groups. Conclusion This study shows that, contrary to what was expected, CR did not prevent or ameliorate uremic calcifications.


2014 ◽  
Vol 112 (4) ◽  
pp. 657-661 ◽  
Author(s):  
Eric Robinson ◽  
Inge Kersbergen ◽  
Suzanne Higgs

Attentional and memory processes underpin appetite control, but whether encouraging overweight individuals to eat more ‘attentively’ can promote reductions in energy consumption is unclear. In the present study with a between-subjects design, a total of forty-eight overweight and obese females consumed a fixed lunchtime meal. Their ad libitum energy intake of high-energy snack food was observed during a second laboratory session that occurred later that day. In the focused-attention condition, participants ate their lunch while listening to audio instructions that encouraged them to pay attention to the food being eaten. In a control condition, participants ate while listening to an audio book with a neutral (non-food-related) content. To test whether focused attention influenced food intake via enhancing the memory of the earlier consumed meal, we measured the participants' memory of their lunchtime meal. Ad libitum snack intake was approximately 30 % lower for participants in the focused-attention condition than for those in the control condition, and this difference was statistically significant. There was limited evidence that attention decreased later food intake by enhancing memory representation of the earlier consumed meal. Eating attentively can lead to a substantial decrease in later energy intake in overweight and obese individuals. Behavioural strategies that encourage a more ‘attentive’ way of eating could promote sustained reductions in energy intake and weight loss.


2000 ◽  
Vol 71 (3) ◽  
pp. 571-575 ◽  
Author(s):  
N. Quiniou ◽  
D. Renaudeau ◽  
S. Dubois ◽  
J. Noblet

AbstractForty-two multiparous Large White sows were used to investigate the effect of diurnally fluctuating temperature (T) on lactation performance and feeding behaviour. The animals were allocated to one of the four thermic treatments: constant T at 25°C (25C) and 29°C (29C) or equal-mean diurnal cyclic T varying from 21 to 29°C (25V) and from 25 to 33°C (29V). Photoperiod was fixed to 14 h of light. The sows were given food ad libitum between the 7th and the 19th day post partům. Lactation performance was measured for all sows whereas the feeding behaviour was recorded only on 28 sows. The ad libitum food intake was comparable at 25C and 25V (6•31 kg/day) as were milk production and body reserves mobilization. In contrast, food intake at 29V was higher than at 29C (4•53 v. 3•48 kg/day) with no difference in milk production between the two treatments. The increased daily food intake at 29V resulted from higher intakes over the coolest periods of the day and especially during the dark period. Neither meal size nor daily number of meals were significantly affected by T. Feeding behaviour was mainly diurnal but with differences between treatments: 0•90 of total food intake at 29C v. 0•78 at the other three T It appears that the effects of diurnally fluctuating T on lactation performance of sows depend on the mean level of T


1984 ◽  
Vol 24 (124) ◽  
pp. 77 ◽  
Author(s):  
BA McGregor

Kids six months old and of mean liveweight 22 kg were offered a basal ration of barley and lupins (crude protein 15 .4%) supplemented with three levels of chopped hay (0, 13% of total intake and ad libitum). Supplementation of the basal ration with 13% hay increased total dry matter intake from 479 to 753 g/d (P< 0.001) and liveweight gain from 10 to 54 g/d (P<0 .01). Non-significant increases in total food intake and liveweight gains were achieved by supplementing with ad libitum hay; kids fed ad libitum hay actually consumed 26.9% of their diet as hay. They were then offered various mixtures of barley, oats and lupins with 13% chopped hay at near ad libitum feeding. Differences in intake or growth were not significant at P= 0.05 with kids growing at 74, 65 and 101 g/d for those fed barley, oats and lupins respectively. Results indicate that highest food intake was obtained when 13% chopped hay was added to whole barley grain rations.


2016 ◽  
Vol 26 (9) ◽  
pp. 2173-2182 ◽  
Author(s):  
Zheng Hao ◽  
Michael B. Mumphrey ◽  
R. Leigh Townsend ◽  
Christopher D. Morrison ◽  
Heike Münzberg ◽  
...  

2011 ◽  
Vol 301 (6) ◽  
pp. E1184-E1190 ◽  
Author(s):  
Megan J. Dailey ◽  
Alexander A. Moghadam ◽  
Timothy H. Moran

Roux-en-Y gastric bypass surgery results in sustained decreases in food intake and weight loss. A key component is likely the direct delivery of nutrients to the jejunum and resulting changes in levels of gut peptide secretion. Prior work modeling this aspect of the surgery has shown that small-volume, prolonged jejunal infusions of linoleic acid (LA) produce sustained decreases in food intake and weight loss. LA infusions also significantly elevate plasma glucagon-like peptide-1 (GLP-1) levels. To assess a role for the increased circulating GLP-1 in the feeding suppression, we examined the effect of prolonged peripheral minipump administration of the GLP-1 receptor antagonist exendin 9–39 (Ex 9) on the feeding suppression produced by jejunal LA. Using a 2 × 2 design, we infused either saline or LA in the jejunum (7 h/day, 11.4 kcal) for 5 days with a subset of animals from each group receiving either saline or Ex 9 (25 pmol·kg−1·min−1) continuously via a minipump. The antagonist alone had no effect on food intake. LA reduced daily food intake greatly in excess of the kilocalories infused. Ex 9 completely blocked the feeding suppression produced by the jejunal LA infusion. Ex 9 also attenuated the increase in plasma GLP-1 induced by jejunal LA infusions. These data demonstrate that endogenous GLP-1 receptor signaling is necessary for the reduction in food intake produced by jejunal LA infusions. Whether increased secretion of additional gut peptides is also necessary for such suppressions remains to be determined.


2014 ◽  
Vol 25 (2) ◽  
pp. 249-253 ◽  
Author(s):  
A. Arvidsson ◽  
I. Evertsson ◽  
M. Ekelund ◽  
H. G. Gislason ◽  
J. L. Hedenbro

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