Top

Published in:

01-06-2018 | Original Contributions

Changes in Frequency Intake of Foods in Patients Undergoing Sleeve Gastrectomy and Following a Strict Dietary Control

Authors: Jaime Ruiz-Tovar, Maryana Bozhychko, Jone Miren Del-Campo, Evangelina Boix, Lorea Zubiaga, Jose Luis Muñoz, Carolina Llavero

Published in: Obesity Surgery | Issue 6/2018

Abstract

Purpose

Dietary intake and food preferences change after bariatric surgery, secondary to gastrointestinal symptoms and dietitian counseling. The aim of this study was to evaluate the changes in the frequency intake of different foods in patients undergoing sleeve gastrectomy and following a strict dietary control.

Patients and Methods

A prospective observational study of all the morbidly obese patients undergoing laparoscopic sleeve gastrectomy as bariatric procedure between 2007 and 2012 was performed. Dietary assessment was performed using the Alimentary Frequency Questionnaire 1991–2002, developed and validated by the Department of Epidemiology of Miguel Hernandez University (Elche, Alicante Spain).

Results

Ninety-three patients were included for analysis, 73 females and 20 males, with a mean preoperative BMI of 46.4 ± 7.9 kg/m². One year after surgery, excess weight loss was 81.1 ± 8.3% and 5 years after surgery, 79.9 ± 6.4%. Total weight loss at 1 year was 38.8 ± 5.3% and at 5 years, 35.4 ± 4.9%. Postoperatively, a reduction in the intake of dairy products, red meat, deli meat products, shellfish, fried potatoes, sweets, rice, pasta, beer, and processed foods was observed. Vegetables, fruits, and legumes intake increased after surgery. In the first postoperative year, there was a slight intolerance to red meat, fruits, vegetables and legumes, dairy products, pasta, and rice that mostly disappeared 5 years after surgery.

Conclusion

One year after sleeve gastrectomy, calibrated with a 50-French bougie, there are not important problems in the intake of foods a priori difficult to digest. These problems mostly disappeared 5 years after surgery. The decrease intake of other unhealthy foods is mostly based on the dietary counseling.

Molin Neto BD, Earthman CP, Farias G, et al. Eating patterns and food choice as determinant of weight loss and improve of metabolic profile after RYGB. Nutrition. 2016;28:1050–5.

World Heallth Organization (WHO). Obesity and overweight. Key facts. 20015. http://www.who.int/mediacentre/factsheets/fs311/en/index.html.

Souza Ade M, Bezerra IN, Cunha DB, et al. Evaluation of food intake markers in the Brazilian surveillance system for chronic diseases – VIGITEL 2007-2009. Rev Bras Epidemiol. 2011;14:44–52.CrossRefPubMed

Bezerra IN, Goldman J, Rhodes DG, et al. Differences in adult food group intake by sex, and age groups comparing Brazil and United States nationwide surveys. Nutr J. 2014;21:13–74.

Freire RH, Borges MC, Alvarez-Leite JI, et al. 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.CrossRefPubMed

Fontana MA, Wohlgemuth SD. The surgical treatment of metabolic disease and morbid obesity. Gastroenterol Clin N Am. 2010;39(1):125–33. https://doi.org/10.1016/j.gtc.2009.12.010.CrossRef

Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009;5(4):469–75. https://doi.org/10.1016/j.soard.2009.05.011.CrossRefPubMed

Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252(2):319–24. https://doi.org/10.1097/SLA.0b013e3181e90b31.CrossRefPubMed

El Labban S, Safadi B, Olabi A. The effect of Roux-en-Y gastric bypass and sleeve gastrectomy surgery on dietary intake, food preferences, and gastrointestinal symptoms in post-surgical morbidly obese Lebanese subjects: a cross-sectional pilot study. Obes Surg. 2015;25(12):2393–9. https://doi.org/10.1007/s11695-015-1713-8.CrossRefPubMed

10.

Le Roux CW, Bueter M. The physiology of altered eating behavior after Roux-en-Y gastric bypass. Exp Physisol. 2014;9:1128–32.CrossRef

11.

Coluzzi I, Raparelli L, Guarnacci L, et al. Food intake and changes in eating behavior after laparoscopic sleeve gastrectomy. Obes Surg. 2016;26(9):2059–67. https://doi.org/10.1007/s11695-015-2043-6.CrossRefPubMed

12.

Faria SL, de Oliveira KE, Lins RD, et al. Nutritional management of weight regain after bariatric surgery. Obes Surg. 2010;20(2):135–9. https://doi.org/10.1007/s11695-008-9610-z.CrossRefPubMed

13.

Sarwer DB, Dilks RJ, West-Smith L. Dietary intake and eating behavior after bariatric surgery: threats to weight loss maintenance and strategies for success. Surg Obes Relat Dis. 2011;7(5):644–51. https://doi.org/10.1016/j.soard.2011.06.016.CrossRefPubMed

14.

Kafri N, Valfer R, Nativ O, et al. Health behavior, food tolerance and satisfaction after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2011;7(1):82–8. https://doi.org/10.1016/j.soard.2010.09.016.CrossRefPubMed

15.

Sioka E, Tzovaras G, Oikonomou K, et al. Influence of eating profile on the outcomo of laparoscopic sleeve gastrectomy. Obes Surg. 2013;23(4):501–8. https://doi.org/10.1007/s11695-012-0831-9.CrossRefPubMed

16.

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.CrossRefPubMed

17.

Overs S, Freeman R, Zarshena N, et al. Good 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.CrossRefPubMed

18.

Bavaresco M, Paganini S, Lima TP, et al. Nutritional course of patients submitted to bariatric surgery. Obes Surg. 2010;20(6):716–21. https://doi.org/10.1007/s11695-008-9721-6.CrossRefPubMed

Title: Changes in Frequency Intake of Foods in Patients Undergoing Sleeve Gastrectomy and Following a Strict Dietary Control
Authors: Jaime Ruiz-Tovar
Maryana Bozhychko
Jone Miren Del-Campo
Evangelina Boix
Lorea Zubiaga
Jose Luis Muñoz
Carolina Llavero
Publication date: 01-06-2018
Publisher: Springer US
Published in: Obesity Surgery / Issue 6/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-017-3072-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Changes in Frequency Intake of Foods in Patients Undergoing Sleeve Gastrectomy and Following a Strict Dietary Control

Abstract

Purpose

Patients and Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Patients and Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 6/2018

Changes in Iron Absorption After Roux-en-Y Gastric Bypass

Validation of the Alterable Weight Loss Metric in Morbidly Obese Patients Undergoing Gastric Bypass in Korea

Anemia and Bariatric Surgery: Results of a National French Survey on Administrative Data of 306,298 Consecutive Patients Between 2008 and 2016

Conversion of Laparoscopic Adjustable Gastric Banding to Gastric Bypass: a Comparison to Primary Gastric Bypass

Use of Self-Expandable Metal Stents in the Treatment of Leaks Complicating Laparoscopic Sleeve Gastrectomy: A Cohort Study

Food Tolerance and Eating Behavior After Roux-en-Y Gastric Bypass Surgery