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01-08-2021 | Sleeve Gastrectomy | Original Contributions

Factors Associated with Favorable Changes in Food Preferences After Bariatric Surgery

Authors: Mette S. Nielsen, Bodil J. Christensen, Christian Ritz, Lotte Holm, Susanne Lunn, Louise Tækker, Julie Berg Schmidt, Wender L. P. Bredie, Nicolai J. Wewer Albrechtsen, Jens J. Holst, Anja Hilbert, Carel W. le Roux, Anders Sjödin

Published in: Obesity Surgery | Issue 8/2021

Abstract

Purpose

Bariatric surgery may shift food preferences towards less energy-dense foods. Eating behavior is multifactorial, and the mechanisms driving changes in food preferences could be a combination of a physiological response to surgery and social and psychological factors. This exploratory study aimed to identify potential factors explaining the variation in changes in food preferences after bariatric surgery.

Materials and methods

Physiological, social, and psychological data were collected before, 6 weeks or 6 months after surgery. All variables were analyzed in combination using LASSO regression to explain the variation in changes in energy density at an ad libitum buffet meal 6 months after bariatric surgery (n=39).

Results

The following factors explained 69% of the variation in changes in food preferences after surgery and were associated with more favorable changes in food preferences (i.e., a larger decrease in energy density): female gender, increased secretion of glicentin, a larger decrease in the hedonic rating of sweet and fat and a fatty cocoa drink, a lower number of recent life crises, a low degree of social eating pressure, fulfilling the diagnostic criteria for binge eating disorder, less effort needed to obtain preoperative weight loss, a smaller household composition, a lower degree of self-efficacy and a higher degree of depression, nutritional regime competence, and psychosocial risk level.

Conclusion

Factors explaining the variation in altered food preferences after bariatric surgery not only include a physiological response to surgery but also social and psychological factors.

Graphical Abstract

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Title: Factors Associated with Favorable Changes in Food Preferences After Bariatric Surgery
Authors: Mette S. Nielsen
Bodil J. Christensen
Christian Ritz
Lotte Holm
Susanne Lunn
Louise Tækker
Julie Berg Schmidt
Wender L. P. Bredie
Nicolai J. Wewer Albrechtsen
Jens J. Holst
Anja Hilbert
Carel W. le Roux
Anders Sjödin
Publication date: 01-08-2021
Publisher: Springer US
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Eating Disorder
Eating Disorder
Published in: Obesity Surgery / Issue 8/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-021-05374-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Factors Associated with Favorable Changes in Food Preferences After Bariatric Surgery

Abstract

Purpose

Materials and methods

Results

Conclusion

Graphical Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

Graphical Abstract

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