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Obesity Surgery
Published in: Obesity Surgery 10/2020

01-10-2020 | Obesity | Original Contribution

Eating Behavior after Bariatric Surgery (EBBS) Questionnaire: a New Validated Tool to Quantify the Patients’ Compliance to Post-Bariatric Dietary and Lifestyle Suggestions

Authors: Giorgia Spaggiari, Daniele Santi, Giulia Budriesi, Paola Dondi, Sonia Cavedoni, Laura Leonardi, Carolina Delvecchio, Laura Valentini, Mario Bondi, Clelia Miloro, Patrizia Federica Toschi

Published in: Obesity Surgery | Issue 10/2020

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Abstract

Purpose

In the management of bariatric surgery follow-up, a multidisciplinary approach allows to evaluate the weight loss maintenance and the dietary and lifestyle changes adherence. The main aim of this study is to create and to validate a questionnaire (eating behavior after bariatric surgery (EBBS)) to objectivize the compliance to dietary/lifestyle suggestions after bariatric surgery.

Materials and Methods

An observational retrospective monocentric clinical trial was carried out at the Bariatric Surgery Unit of Modena, Italy. All weight-related data of bariatric surgery patients collected during the multidisciplinary post-surgical path were recorded. EBBS questionnaire and three validated psychological tests were administered. EBBS includes 11 questions concerning food (domain A), drinks (B), behaviors (C), and lifestyle (S). All data analyzed in the study were collected during the same visit.

Results

In 41 enrolled patients (52.2 + 11.9 years), the total weight loss after surgery was 44.87 + 18.37 kg (− 35.40 + 11.60%), with a weight loss maintenance of 86.92 + 14.30%. The EBBS questionnaire showed a good internal validity (Cronbach’s alpha 0.743, Hotelling’s T-square test p < 0.001). The S domain was directly related with the percentage of weight loss maintained (p = 0.048), suggesting that the frequent physical activity and the periodic weight self-check are the most predictive behaviors to obtain weight control. None of the psychological questionnaires appeared related to the weight trend.

Conclusions

We validated for the first time a 11-item self-filling questionnaire allowing to quantify the adaption to dietary/lifestyle suggestions provided after bariatric surgery. EBBS questionnaire could be a useful tool both in clinical and research setting to monitor the patient’s adherence to post-surgical indications and to identify predictive factors for bariatric surgery efficacy.
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Metadata
Title
Eating Behavior after Bariatric Surgery (EBBS) Questionnaire: a New Validated Tool to Quantify the Patients’ Compliance to Post-Bariatric Dietary and Lifestyle Suggestions
Authors
Giorgia Spaggiari
Daniele Santi
Giulia Budriesi
Paola Dondi
Sonia Cavedoni
Laura Leonardi
Carolina Delvecchio
Laura Valentini
Mario Bondi
Clelia Miloro
Patrizia Federica Toschi
Publication date
01-10-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04723-w

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