Factors associated with grazing behavior in candidates for bariatric surgery at a hospital in the Amazon

BlackgroundTo assess grazing behavior and associated factors in candidates for bariatric surgery monitored at a public hospital that is a reference in the care of people with severe obesity.MethodsCross-sectional analytical study, with candidates for bariatric surgery of both genders, treated in a p...

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Main Authors: Jeane Lorena Dias Kikuchi, Manuela Maria de Lima Carvalhal, Mariana Maués de Castro, Vanessa Vieira Lourenço-Costa, Carlos Armando Ribeiro dos Santos, Flávia Siqueira Cunha, Carla Cristina Paiva Paracampo, Daniela Lopes Gomes
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1227214/full
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author Jeane Lorena Dias Kikuchi
Manuela Maria de Lima Carvalhal
Mariana Maués de Castro
Vanessa Vieira Lourenço-Costa
Carlos Armando Ribeiro dos Santos
Flávia Siqueira Cunha
Carla Cristina Paiva Paracampo
Daniela Lopes Gomes
author_facet Jeane Lorena Dias Kikuchi
Manuela Maria de Lima Carvalhal
Mariana Maués de Castro
Vanessa Vieira Lourenço-Costa
Carlos Armando Ribeiro dos Santos
Flávia Siqueira Cunha
Carla Cristina Paiva Paracampo
Daniela Lopes Gomes
author_sort Jeane Lorena Dias Kikuchi
collection DOAJ
description BlackgroundTo assess grazing behavior and associated factors in candidates for bariatric surgery monitored at a public hospital that is a reference in the care of people with severe obesity.MethodsCross-sectional analytical study, with candidates for bariatric surgery of both genders, treated in a public hospital in the Amazon. To assess grazing behavior, the Repetitive Eating Questionnaire was used, and to investigate patterns of eating behavior, the Three Factor Eating Questionnaire was used, which assesses: Emotional Eating, Cognitive Restriction and Uncontrolled Eating. Sociodemographic information was obtained through self-report and the description of medication use through the medical record. Body mass index (BMI) was also calculated by measuring weight and height. The SPSS program, v. 21.0 was used. The study was approved by the Research Ethics Committee.ResultsA total of 205 participants were evaluated, with a mean age of 37.5 ± 8.6 years, the majority (93.7%) being women and the majority (59.5%) was not also using medication to lose weight. About 66.3% of the participants had compulsive grazing. The factor with the highest score was cognitive restriction (p < 0.001). Individuals who used weight loss drugs had higher scores in the cognitive restriction factor (p = 0.015) and lower scores for uncontrolled eating (p = 0.008), compulsive grazing (p = 0.021) and non-compulsive grazing (p = 0.034).ConclusionLinear regression showed that emotional eating and uncontrolled eating were predictors of both compulsive grazing and non-compulsive grazing behavior. It was observed that grazing behavior, cognitive restriction, emotional eating and uncontrolled eating are present and correlated in the studied patients. In addition, the use of weight loss drugs seems to help reduce dysfunctional eating behaviors in patients with severe obesity.
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spelling doaj.art-09f8aa5d2a3a4101a09c795f848310672023-12-20T17:10:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-12-011110.3389/fpubh.2023.12272141227214Factors associated with grazing behavior in candidates for bariatric surgery at a hospital in the AmazonJeane Lorena Dias Kikuchi0Manuela Maria de Lima Carvalhal1Mariana Maués de Castro2Vanessa Vieira Lourenço-Costa3Carlos Armando Ribeiro dos Santos4Flávia Siqueira Cunha5Carla Cristina Paiva Paracampo6Daniela Lopes Gomes7Postgraduate Program in Neurosciences and Behavior, Center for Theory and Research of Behavior, Federal University of Pará, Belém, BrazilFaculty of Nutrition, Federal University of Pará, Belém, BrazilFaculty of Nutrition, Federal University of Pará, Belém, BrazilFaculty of Nutrition, Federal University of Pará, Belém, BrazilHospital Jean Bitar, Federal University of Pará, Belém, BrazilHospital Jean Bitar, Federal University of Pará, Belém, BrazilPostgraduate Program in Neurosciences and Behavior, Center for Theory and Research of Behavior, Federal University of Pará, Belém, BrazilPostgraduate Program in Neurosciences and Behavior, Center for Theory and Research of Behavior, Federal University of Pará, Belém, BrazilBlackgroundTo assess grazing behavior and associated factors in candidates for bariatric surgery monitored at a public hospital that is a reference in the care of people with severe obesity.MethodsCross-sectional analytical study, with candidates for bariatric surgery of both genders, treated in a public hospital in the Amazon. To assess grazing behavior, the Repetitive Eating Questionnaire was used, and to investigate patterns of eating behavior, the Three Factor Eating Questionnaire was used, which assesses: Emotional Eating, Cognitive Restriction and Uncontrolled Eating. Sociodemographic information was obtained through self-report and the description of medication use through the medical record. Body mass index (BMI) was also calculated by measuring weight and height. The SPSS program, v. 21.0 was used. The study was approved by the Research Ethics Committee.ResultsA total of 205 participants were evaluated, with a mean age of 37.5 ± 8.6 years, the majority (93.7%) being women and the majority (59.5%) was not also using medication to lose weight. About 66.3% of the participants had compulsive grazing. The factor with the highest score was cognitive restriction (p < 0.001). Individuals who used weight loss drugs had higher scores in the cognitive restriction factor (p = 0.015) and lower scores for uncontrolled eating (p = 0.008), compulsive grazing (p = 0.021) and non-compulsive grazing (p = 0.034).ConclusionLinear regression showed that emotional eating and uncontrolled eating were predictors of both compulsive grazing and non-compulsive grazing behavior. It was observed that grazing behavior, cognitive restriction, emotional eating and uncontrolled eating are present and correlated in the studied patients. In addition, the use of weight loss drugs seems to help reduce dysfunctional eating behaviors in patients with severe obesity.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1227214/fullobesitybariatric surgeryeating behaviorgrazingemotional eating
spellingShingle Jeane Lorena Dias Kikuchi
Manuela Maria de Lima Carvalhal
Mariana Maués de Castro
Vanessa Vieira Lourenço-Costa
Carlos Armando Ribeiro dos Santos
Flávia Siqueira Cunha
Carla Cristina Paiva Paracampo
Daniela Lopes Gomes
Factors associated with grazing behavior in candidates for bariatric surgery at a hospital in the Amazon
Frontiers in Public Health
obesity
bariatric surgery
eating behavior
grazing
emotional eating
title Factors associated with grazing behavior in candidates for bariatric surgery at a hospital in the Amazon
title_full Factors associated with grazing behavior in candidates for bariatric surgery at a hospital in the Amazon
title_fullStr Factors associated with grazing behavior in candidates for bariatric surgery at a hospital in the Amazon
title_full_unstemmed Factors associated with grazing behavior in candidates for bariatric surgery at a hospital in the Amazon
title_short Factors associated with grazing behavior in candidates for bariatric surgery at a hospital in the Amazon
title_sort factors associated with grazing behavior in candidates for bariatric surgery at a hospital in the amazon
topic obesity
bariatric surgery
eating behavior
grazing
emotional eating
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1227214/full
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