Weight Regain and Ingestive Behavior in Women after Metabolic Surgery

This study investigated associations between maladaptive ingestive behaviors and weight regain in women who underwent metabolic surgery 2–10 years ago. Using a web-based survey, we assessed emotional, external, and restrained eating (Dutch Eating Behavior Questionnaire—DEBQ), food cravings (Food-Cra...

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Main Authors: Jessica G. Nicanor-Carreón, Neda Seyedsadjadi, Blair Rowitz, Marta Yanina Pepino
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/17/3670
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author Jessica G. Nicanor-Carreón
Neda Seyedsadjadi
Blair Rowitz
Marta Yanina Pepino
author_facet Jessica G. Nicanor-Carreón
Neda Seyedsadjadi
Blair Rowitz
Marta Yanina Pepino
author_sort Jessica G. Nicanor-Carreón
collection DOAJ
description This study investigated associations between maladaptive ingestive behaviors and weight regain in women who underwent metabolic surgery 2–10 years ago. Using a web-based survey, we assessed emotional, external, and restrained eating (Dutch Eating Behavior Questionnaire—DEBQ), food cravings (Food-Craving Inventory—FCI), and other behaviors (e.g., Eating Disorder Examination Questionnaire—EDE-Q; Alcohol Use Disorder Identification Test-Concise—AUDIT-C) in 36 women (42.9 ± 9.5 years old) post-surgery. We found that weight regain was specifically associated with increased frequency of cravings for sweets (r = 0.43), higher global scores in the EDE-Q (r = 0.38), and time elapsed since surgery (r = 0.35; all <i>p</i>’s < 0.04). Multiple regression analysis revealed that the association between weight regain and sweet cravings interacted with time after surgery (<i>p</i> = 0.04), with the strongest association observed in women assessed closer to the surgery (i.e., 2.0–2.8 years). The combination of time after surgery and its interaction with sweet cravings accounted for 31% of the individual variations in weight regain (<i>p</i> = 0.005). Notably, among participants who reported alcohol consumption (31 of 36), 55% had an AUDIT-C score indicating hazardous drinking. These findings highlight the relevance of attending to patients’ reports of frequent sweet cravings and screening for alcohol use to enhance strategies tailored to prevent weight regain and alcohol-related health problems post-surgery.
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spelling doaj.art-15701b6edab8415ea636c3d4932534952023-11-19T08:37:33ZengMDPI AGNutrients2072-66432023-08-011517367010.3390/nu15173670Weight Regain and Ingestive Behavior in Women after Metabolic SurgeryJessica G. Nicanor-Carreón0Neda Seyedsadjadi1Blair Rowitz2Marta Yanina Pepino3Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USADepartment of Food Science and Human Nutrition, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USADivision of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USADivision of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USAThis study investigated associations between maladaptive ingestive behaviors and weight regain in women who underwent metabolic surgery 2–10 years ago. Using a web-based survey, we assessed emotional, external, and restrained eating (Dutch Eating Behavior Questionnaire—DEBQ), food cravings (Food-Craving Inventory—FCI), and other behaviors (e.g., Eating Disorder Examination Questionnaire—EDE-Q; Alcohol Use Disorder Identification Test-Concise—AUDIT-C) in 36 women (42.9 ± 9.5 years old) post-surgery. We found that weight regain was specifically associated with increased frequency of cravings for sweets (r = 0.43), higher global scores in the EDE-Q (r = 0.38), and time elapsed since surgery (r = 0.35; all <i>p</i>’s < 0.04). Multiple regression analysis revealed that the association between weight regain and sweet cravings interacted with time after surgery (<i>p</i> = 0.04), with the strongest association observed in women assessed closer to the surgery (i.e., 2.0–2.8 years). The combination of time after surgery and its interaction with sweet cravings accounted for 31% of the individual variations in weight regain (<i>p</i> = 0.005). Notably, among participants who reported alcohol consumption (31 of 36), 55% had an AUDIT-C score indicating hazardous drinking. These findings highlight the relevance of attending to patients’ reports of frequent sweet cravings and screening for alcohol use to enhance strategies tailored to prevent weight regain and alcohol-related health problems post-surgery.https://www.mdpi.com/2072-6643/15/17/3670bariatric surgerysleeve gastrectomygastric bypasssweet cravingsweight regainingestive behavior
spellingShingle Jessica G. Nicanor-Carreón
Neda Seyedsadjadi
Blair Rowitz
Marta Yanina Pepino
Weight Regain and Ingestive Behavior in Women after Metabolic Surgery
Nutrients
bariatric surgery
sleeve gastrectomy
gastric bypass
sweet cravings
weight regain
ingestive behavior
title Weight Regain and Ingestive Behavior in Women after Metabolic Surgery
title_full Weight Regain and Ingestive Behavior in Women after Metabolic Surgery
title_fullStr Weight Regain and Ingestive Behavior in Women after Metabolic Surgery
title_full_unstemmed Weight Regain and Ingestive Behavior in Women after Metabolic Surgery
title_short Weight Regain and Ingestive Behavior in Women after Metabolic Surgery
title_sort weight regain and ingestive behavior in women after metabolic surgery
topic bariatric surgery
sleeve gastrectomy
gastric bypass
sweet cravings
weight regain
ingestive behavior
url https://www.mdpi.com/2072-6643/15/17/3670
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AT blairrowitz weightregainandingestivebehaviorinwomenaftermetabolicsurgery
AT martayaninapepino weightregainandingestivebehaviorinwomenaftermetabolicsurgery