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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MDPI AG
2023-08-01
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Series: | Nutrients |
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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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format | Article |
id | doaj.art-15701b6edab8415ea636c3d493253495 |
institution | Directory Open Access Journal |
issn | 2072-6643 |
language | English |
last_indexed | 2024-03-10T23:16:02Z |
publishDate | 2023-08-01 |
publisher | MDPI AG |
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series | Nutrients |
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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