Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women

We tested the hypothesis that successful weight loss post-bariatric surgery would be associated with healthier chemosensory function, food likes, and dietary behaviors than either unsuccessful weight loss or pre-surgery morbid obesity. In a case-control design, pre-surgical women with morbid obesity...

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Main Authors: Patrice A. Hubert, Pavlos Papasavas, Andrea Stone, Helen Swede, Tania B. Huedo-Medina, Darren Tishler, Valerie B. Duffy
Format: Article
Language:English
Published: MDPI AG 2019-04-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/11/4/804
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author Patrice A. Hubert
Pavlos Papasavas
Andrea Stone
Helen Swede
Tania B. Huedo-Medina
Darren Tishler
Valerie B. Duffy
author_facet Patrice A. Hubert
Pavlos Papasavas
Andrea Stone
Helen Swede
Tania B. Huedo-Medina
Darren Tishler
Valerie B. Duffy
author_sort Patrice A. Hubert
collection DOAJ
description We tested the hypothesis that successful weight loss post-bariatric surgery would be associated with healthier chemosensory function, food likes, and dietary behaviors than either unsuccessful weight loss or pre-surgery morbid obesity. In a case-control design, pre-surgical women with morbid obesity (<i>n</i> = 49) were compared with those 1-year post-surgery (24 Roux-en-Y Bypass, 24 Sleeve Gastrectomy) and defined by excess or percent weight loss as successful/unsuccessful. For self-reported smell/taste perception, more post-surgery than pre-surgery reported improved/distorted perception, especially if weight loss successful. Measured taste function (perceived quinine and NaCl intensity) was lower among weight loss unsuccessful versus pre-surgery patients, yet a genetic variation in taste probe (propylthiouracil bitterness) matched expected frequencies without significant pre/post-surgery difference. Regarding survey-reported liking, higher diet quality was seen in the weight loss successful (independent of surgery type) versus pre-surgical patients, with differences driven by lower sweet and refined carbohydrate liking. The post versus pre-surgical patients had greater restraint but less hunger and disinhibition. Patients reporting both higher diet quality and lower hunger showed greater % weight loss, independent of surgery type. Thus, successful weight loss 1-year post-bariatric surgery was associated with improved or distorted chemosensation and patterns of liking associated with healthier diets, especially if coupled with less hunger.
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spelling doaj.art-f0cc0aef75e540aba487535bf36c9ee62022-12-22T03:15:00ZengMDPI AGNutrients2072-66432019-04-0111480410.3390/nu11040804nu11040804Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in WomenPatrice A. Hubert0Pavlos Papasavas1Andrea Stone2Helen Swede3Tania B. Huedo-Medina4Darren Tishler5Valerie B. Duffy6Department of Allied Health Sciences, University of Connecticut, Storrs, CT 06269, USADepartment of Surgery, Hartford Hospital, Hartford, CT 06102, USADepartment of Surgery, Hartford Hospital, Hartford, CT 06102, USACommunity Medicine and Health Care, University of Connecticut Health Center, Farmington, CT 06030, USADepartment of Allied Health Sciences, University of Connecticut, Storrs, CT 06269, USADepartment of Surgery, Hartford Hospital, Hartford, CT 06102, USADepartment of Allied Health Sciences, University of Connecticut, Storrs, CT 06269, USAWe tested the hypothesis that successful weight loss post-bariatric surgery would be associated with healthier chemosensory function, food likes, and dietary behaviors than either unsuccessful weight loss or pre-surgery morbid obesity. In a case-control design, pre-surgical women with morbid obesity (<i>n</i> = 49) were compared with those 1-year post-surgery (24 Roux-en-Y Bypass, 24 Sleeve Gastrectomy) and defined by excess or percent weight loss as successful/unsuccessful. For self-reported smell/taste perception, more post-surgery than pre-surgery reported improved/distorted perception, especially if weight loss successful. Measured taste function (perceived quinine and NaCl intensity) was lower among weight loss unsuccessful versus pre-surgery patients, yet a genetic variation in taste probe (propylthiouracil bitterness) matched expected frequencies without significant pre/post-surgery difference. Regarding survey-reported liking, higher diet quality was seen in the weight loss successful (independent of surgery type) versus pre-surgical patients, with differences driven by lower sweet and refined carbohydrate liking. The post versus pre-surgical patients had greater restraint but less hunger and disinhibition. Patients reporting both higher diet quality and lower hunger showed greater % weight loss, independent of surgery type. Thus, successful weight loss 1-year post-bariatric surgery was associated with improved or distorted chemosensation and patterns of liking associated with healthier diets, especially if coupled with less hunger.https://www.mdpi.com/2072-6643/11/4/804tastesweet likingdietary behaviorgastric bypasshungerdiet qualitypreference
spellingShingle Patrice A. Hubert
Pavlos Papasavas
Andrea Stone
Helen Swede
Tania B. Huedo-Medina
Darren Tishler
Valerie B. Duffy
Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women
Nutrients
taste
sweet liking
dietary behavior
gastric bypass
hunger
diet quality
preference
title Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women
title_full Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women
title_fullStr Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women
title_full_unstemmed Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women
title_short Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women
title_sort associations between weight loss food likes dietary behaviors and chemosensory function in bariatric surgery a case control analysis in women
topic taste
sweet liking
dietary behavior
gastric bypass
hunger
diet quality
preference
url https://www.mdpi.com/2072-6643/11/4/804
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