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Erschienen in: Obesity Surgery 9/2021

02.07.2021 | Original Contributions

Grazing Behavior Hinders Weight Loss in Long-Term Post Bariatric Surgery: a Cross-Sectional Study

verfasst von: Larissa Cristina Lins Berber, Mariana Silva Melendez-Araújo, Eduardo Yoshio Nakano, Kênia Mara Baiocchi de Carvalho, Eliane Said Dutra

Erschienen in: Obesity Surgery | Ausgabe 9/2021

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Abstract

Background

Grazing behavior is common in patients undergoing bariatric surgery (BS); however, little is known about grazing behavior in operated patients in the long term. We aimed to estimate grazing frequency and its association with weight loss and surgery response in patients who had undergone BS.

Methods

This cross-sectional study included 109 patients who had undergone Roux-en-Y gastric bypass at least 5 years previously. They answered questions about socioeconomic factors, surgical information, and adherence to treatment/follow-up. The Rep(eat) questionnaire was used for grazing assessment. Student’s t-test and Pearson’s chi-square test were used to evaluate differences between groups. Analysis of covariance and partial correlation were used to investigate grazing behavior, and weight loss outcomes were controlled for the elapsed time since BS, healthcare service type, current psychologist care status, and the presence of a constriction ring.

Results

The mean elapsed time since BS was 9.97 ± 2.39 years. Patients with grazing behavior (67%) comprised fewer surgery responders (p = 0.019), had lower total (%TWL, p = 0.005) and excess weight loss (%EWL, p = 0.029), and received less psychological counseling (45.5% vs. 54.5%, p = 0.042). Correlations were found between the presence of grazing and its subtypes and %EWL and %TWL (T = − 0.382, T = − 0.361, p < 0.001; compulsive grazing: T = − 0.358, T = − 0.342, p < 0.001, p = 0.001; non-compulsive grazing: T = − 0.333, T = − 0.311, p = 0.001, p = 0.003). No significant difference between patients with and without grazing behavior was found for previous/current diagnoses of psychological diseases or dietitian counseling.

Conclusion

Grazing behavior is common in the long-term among patients who have undergone BS and is negatively related to weight loss parameters.

Graphical abstract

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Metadaten
Titel
Grazing Behavior Hinders Weight Loss in Long-Term Post Bariatric Surgery: a Cross-Sectional Study
verfasst von
Larissa Cristina Lins Berber
Mariana Silva Melendez-Araújo
Eduardo Yoshio Nakano
Kênia Mara Baiocchi de Carvalho
Eliane Said Dutra
Publikationsdatum
02.07.2021
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 9/2021
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-021-05533-4

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