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Erschienen in: Obesity Surgery 6/2009

01.06.2009 | Research Article

Relation Between Carbohydrate Intake and Weight Loss After Bariatric Surgery

verfasst von: Silvia Leite Faria, Orlando Pereira Faria, Tatiane Carvalho Lopes, Marcelle Vieira Galvão, Emily de Oliveira Kelly, Marina Kiyomi Ito

Erschienen in: Obesity Surgery | Ausgabe 6/2009

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Abstract

Background

Weight loss and long-term weight maintenance in bariatric surgery patients are related to maintaining satiety. It can be related to glycemic load (GL) and carbohydrate (g CHO) intake. The aim of this study was to investigate the effect of g CHO and GL and in weight loss on patients who had undergone bariatric surgery.

Method

The following measurements/calculations were conducted as follows: current body weight (kg), current BMI, percentage of excess weight loss (PEWL), average monthly weight loss (AMWL), energy intake (kcal per day), and GL calculation. Correlations were found among the studied variables. A multiple linear regression analysis of diet variables executed with GL and weight loss.

Results

The population presented 66% of EWL. The average of total energy intake (TEI) was 1220 ± 480, and the calculated GL resulted in an average of 73.2. Negative correlations were found between AMWL and TEI (p = 0.04), and between AMWL and GL (p = 0.009); furthermore, a negative correlation was found between carbohydrate intake in grams and AMWL (p = 0.003). A positive correlation (p = 0.017) was found between GL and TEI. Weight loss and GL were also correlated. Among the intake variables, GL and g CHO consumed are held accountable for 62 percent of AMWL. The multiple linear regression analysis showed that GL and carbohydrate grams (g CHO) account for 62% of AMWL.

Conclusion

The glycemic load and grams of carbohydrate are intake factors that can be useful tools in weight loss and long-term weight maintenance on patients who have undergone Roux-en-Y Gastric Bypass (RYGB).
Literatur
1.
Zurück zum Zitat Buchwald H, Avidor Y, Braunwald E, et al. Bariatric review. JAMA. 2004;292:1725–37.CrossRef Buchwald H, Avidor Y, Braunwald E, et al. Bariatric review. JAMA. 2004;292:1725–37.CrossRef
2.
Zurück zum Zitat Mognol P, Chosidow D, Marmuse JP. Laparoscopic conversion of laparoscopic gastric banding to Roux-en-Y Gastric Bypass: a review of seventy patients. Obes Surg. 2004;14:1349–53.CrossRef Mognol P, Chosidow D, Marmuse JP. Laparoscopic conversion of laparoscopic gastric banding to Roux-en-Y Gastric Bypass: a review of seventy patients. Obes Surg. 2004;14:1349–53.CrossRef
3.
Zurück zum Zitat Sugerman HJ, et al. Gastric bypass for treating severe obesity. Am J Clin Nutr Bethesda. Apr 2000;55(2):108–13. Sugerman HJ, et al. Gastric bypass for treating severe obesity. Am J Clin Nutr Bethesda. Apr 2000;55(2):108–13.
4.
Zurück zum Zitat Brolin RE. Bariatric surgery and long-term control of morbid obesity. JAMA. 2002;288:2793–6.CrossRef Brolin RE. Bariatric surgery and long-term control of morbid obesity. JAMA. 2002;288:2793–6.CrossRef
5.
Zurück zum Zitat Gerstein DE, Woodward-Lopez G, Evans AE, et al. Clarifying concepts about macronutriets’ effect on satiation and saciety. J Am Diet Assoc. 2004;104:1151–3.CrossRef Gerstein DE, Woodward-Lopez G, Evans AE, et al. Clarifying concepts about macronutriets’ effect on satiation and saciety. J Am Diet Assoc. 2004;104:1151–3.CrossRef
6.
Zurück zum Zitat Flanagan L Jr. Understanding the function of the small gastric pouch. In: Deitel M, Cowan GSM, editors. Update: surgery for morbidly obese patient. Toronto: FD Communications Inc.; 2000. p. 147–60. Flanagan L Jr. Understanding the function of the small gastric pouch. In: Deitel M, Cowan GSM, editors. Update: surgery for morbidly obese patient. Toronto: FD Communications Inc.; 2000. p. 147–60.
7.
Zurück zum Zitat Kristensen ST. Social and cultural aspects perspectives on hunger, appetite and satiety. Eur J Clin Nutr. 2000;54(6):473–8.CrossRef Kristensen ST. Social and cultural aspects perspectives on hunger, appetite and satiety. Eur J Clin Nutr. 2000;54(6):473–8.CrossRef
8.
Zurück zum Zitat Cummings DE, Overduin J, Foster-Schubert K. Gastric bypass for obesity: mechanisms of weight loss and diabetes resolution. J Clin Endocrinol Metab. 2004;89(6):2608–15.CrossRef Cummings DE, Overduin J, Foster-Schubert K. Gastric bypass for obesity: mechanisms of weight loss and diabetes resolution. J Clin Endocrinol Metab. 2004;89(6):2608–15.CrossRef
9.
Zurück zum Zitat Fruhbeck G, Diez-Caballero A, Gil MJ, et al. The decrease in plasma ghrelin concentrations following bariatric surgery depends on the functional integrity of the fundus. Obes Surg. 2004;14:606–12.CrossRef Fruhbeck G, Diez-Caballero A, Gil MJ, et al. The decrease in plasma ghrelin concentrations following bariatric surgery depends on the functional integrity of the fundus. Obes Surg. 2004;14:606–12.CrossRef
10.
Zurück zum Zitat Kral J. Surgical treatment of obesity. Nat Clin Pract. 2007;3(8):574–83.CrossRef Kral J. Surgical treatment of obesity. Nat Clin Pract. 2007;3(8):574–83.CrossRef
11.
Zurück zum Zitat Cummings DE, Weigle DS, Frayo RS, et al. Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med. 2002;346:1623–30.CrossRef Cummings DE, Weigle DS, Frayo RS, et al. Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med. 2002;346:1623–30.CrossRef
12.
Zurück zum Zitat Ariyasu H, Takaya K, Tagami T, Ogawa Y, Hosoda K, Akamizu T, et al. Stomach is a major source of circulating ghrelin, and feeding state determines plasma ghrelin-like immunoreactivity levels in humans. J Clin Endocrinol Metab. 2001;86(10):4753–8.CrossRef Ariyasu H, Takaya K, Tagami T, Ogawa Y, Hosoda K, Akamizu T, et al. Stomach is a major source of circulating ghrelin, and feeding state determines plasma ghrelin-like immunoreactivity levels in humans. J Clin Endocrinol Metab. 2001;86(10):4753–8.CrossRef
13.
Zurück zum Zitat Cummings DE, et al. A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans. Diabetes. 2001;50:1714–9.CrossRef Cummings DE, et al. A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans. Diabetes. 2001;50:1714–9.CrossRef
14.
Zurück zum Zitat Hanusch-Enserer U, Cauza E, Brabant G, et al. Plasma ghrelin in obesity before and after weight loss after laparoscopic adjustable gastric banding. J Clin Endocrinol Metab. 2004;89:3352–8.CrossRef Hanusch-Enserer U, Cauza E, Brabant G, et al. Plasma ghrelin in obesity before and after weight loss after laparoscopic adjustable gastric banding. J Clin Endocrinol Metab. 2004;89:3352–8.CrossRef
15.
Zurück zum Zitat Stoeckli R, Chanda R, Langer I, et al. Changes of body weight and plasma ghrelin levels after gastric banding and gastric bypass. Obes Res. 2004;12:346–50.CrossRef Stoeckli R, Chanda R, Langer I, et al. Changes of body weight and plasma ghrelin levels after gastric banding and gastric bypass. Obes Res. 2004;12:346–50.CrossRef
16.
Zurück zum Zitat Tso P, Liu M. Ingested fat and satiety. Physiol Behav. 2004;81:275–87.CrossRef Tso P, Liu M. Ingested fat and satiety. Physiol Behav. 2004;81:275–87.CrossRef
17.
Zurück zum Zitat Morínigo R, et al. Glucagon-like Peptide-1, Peptide YY, hunger, and satiety after gastric bypass surgery in morbidly obese subjects. J Clin Endocrinol Metab. 2006;91(5):1735–40.CrossRef Morínigo R, et al. Glucagon-like Peptide-1, Peptide YY, hunger, and satiety after gastric bypass surgery in morbidly obese subjects. J Clin Endocrinol Metab. 2006;91(5):1735–40.CrossRef
18.
Zurück zum Zitat Korner J, Bessler M, Cirilo LJ, et al. Effects of Roux-en-Y gastric bypass surgery on fasting and postprandial concentrations of plasma ghrelin, peptide YY, and insulin. J Clin Endocrinol Metab. 2005;90(1):359–65.CrossRef Korner J, Bessler M, Cirilo LJ, et al. Effects of Roux-en-Y gastric bypass surgery on fasting and postprandial concentrations of plasma ghrelin, peptide YY, and insulin. J Clin Endocrinol Metab. 2005;90(1):359–65.CrossRef
19.
Zurück zum Zitat Jenkins DJ, Wolever TM, Taylor RH, et al. Glycemic Index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr. 1981;34:362–6.CrossRef Jenkins DJ, Wolever TM, Taylor RH, et al. Glycemic Index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr. 1981;34:362–6.CrossRef
20.
Zurück zum Zitat Ludwig DS. Dietary glycemic index and obesity. J Nutr. 2000;130:280s–3s.CrossRef Ludwig DS. Dietary glycemic index and obesity. J Nutr. 2000;130:280s–3s.CrossRef
21.
Zurück zum Zitat Roberts SB. High-glycemic index foods, hunger and obesity: is there a connection? Nutr Rev. 2000;8:163–9. Roberts SB. High-glycemic index foods, hunger and obesity: is there a connection? Nutr Rev. 2000;8:163–9.
22.
Zurück zum Zitat Pawlak DB, Ebbeling CB, Ludwig DS. Should obese patient be counseled to follow a low-glycaemic index diet? Yes. Obes Rev. 2002;3:235–43.CrossRef Pawlak DB, Ebbeling CB, Ludwig DS. Should obese patient be counseled to follow a low-glycaemic index diet? Yes. Obes Rev. 2002;3:235–43.CrossRef
23.
Zurück zum Zitat Foster-Power K, Holt SH, Brand-Miller JC. International table of glycemic index and glycemic load values. Am J Clin Nutr. 2002;76:5–56.CrossRef Foster-Power K, Holt SH, Brand-Miller JC. International table of glycemic index and glycemic load values. Am J Clin Nutr. 2002;76:5–56.CrossRef
24.
Zurück zum Zitat Ebbeling CB, Ludwing DS. Treating obesity in youth: should dietary glycemic load be a consideration? Adv Pediatr. 2001;48:179–212.PubMed Ebbeling CB, Ludwing DS. Treating obesity in youth: should dietary glycemic load be a consideration? Adv Pediatr. 2001;48:179–212.PubMed
25.
Zurück zum Zitat Gordon CC, Chumlea WC, Roche AF. Stature, recumbent length and weight. In: Lohman TG, Roche AF, Martorell R, editors. Anthropometrics standarlization reference manual. Champaign, IL: Human Kinetics; 1988. p. 3–8. Gordon CC, Chumlea WC, Roche AF. Stature, recumbent length and weight. In: Lohman TG, Roche AF, Martorell R, editors. Anthropometrics standarlization reference manual. Champaign, IL: Human Kinetics; 1988. p. 3–8.
26.
Zurück zum Zitat World Health Organization. Physical status: the use and interpretation of anthropometry. Geneva: WHO; 1995. World Health Organization. Physical status: the use and interpretation of anthropometry. Geneva: WHO; 1995.
27.
Zurück zum Zitat Metropolitan Height and Weight Tables 1983. Metropolitan Life Foundation, Statistical Bulletin 1959. Metropolitan Height and Weight Tables 1983. Metropolitan Life Foundation, Statistical Bulletin 1959.
28.
Zurück zum Zitat Moize V, Geliebter A, Gluck. Obese patients have inadequate protein intake related to protein intolerance up to 1 year following Roux-en-Y gastric bypass. Obes Surg. 2003;13:23–8.CrossRef Moize V, Geliebter A, Gluck. Obese patients have inadequate protein intake related to protein intolerance up to 1 year following Roux-en-Y gastric bypass. Obes Surg. 2003;13:23–8.CrossRef
29.
Zurück zum Zitat Cottan DR, Atkinson J, Anderson A, et al. A case-controlled matched-pair cohort study of laparoscopic Roux-en-Y Gastric Bypass and lap-band® patients in a single US center with three-year follow-up. Obes Surg. 2006;16:534–40.CrossRef Cottan DR, Atkinson J, Anderson A, et al. A case-controlled matched-pair cohort study of laparoscopic Roux-en-Y Gastric Bypass and lap-band® patients in a single US center with three-year follow-up. Obes Surg. 2006;16:534–40.CrossRef
30.
Zurück zum Zitat Botelho CZ, Viana RPT, Fli MF, et al. Registro Fotográfico para inquéritos Dietéticos utensílios e porções. Goiânia: UFG; 1996. p. 21–63. Botelho CZ, Viana RPT, Fli MF, et al. Registro Fotográfico para inquéritos Dietéticos utensílios e porções. Goiânia: UFG; 1996. p. 21–63.
32.
Zurück zum Zitat Pinheiro ABV, Lacerda EMA, Benzecry EH, et al. Tabela para Avaliação de Consumo Alimentar em Medidas Caseiras. São Paulo: Atheneu; 2000. Pinheiro ABV, Lacerda EMA, Benzecry EH, et al. Tabela para Avaliação de Consumo Alimentar em Medidas Caseiras. São Paulo: Atheneu; 2000.
33.
Zurück zum Zitat Ludwig D. The glycemic index physiological mechanism relating to obesity, diabetes, and cardiovascular disease. JAMA. 2002;287:2414–23.CrossRef Ludwig D. The glycemic index physiological mechanism relating to obesity, diabetes, and cardiovascular disease. JAMA. 2002;287:2414–23.CrossRef
34.
Zurück zum Zitat FAO/WHO. Expert consultation on carbohydrates in human nutrition. Geneva; 1998. FAO/WHO. Expert consultation on carbohydrates in human nutrition. Geneva; 1998.
35.
Zurück zum Zitat Woodward BG. The surgical experience. In: A complete guide to obesity surgery. 1st ed. Traffor Publishing. Woodward BG. The surgical experience. In: A complete guide to obesity surgery. 1st ed. Traffor Publishing.
36.
Zurück zum Zitat Balsiger BM, Murr MM, Poggio JL, et al. Bariatric surgery. Med Clin North Am. 2000;84:477–89.CrossRef Balsiger BM, Murr MM, Poggio JL, et al. Bariatric surgery. Med Clin North Am. 2000;84:477–89.CrossRef
37.
Zurück zum Zitat Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity in selective versus random assignment. Am J Surg. 1989;157:93–102.CrossRef Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity in selective versus random assignment. Am J Surg. 1989;157:93–102.CrossRef
38.
Zurück zum Zitat Christou NV, Sampalis JS, Liberman M, et al. Surgery decreases long-term mortality, morbidily and health care use in morbidly obese patient. Ann Surg. 2004;240:416–24.CrossRef Christou NV, Sampalis JS, Liberman M, et al. Surgery decreases long-term mortality, morbidily and health care use in morbidly obese patient. Ann Surg. 2004;240:416–24.CrossRef
39.
Zurück zum Zitat Brolin RE, Robertson LB, Kenler HA, Cody RP. Weight loss and dietary intake aftervertical banded gastroplasty and Roux-en-Y gastric bypass. Ann Surg. 1994;220.CrossRef Brolin RE, Robertson LB, Kenler HA, Cody RP. Weight loss and dietary intake aftervertical banded gastroplasty and Roux-en-Y gastric bypass. Ann Surg. 1994;220.CrossRef
40.
Zurück zum Zitat Hsu GLK, Benoti PN, Dwyer, et al. Nonsurgical factors that influence the outcome of bariatric surgery: a review. Psychosom Med. 1998;60:338–46.CrossRef Hsu GLK, Benoti PN, Dwyer, et al. Nonsurgical factors that influence the outcome of bariatric surgery: a review. Psychosom Med. 1998;60:338–46.CrossRef
41.
Zurück zum Zitat Brolin RE. Gastric bypass. In: Sugerman HJ, editor. The surgical clinics of North America. Obesity surgery. Vol. 81. Pennsylvania: Saunders Company; 2001. p. 1077–95. Brolin RE. Gastric bypass. In: Sugerman HJ, editor. The surgical clinics of North America. Obesity surgery. Vol. 81. Pennsylvania: Saunders Company; 2001. p. 1077–95.
42.
Zurück zum Zitat Stocker DJ. Management of bariatric surgery patient. Endocrinol Metab Clin N Am. 2003;32:437–57.CrossRef Stocker DJ. Management of bariatric surgery patient. Endocrinol Metab Clin N Am. 2003;32:437–57.CrossRef
43.
Zurück zum Zitat Wardé-Kamar J, Rogers M, Flancbaum, et al. Calorie intake and meal patterns up to 4 years after Roux-en-Y gastric bypass surgery. Obes Surg. 2004;14:1070–90.CrossRef Wardé-Kamar J, Rogers M, Flancbaum, et al. Calorie intake and meal patterns up to 4 years after Roux-en-Y gastric bypass surgery. Obes Surg. 2004;14:1070–90.CrossRef
44.
Zurück zum Zitat Banegas JR. Diretrizes para la elaboracion de estúdios poblaciones de alimentacion y nutricion; 1994. Banegas JR. Diretrizes para la elaboracion de estúdios poblaciones de alimentacion y nutricion; 1994.
45.
Zurück zum Zitat O’Neil PM. Assessing dietary intake in management of obesity. Obes Res. 2001;9(5):361–6.CrossRef O’Neil PM. Assessing dietary intake in management of obesity. Obes Res. 2001;9(5):361–6.CrossRef
46.
Zurück zum Zitat Andersen T, et al. Pouch volume stoma diameter and clinical outcome after gastroplasty for morbid obesity. Scand Gastroenterol. 1984;19:643–9.CrossRef Andersen T, et al. Pouch volume stoma diameter and clinical outcome after gastroplasty for morbid obesity. Scand Gastroenterol. 1984;19:643–9.CrossRef
47.
Zurück zum Zitat Blake M, et al. Assessment of nutrient in association with weight loss after gastric restrictive procedures for morbid obesity. Aust NZJ Surg. 1991;61:195–9.CrossRef Blake M, et al. Assessment of nutrient in association with weight loss after gastric restrictive procedures for morbid obesity. Aust NZJ Surg. 1991;61:195–9.CrossRef
49.
Zurück zum Zitat Blundell JE, Burley VJ. Satiation, satiety and the action of fibre on food intake. Int J Obes. 1997; Suppl 1:9–25. Blundell JE, Burley VJ. Satiation, satiety and the action of fibre on food intake. Int J Obes. 1997; Suppl 1:9–25.
Metadaten
Titel
Relation Between Carbohydrate Intake and Weight Loss After Bariatric Surgery
verfasst von
Silvia Leite Faria
Orlando Pereira Faria
Tatiane Carvalho Lopes
Marcelle Vieira Galvão
Emily de Oliveira Kelly
Marina Kiyomi Ito
Publikationsdatum
01.06.2009
Verlag
Springer New York
Erschienen in
Obesity Surgery / Ausgabe 6/2009
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9583-y

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