Skip to main content
Erschienen in: Obesity Surgery 10/2017

14.04.2017 | Original Contributions

Roux-En-Y Gastric Bypass and Sleeve Gastrectomy Does Not Affect Food Preferences When Assessed by an Ad libitum Buffet Meal

verfasst von: Mette S. Nielsen, Bodil J. Christensen, Christian Ritz, Simone Rasmussen, Thea T. Hansen, Wender L. P. Bredie, Carel W. le Roux, Anders Sjödin, Julie B. Schmidt

Erschienen in: Obesity Surgery | Ausgabe 10/2017

Einloggen, um Zugang zu erhalten

Abstract

Background

Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) lead to a reduction in energy intake. It is uncertain whether this reduction is simply due to eating smaller portions or if surgery changes food preferences towards less energy-dense food. Previous results rely on verbal reports, which may be prone to recall bias and underestimation of especially unhealthy foods.

Methods

Using an ad libitum buffet meal targeting direct behavior, we investigated if RYGB and SG surgery leads to changes in food preferences. In addition, we assessed food preferences by a picture display test to explore differences between a method relying on verbal report and a method assessing direct behavior.

Results

Forty-one subjects (BMI 45.0 ± 6.8 kg/m2) completed a visit pre- and 6 months post-RYGB (n = 31) and SG (n = 10). Mean BMI decreased with 11.7 ± 0.6 kg/m2 and total energy intake at the buffet meal with 54% (4491 ± 208 kJ vs. 2083 ± 208 kJ, P < 0.001), respectively. However, relative energy intake from the following food categories: high-fat, low-fat, sweet, savory, high-fat-savory, high-fat-sweet, low-fat-savory, and low-fat-sweet, as well as energy density did not change following surgery (all P ≥ 0.18). In contrast, the picture display test showed that food from the low-fat-savory group was chosen more often post-surgery (34 ± 8% vs. 65 ± 9%, P = 0.02).

Conclusion

The reduction in energy intake after RYGB and SG surgery and the subsequent weight loss seems to be primarily related to a reduction in portion sizes and not by changes in food preferences towards less energy-dense foods. These results underline the necessity of investigating eating behavior by targeting direct behavior.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Miller GD, Norris A, Fernandez A. Changes in nutrients and food groups intake following laparoscopic Roux-en-Y gastric bypass (RYGB). Obes Surg. 2014;24:1926–32.CrossRefPubMedPubMedCentral Miller GD, Norris A, Fernandez A. Changes in nutrients and food groups intake following laparoscopic Roux-en-Y gastric bypass (RYGB). Obes Surg. 2014;24:1926–32.CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Laurenius A, Larsson I, Melanson KJ, et al. Decreased energy density and changes in food selection following Roux-en-Y gastric bypass. Eur J Clin Nutr. 2013;67:168–73.CrossRefPubMed Laurenius A, Larsson I, Melanson KJ, et al. Decreased energy density and changes in food selection following Roux-en-Y gastric bypass. Eur J Clin Nutr. 2013;67:168–73.CrossRefPubMed
3.
Zurück zum Zitat Laurenius A, Larsson I, Bueter M, et al. Changes in eating behaviour and meal pattern following Roux-en-Y gastric bypass. Int J Obes. 2012;36:348–55.CrossRef Laurenius A, Larsson I, Bueter M, et al. Changes in eating behaviour and meal pattern following Roux-en-Y gastric bypass. Int J Obes. 2012;36:348–55.CrossRef
4.
Zurück zum Zitat Kruseman M, Leimgruber A, Zumbach F, et al. Dietary, weight, and psychological changes among patients with obesity, 8 years after gastric bypass. J Am Diet Assoc. 2010;110:527–34.CrossRefPubMed Kruseman M, Leimgruber A, Zumbach F, et al. Dietary, weight, and psychological changes among patients with obesity, 8 years after gastric bypass. J Am Diet Assoc. 2010;110:527–34.CrossRefPubMed
5.
Zurück zum Zitat Giusti V, Theytaz F, Di Vetta V, et al. Energy and macronutrient intake after gastric bypass for morbid obesity: a 3-y observational study focused on protein consumption. Am J Clin Nutr. 2016;103:18–24.CrossRefPubMed Giusti V, Theytaz F, Di Vetta V, et al. Energy and macronutrient intake after gastric bypass for morbid obesity: a 3-y observational study focused on protein consumption. Am J Clin Nutr. 2016;103:18–24.CrossRefPubMed
6.
Zurück zum Zitat Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683–93.CrossRefPubMed Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683–93.CrossRefPubMed
7.
Zurück zum Zitat Mathes CM, Spector AC. Food selection and taste changes in humans after Roux-en-Y gastric bypass surgery: a direct-measures approach. Physiol Behav. 2012;107:476–83.CrossRefPubMed Mathes CM, Spector AC. Food selection and taste changes in humans after Roux-en-Y gastric bypass surgery: a direct-measures approach. Physiol Behav. 2012;107:476–83.CrossRefPubMed
8.
Zurück zum Zitat Olbers T, Bjorkman S, Lindroos A, et al. Body composition, dietary intake, and energy expenditure after laparoscopic Roux-en-Y gastric bypass and laparoscopic vertical banded gastroplasty: a randomized clinical trial. Ann Surg. 2006;244:715–22.CrossRefPubMedPubMedCentral Olbers T, Bjorkman S, Lindroos A, et al. Body composition, dietary intake, and energy expenditure after laparoscopic Roux-en-Y gastric bypass and laparoscopic vertical banded gastroplasty: a randomized clinical trial. Ann Surg. 2006;244:715–22.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat le Roux CW, Bueter M, Theis N, et al. Gastric bypass reduces fat intake and preference. Am J Physiol Regul Integr Comp Physiol. 2011;301:R1057–66.CrossRefPubMedPubMedCentral le Roux CW, Bueter M, Theis N, et al. Gastric bypass reduces fat intake and preference. Am J Physiol Regul Integr Comp Physiol. 2011;301:R1057–66.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Ullrich J, Ernst B, Wilms B, et al. Roux-en Y gastric bypass surgery reduces hedonic hunger and improves dietary habits in severely obese subjects. Obes Surg. 2013;23:50–5.CrossRefPubMed Ullrich J, Ernst B, Wilms B, et al. Roux-en Y gastric bypass surgery reduces hedonic hunger and improves dietary habits in severely obese subjects. Obes Surg. 2013;23:50–5.CrossRefPubMed
11.
Zurück zum Zitat Ammon BS, Bellanger DE, Geiselman PJ, et al. Short-term pilot study of the effect of sleeve gastrectomy on food preference. Obes Surg. 2015;25:1094–7.CrossRefPubMedPubMedCentral Ammon BS, Bellanger DE, Geiselman PJ, et al. Short-term pilot study of the effect of sleeve gastrectomy on food preference. Obes Surg. 2015;25:1094–7.CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Ernst B, Thurnheer M, Wilms B, et al. Differential changes in dietary habits after gastric bypass versus gastric banding operations. Obes Surg. 2009;19:274–80.CrossRefPubMed Ernst B, Thurnheer M, Wilms B, et al. Differential changes in dietary habits after gastric bypass versus gastric banding operations. Obes Surg. 2009;19:274–80.CrossRefPubMed
13.
Zurück zum Zitat Schoeller DA. Limitations in the assessment of dietary energy intake by self-report. Metabolism. 1995;44:18–22.CrossRefPubMed Schoeller DA. Limitations in the assessment of dietary energy intake by self-report. Metabolism. 1995;44:18–22.CrossRefPubMed
14.
Zurück zum Zitat Hill RJ, Davies PS. The validity of self-reported energy intake as determined using the doubly labelled water technique. Br J Nutr. 2001;85:415–30.CrossRefPubMed Hill RJ, Davies PS. The validity of self-reported energy intake as determined using the doubly labelled water technique. Br J Nutr. 2001;85:415–30.CrossRefPubMed
15.
Zurück zum Zitat Poppitt SD, Swann D, Black AE, et al. Assessment of selective under-reporting of food intake by both obese and non-obese women in a metabolic facility. Int J Obes Relat Metab Disord. 1998;22:303–11.CrossRefPubMed Poppitt SD, Swann D, Black AE, et al. Assessment of selective under-reporting of food intake by both obese and non-obese women in a metabolic facility. Int J Obes Relat Metab Disord. 1998;22:303–11.CrossRefPubMed
16.
Zurück zum Zitat Shin AC, Zheng H, Pistell PJ, et al. Roux-en-Y gastric bypass surgery changes food reward in rats. Int J Obes. 2011;35:642–51.CrossRef Shin AC, Zheng H, Pistell PJ, et al. Roux-en-Y gastric bypass surgery changes food reward in rats. Int J Obes. 2011;35:642–51.CrossRef
17.
Zurück zum Zitat Mathes CM, Letourneau C, Blonde GD, et al. Roux-en-Y gastric bypass in rats progressively decreases the proportion of fat calories selected from a palatable cafeteria diet. Am J Physiol Regul Integr Comp Physiol. 2016;310:R952–9.CrossRefPubMedPubMedCentral Mathes CM, Letourneau C, Blonde GD, et al. Roux-en-Y gastric bypass in rats progressively decreases the proportion of fat calories selected from a palatable cafeteria diet. Am J Physiol Regul Integr Comp Physiol. 2016;310:R952–9.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Mathes CM, Bohnenkamp RA, Blonde GD, et al. Gastric bypass in rats does not decrease appetitive behavior towards sweet or fatty fluids despite blunting preferential intake of sugar and fat. Physiol Behav. 2015;142:179–88.CrossRefPubMedPubMedCentral Mathes CM, Bohnenkamp RA, Blonde GD, et al. Gastric bypass in rats does not decrease appetitive behavior towards sweet or fatty fluids despite blunting preferential intake of sugar and fat. Physiol Behav. 2015;142:179–88.CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Chambers AP, Wilson-Perez HE, McGrath S, et al. Effect of vertical sleeve gastrectomy on food selection and satiation in rats. Am J Physiol Endocrinol Metab. 2012;303:E1076–84.CrossRefPubMedPubMedCentral Chambers AP, Wilson-Perez HE, McGrath S, et al. Effect of vertical sleeve gastrectomy on food selection and satiation in rats. Am J Physiol Endocrinol Metab. 2012;303:E1076–84.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Wilson-Perez HE, Chambers AP, Sandoval DA, et al. The effect of vertical sleeve gastrectomy on food choice in rats. Int J Obes. 2013;37:288–95.CrossRef Wilson-Perez HE, Chambers AP, Sandoval DA, et al. The effect of vertical sleeve gastrectomy on food choice in rats. Int J Obes. 2013;37:288–95.CrossRef
21.
Zurück zum Zitat Manning S, Pucci A, Batterham RL. Roux-en-Y gastric bypass: effects on feeding behavior and underlying mechanisms. J Clin Invest. 2015;125:939–48.CrossRefPubMedPubMedCentral Manning S, Pucci A, Batterham RL. Roux-en-Y gastric bypass: effects on feeding behavior and underlying mechanisms. J Clin Invest. 2015;125:939–48.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Abdeen G, le Roux CW. Mechanism underlying the weight loss and complications of Roux-en-Y gastric bypass. Review. Obes Surg. 2016;26:410–21.CrossRefPubMed Abdeen G, le Roux CW. Mechanism underlying the weight loss and complications of Roux-en-Y gastric bypass. Review. Obes Surg. 2016;26:410–21.CrossRefPubMed
23.
Zurück zum Zitat Behary P, Miras AD. Food preferences and underlying mechanisms after bariatric surgery. Proc Nutr Soc. 2015;74:419–25.CrossRefPubMed Behary P, Miras AD. Food preferences and underlying mechanisms after bariatric surgery. Proc Nutr Soc. 2015;74:419–25.CrossRefPubMed
24.
Zurück zum Zitat Finlayson G, King N, Blundell JE. Is it possible to dissociate ‘liking’ and ‘wanting’ for foods in humans? A novel experimental procedure. Physiol Behav. 2007;90:36–42.CrossRefPubMed Finlayson G, King N, Blundell JE. Is it possible to dissociate ‘liking’ and ‘wanting’ for foods in humans? A novel experimental procedure. Physiol Behav. 2007;90:36–42.CrossRefPubMed
25.
Zurück zum Zitat Smith VA, Preisser JS, Neelon B, et al. A marginalized two-part model for semicontinuous data. Stat Med. 2014;33:4891–903.CrossRefPubMed Smith VA, Preisser JS, Neelon B, et al. A marginalized two-part model for semicontinuous data. Stat Med. 2014;33:4891–903.CrossRefPubMed
27.
Zurück zum Zitat Halmi KA, Mason E, Falk JR, et al. Appetitive behavior after gastric bypass for obesity. Int J Obes. 1981;5:457–64.PubMed Halmi KA, Mason E, Falk JR, et al. Appetitive behavior after gastric bypass for obesity. Int J Obes. 1981;5:457–64.PubMed
28.
Zurück zum Zitat Macdiarmid J, Blundell J. Assessing dietary intake: who, what and why of under-reporting. Nutr Res Rev. 1998;11:231–53.CrossRefPubMed Macdiarmid J, Blundell J. Assessing dietary intake: who, what and why of under-reporting. Nutr Res Rev. 1998;11:231–53.CrossRefPubMed
29.
Zurück zum Zitat McCrickerd K, Forde CG. Sensory influences on food intake control: moving beyond palatability. Obes Rev. 2016;17:18–29.CrossRefPubMed McCrickerd K, Forde CG. Sensory influences on food intake control: moving beyond palatability. Obes Rev. 2016;17:18–29.CrossRefPubMed
30.
Zurück zum Zitat Murcott A. Sociology of food and eating: essays on the sociological significance of food (Gower International Library of Research & Practice) 1983. Murcott A. Sociology of food and eating: essays on the sociological significance of food (Gower International Library of Research & Practice) 1983.
Metadaten
Titel
Roux-En-Y Gastric Bypass and Sleeve Gastrectomy Does Not Affect Food Preferences When Assessed by an Ad libitum Buffet Meal
verfasst von
Mette S. Nielsen
Bodil J. Christensen
Christian Ritz
Simone Rasmussen
Thea T. Hansen
Wender L. P. Bredie
Carel W. le Roux
Anders Sjödin
Julie B. Schmidt
Publikationsdatum
14.04.2017
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 10/2017
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-017-2678-6

Weitere Artikel der Ausgabe 10/2017

Obesity Surgery 10/2017 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.