Objective To investigate the impact of preoperative eating behavior on weight loss after bariatric surgery, and provide relevant reference for predicting effects of bariatric surgery. Methods Of 85 obese patients undergoing laparoscopic sleeve gastrectomy, 44 cases were in restricted diet group, which was further divided into successful restricted diet subgroup (n=27 cases) and failing restricted diet subgroup (n=17 cases), and 41 cases in non-restricted diet group based on the Dutch Eating Behavior Questionnaire. Body weight, body mass index (BMI) and percentage excess weight loss (%EWL) were compared between groups and between subgroups at 6 and 12 months postoperatively. Results All patients completed laparoscopic sleeve gastrectomy successfully. Body weight and BMI of cases in restricted diet group were significantly higher than those in non-restricted diet group, while %EWL was significantly lower at 6 and 12 months postoperatively. In restricted diet group, body weight and BMI of cases in successful subgroup were significantly higher than those in failing subgroup, while %EWL was significantly lower. Conclusions Preoperative eating behavior had much impact on results of bariatric surgery, which could be used as reference for prediction of the results of bariatric surgery.
WANG Yunjie, GUO Haijun, CAO Dongliang, MA Yingzhang, ZHU Jiangfan
. Effects of preoperative eating behavior on weight loss after bariatric surgery[J]. Journal of Surgery Concepts & Practice, 2018
, 23(06)
: 511
-514
.
DOI: 10.16139/j.1007-9610.2018.06.009
[1] Gloy VL, Briel M, Bhattv DL, et al.Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials[J]. BMJ,2013,347:f5934.
[2] van Strien T, Frijters JER, Bergers GPA, et al. The Dutch Eating Behavior Questionnaire(DEBQ) for assessment of restrained, emotional, and external eating behaviour[J]. Int J Eat Disord,1986,5(2):295-315.
[3] van Strien T, Quwens MA. Effects of distress, alexithymia and impulsivity on eating[J]. Eat Behav,2007,8(2):251-257.
[4] 中国医师协会外科医师分会肥胖和糖尿病外科医师委员会. 中国肥胖和2型糖尿病外科治疗指南(2014)[J]. 糖尿病临床,2014,8(11):499-504.
[5] Hou X, Lu J, Weng J, et al.Impact of waist circumfe-rence and body mass index on risk of cardiometabolic disorder and cardiovascular disease in Chinese adults: a national diabetes and metabolic disorders survey[J]. PLoS One,2013,8(3):e57319.
[6] Uittenbogaart M, Luijten AAPM, van Dielen FMH, et al. Long-term results of laparoscopic sleeve gastrectomy for morbid obesity: 5 to 8-year results[J]. Obes Surg,2017,27(6):1624.
[7] Himpens J, Dobbeleir J, Peeters G.Long-term results of laparoscopic sleeve gastrectomy for obesity[J]. Ann Surg,2010,252(2):319-324.
[8] Bohdjalian A, Langer FB, Shakeri-Leidenmuhler S, et al.Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin[J]. Obes Surg,2010,20(5):535-540.
[9] Still CD, Wood GC, Chu X, et al.High allelic burden of four obesity SNPs is associated with poorer weight loss outcomes following gastric bypass surgery[J]. Obesity,2011,19(8):1676-1683.
[10] Paone E, Pierro L, Damico A, et al.Alexithymia and weight loss in obese patients underwent laparoscopic sleeve gastrectomy[J]. Eat Weight Disord,2017,10(5):1007-1009.
[11] El-Sayed Moustafa JS, Froguel P. From obesity genetics to the future of personalized obesity therapy[J]. Nat Rev Endocrinol,2013,9(7):402-413.
[12] Binda A, Jaworski P, Kudlicka E, et al.The impact of selected factors on parameters of weight loss after sleeve gastrectomy[J]. Wideochir Inne Tech Maloinwazyjne,2016,11(4):288-294.
[13] Bekheit M, Abdel-Baki TN, Gamal M, et al.Influence of the resected gastric volume on the weight loss after laparoscopic sleeve gastrectomy[J]. Obes Surg,2016,26(7):1505-1510.
[14] Aird LN, Hong D, Gmora S, et al.The impact of a standardized program on short and long-term outcomes in bariatric surgery[J]. Surg Endosc,2017,31(2):801-808.
[15] 石明莉, 孔繁昌, 陈红, 等. 简易版三因素进食问卷的信效度及其在中国女大学生中的适用性[J]. 中国临床心理学杂志,2011,19(6):737-739.
[16] Caccialanza R, Nicholls D, Cena H, et al.Validation of the Dutch Eating Behaviour Questionnaire parent version(DEBQ-P) in the Italian population: a screening tool to detect differences in eating behaviour among obese, overweight and normal-weight preadolescents[J]. Eur J Clin Nutr,2004,58(9):1217-1222.
[17] Jiang X, Yang X, Zhang Y, et al.Development and preliminary validation of Chinese preschoolers′ eating behavior questionnaire[J]. PLoS One,2014,9(2):e88255.
[18] Wu S, Cai T, Luo X.Validation of the Dutch Eating Behavior Questionnaire (DEBQ) in a sample of Chinese adolescents[J]. Psychol Health Med,2017,22(3):282-288.
[19] van Strien T, Winkens L, Toft MB, et al. The mediation effect of emotional eating between depression and body mass index in the two European countries Denmark and Spain[J]. Appetite,2016,105:500-508.
[20] Brunault P, Rabemampianina I, Apfeldorfer G, et al.The Dutch Eating Behavior Questionnaire: further psychome-tric validation and clinical implications of the French version in normal weight and obese persons[J]. Presse Med,2015,44(12Pt1):e363-e372.
