Emotional eating behavior hinders body weight loss in women after Roux-en-Y gastric bypass surgery
| Autor: | Eliane Said Dutra, Isabelle Romero Novelli, Daniela Lopes Gomes, Laís Gomes Fonseca, Kênia Mara Baiocchi de Carvalho |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
0301 basic medicine medicine.medical_specialty Multivariate analysis Endocrinology Diabetes and Metabolism Emotions Gastric Bypass 030209 endocrinology & metabolism medicine.disease_cause Feeding and Eating Disorders 03 medical and health sciences Postoperative Complications 0302 clinical medicine Weight loss Weight Loss Humans Medicine Postoperative Period 030109 nutrition & dietetics Nutrition and Dietetics business.industry Gastric bypass surgery digestive oral and skin physiology Cognition Feeding Behavior Middle Aged Emotional eating Roux-en-Y anastomosis Obesity Morbid Cross-Sectional Studies Treatment Outcome Physical therapy Eating behavior Female medicine.symptom business Three-Factor Eating Questionnaire |
| Zdroj: | Nutrition. 49:13-16 |
| ISSN: | 0899-9007 |
| DOI: | 10.1016/j.nut.2017.11.017 |
| Popis: | Objective Successful weight loss and maintenance after Roux-en-Y gastric bypass (RYGB) may be related to eating behavior. The aim of this study was to assess the eating behavior domains that prevail in women during the RYGB postoperative period and their associations with surgery outcome. Methods This cross-sectional study investigated eating behavior in 95 women (47.3 ± 9.8 y old) ≥ 2 y after Roux-en-Y gastric bypass. Patients were grouped according to surgery outcome: successful group (SG; n = 67), defined as having lost ≥ 50% of the preoperative excess weight loss (EWL), and an unsuccessful group (UG; n = 28). Mean postoperative time was 59.5 ± 21.2 mo (55.7 ± 19.9 in the SG and 68.6 ± 21.9 in the UG). The short version of the Three-Factor Eating Questionnaire was used to assess cognitive restraint, emotional eating, and uncontrolled eating behaviors. Multivariate analysis was used to investigate associations between eating behavior scores and EWL. Results The highest score in both groups was for the cognitive restraint domain, followed by emotional and uncontrolled eating. Emotional eating was negatively associated with percentage of EWL (β = −0.286; P = 0.033), regardless of age, educational attainment, and postoperative time. Conclusion The cognitive restraint domain was the main type of eating behavior observed, and patients with higher emotional eating score were at a higher risk for having insufficient weight loss after RYGB. These results indicate the relevance of monitoring emotional components during the long-term nutritional follow-up of bariatric patients to achieve better surgery outcomes. |
| Databáze: | OpenAIRE |
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