Changes in Eating Behaviors and Their Associations with Weight Loss in Japanese Patients Who Underwent Laparoscopic Sleeve Gastrectomy

被引:9
作者
Kimura, Yu [1 ]
Fujishima, Yuya [1 ]
Nishizawa, Hitoshi [1 ]
Saito, Takuro [2 ]
Miyazaki, Yasuhiro [2 ,3 ]
Shirahase, Keiko [4 ]
Tokuzawa, Chie [4 ]
Nagai, Naoko [1 ,4 ]
Fukuda, Shiro [1 ]
Maeda, Kazuhisa [1 ]
Maeda, Norikazu [1 ,5 ]
Doki, Yuichiro [2 ]
Shimomura, Iichiro [1 ,4 ]
机构
[1] Osaka Univ, Grad Sch Med, Dept Metab Med, Osaka 5650871, Japan
[2] Osaka Univ, Grad Sch Med, Dept Gastroenterol Surg, Osaka 5650871, Japan
[3] Osaka Gen Med Ctr, Dept Surg, Osaka 5588558, Japan
[4] Osaka Univ Hosp, Div Nutr Management, Osaka 5650871, Japan
[5] Osaka Univ, Dept Metab & Atherosclerosis, Grad Sch Med, Osaka 5650871, Japan
关键词
eating behavior; metabolic and bariatric surgery; obesity; emotional eating; weight loss; GLUCAGON-LIKE PEPTIDE-1; BARIATRIC SURGERY; GASTRIC BYPASS; METABOLIC SURGERY; SEVERE OBESITY; PREDICTORS; MECHANISMS; DISORDERS; OUTCOMES;
D O I
10.3390/nu15020353
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Metabolic and bariatric surgery (MBS) has been established to provide long-term weight loss in severe obesity. In this study, we investigated the factors that affect post-operative weight loss, with a particular focus on changes in eating behaviors. Methods: Time-course changes in body weight and eating behaviors were examined in 49 Japanese patients who underwent laparoscopic sleeve gastrectomy from the first visit to 12 months after surgery. Each eating behavior was evaluated via the questionnaire of the Japan Society for the Study of Obesity. Results: Pre-operative weight reduction mediated by dietary and lifestyle interventions showed significant positive correlations with weight loss outcomes at 12 months after surgery. We observed significant decreases in scores for most of the eating behaviors 12 months after surgery. However, "emotional eating behavior" scores declined temporarily in the early post-operative period of one month but thereafter returned to the pre-operative level at 12 months. Furthermore, increases in the scores for "emotional eating behavior" and "sense of hunger" from 1 to 12 months post-operatively were significantly associated with poor weight loss. Conclusions: Our results demonstrate the beneficial effects of MBS on obesity-related eating behaviors, as well as highlighting "emotional eating behavior" as requiring particular attention.
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页数:13
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