Eating Behavior after Bariatric Surgery (EBBS) Questionnaire: a New Validated Tool to Quantify the Patients' Compliance to Post-Bariatric Dietary and Lifestyle Suggestions

被引：15

作者：

Spaggiari, Giorgia ^{[1
]}

Santi, Daniele ^{[1
,2
,3
]}

Budriesi, Giulia ^{[4
]}

Dondi, Paola ^{[5
]}

Cavedoni, Sonia ^{[5
]}

Leonardi, Laura ^{[5
]}

Delvecchio, Carolina ^{[5
]}

Valentini, Laura ^{[5
]}

Bondi, Mario ^{[6
]}

Miloro, Clelia ^{[4
]}

Toschi, Patrizia Federica ^{[4
]}

机构：

[1] Azienda Osped Univ Modena, Dept Med Specialties, Unit Endocrinol, Modena, Italy

[2] Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Unit Endocrinol, Modena, Italy

[3] Osped Civile Baggiovara, Unit Endocrinol, Via P Giardini 1355, I-41126 Modena, Italy

[4] Azienda Osped Univ Modena, Dept Metab Dis & Clin Nutr, Modena, Italy

[5] Azienda Osped Univ Modena, Serv Psicol Osped, Modena, Italy

[6] Azienda USL Modena, Unit Endocrinol, Modena, Italy

来源：

OBESITY SURGERY | 2020年 / 30卷 / 10期

关键词：

Obesity; bariatric surgery; Post-surgical follow-up; Dietary recommendations; lifestyle change; OBESITY; MORTALITY; WEIGHT; ASSOCIATION; PREDICTORS; MANAGEMENT; ALPHA;

D O I：

10.1007/s11695-020-04723-w

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose In the management of bariatric surgery follow-up, a multidisciplinary approach allows to evaluate the weight loss maintenance and the dietary and lifestyle changes adherence. The main aim of this study is to create and to validate a questionnaire (eating behavior after bariatric surgery (EBBS)) to objectivize the compliance to dietary/lifestyle suggestions after bariatric surgery. Materials and Methods An observational retrospective monocentric clinical trial was carried out at the Bariatric Surgery Unit of Modena, Italy. All weight-related data of bariatric surgery patients collected during the multidisciplinary post-surgical path were recorded. EBBS questionnaire and three validated psychological tests were administered. EBBS includes 11 questions concerning food (domain A), drinks (B), behaviors (C), and lifestyle (S). All data analyzed in the study were collected during the same visit. Results In 41 enrolled patients (52.2 + 11.9 years), the total weight loss after surgery was 44.87 + 18.37 kg (- 35.40 + 11.60%), with a weight loss maintenance of 86.92 + 14.30%. The EBBS questionnaire showed a good internal validity (Cronbach's alpha 0.743, Hotelling's T-square test p < 0.001). The S domain was directly related with the percentage of weight loss maintained (p = 0.048), suggesting that the frequent physical activity and the periodic weight self-check are the most predictive behaviors to obtain weight control. None of the psychological questionnaires appeared related to the weight trend. Conclusions We validated for the first time a 11-item self-filling questionnaire allowing to quantify the adaption to dietary/lifestyle suggestions provided after bariatric surgery. EBBS questionnaire could be a useful tool both in clinical and research setting to monitor the patient's adherence to post-surgical indications and to identify predictive factors for bariatric surgery efficacy.

引用

页码：3831 / 3838

页数：8

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