Bariatric Surgical Alterations in Tolerability, Enjoyment and Cravings in the Diet (BSATED) instrument: A new scale to measure food preferences following bariatric surgery

Lewis, Kristina H.; Ji, Ming; Bai, Yun; Arterburn, David; Bhakta, Bhumi; Cornejo, Melissa; Crawford, Cecelia L.; Drewnowski, Adam; Gray, Marlaine Figueroa; Moore, Darren D.; Murali, Sanjana; Paz, Silvia R.; Taylor, Brianna; Yoon, Tae Ki; Young, Deborah Rohm; Coleman, Karen J.

doi:10.1016/j.appet.2021.105151

Cited by 6 publications

(5 citation statements)

References 52 publications

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“…However, another study showed a decrease in the hedonic rating for high fat after SG and RYGB, but the liking of high sugar remained unchanged after RYGB [35]. On the other hand, a recent study published by Lewis et al suggests that RYGB tends to be associated with lower enjoyment and craving for highly palatable foods than SG [39]. RYGB induces more dumping syndrome than SG [40], and thus the digestive discomfort caused by the consumption of foods rich in carbohydrates may have resulted in stronger conditioned taste avoidance in RYGB than in SG.…”

Section: Discussionmentioning

confidence: 95%

Food Reward after Bariatric Surgery and Weight Loss Outcomes: An Exploratory Study

et al. 2022

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Changes in food preferences after bariatric surgery may alter its effectiveness as a treatment for obesity. We aimed to compare food reward for a comprehensive variety of food categories between patients who received a sleeve gastrectomy (SG) or a Roux-en-Y gastric bypass (RYGB) and to explore whether food reward differs according to weight loss. In this cross-sectional exploratory study, food reward was assessed using the Leeds Food Preference Questionnaire (LFPQ) in patients at 6, 12, or 24 months after SG or RYGB. We assessed the liking and wanting of 11 food categories. Comparisons were done regarding the type of surgery and total weight loss (TWL; based on tertile distribution). Fifty-six patients (30 SG and 26 RYGB) were included (women: 70%; age: 44.0 (11.1) y). Regarding the type of surgery, scores were not significantly different between SG and RYGB, except for ‘non-dairy products—without color’ explicit liking (p = 0.04). Regarding TWL outcomes, explicit liking, explicit wanting, and implicit wanting, scores were significantly higher for good responders than low responders for ‘No meat—High fat’ (post-hoc corrected p-value: 0.04, 0.03, and 0.04, respectively). Together, our results failed to identify major differences in liking and wanting between the types of surgery and tended to indicate that higher weight loss might be related to a higher reward for high protein-content food. Rather focus only on palatable foods, future studies should also consider a broader range of food items, including protein reward.

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Section: Discussionmentioning

confidence: 95%

Food Reward after Bariatric Surgery and Weight Loss Outcomes: An Exploratory Study

et al. 2022

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“…It is not recommended to consume sugars, oils, and carbonated and alcoholic beverages that are at the top of the pyramid [ 8 ]. In particular, the consumption of these foods will cause excess energy intake, and there will be an increase in weight in patients [ 8 , 24 ]. In studies after gastric bypass and SG, it was determined that the consumption of fatty foods, sweets, nonalcoholic and alcoholic beverages, and snacks decreased very much and was compatible with the pyramid, emphasizing the importance of dietitian counseling [ 19 , 21 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Alas, if they continue to eat like this, it is thought that weight gain will be faster. In this context, one study showed an increase in TWL% with decreased pleasure and desire for foods and beverages (especially those with high fat and carbohydrate density) that are recommended to be reduced or avoided after surgery [ 24 ]. In addition, the guideline issued by ASMBS in 2020 reported that in cases where carbohydrate consumption is too high, many patients regain more than one-third of their weight loss [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Bariatric Food Pyramid and Long-Term Anthropometric Measurements of Patients Undergoing Bariatric Surgery

Erdem

Mert-Biberoğlu

Taşkın

2022

International Journal of Clinical Practice

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The bariatric food pyramid is a standard for long-term healthy living and nutritional habits of patients who have undergone bariatric surgery, taking their gastric capacity and special nutritional requirements into account. This study aimed to evaluate how the compliance with the pyramid affects the anthropometric change in patients who have undergone bariatric surgery, depending on the period after surgery. 81 patients who have undergone bariatric surgery between August 2016 and September 2018 participated in the study. The patients were evaluated in the postoperative period and were divided into three groups according to the year they had the operation. Food consumption frequency information was obtained from the patients, and the amount of food consumed per day was recorded in grams. Protein, vegetable, fruit, grain, and oil consumption was calculated according to the pyramid and calculated as portions. A statistically significant difference was found for all three groups in terms of weight loss and body mass index (BMI) changes before and after surgery ( p < 0.001 , p < 0.001 , respectively). It was observed that the amount of protein consumed by the patients was sufficient, cereal was high, and fruit was insufficient. Patients who consumed foods that were not recommended slowed in weight loss. In conclusion, it is estimated that increased consumption of grains and nonrecommended foods may cause weight gains. In order to prevent this, it is necessary to ensure that patients are fed in accordance with the pyramid and followed for many years.

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“…Health : symptoms of anxiety55 and depression,56 pain,57 physical function,58 quality of life,59 health literacy,60 and addictions such as lifetime drug use,61 alcohol use disorder,62 gambling,63 prescription/illicit drug abuse63 and food 64 . Psychosocial : relationship quality,65 motivations for having surgery and weight loss expectations after surgery,66 weight loss self-efficacy,67 loneliness,68 perceived stress,69 experiential avoidance,70 positive and negative social support for physical activity and healthy eating,71 self-confidence for exercise,72 internal weight bias (only in year 3 and 5 surveys),73 vigilant coping style (only in year 3 and 5 surveys),41 everyday discrimination (only in year 3 and 5 surveys)40 and hedonic adaptation (only in year 1, 3 and 5 surveys) 74 . Perceived environment : perceptions of neighbourhood environment for promotion of healthy behaviours and neighbourhood proximity of healthy alternatives 75…”

Section: Methodsmentioning

confidence: 99%

Cohort profile: The Bariatric Experience Long Term (BELONG): a long-term prospective study to understand the psychosocial, environmental, health and behavioural predictors of weight loss and regain in patients who have bariatric surgery

et al. 2022

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PurposeThe Bariatric Experience Long Term (BELONG) prospective study cohort was created to address limitations in the literature regarding the relationship between surgical weight loss and psychosocial, health, behaviour and environmental factors. The BELONG cohort is unique because it contains 70% gastric sleeve and 64% patients with non-white race/ethnicity and was developed with strong stakeholder engagement including patients and providers.ParticipantsThe BELONG cohort study included 1975 patients preparing to have bariatric surgery who completed a baseline survey in a large integrated health system in Southern California. Patients were primarily women (84%), either black or Hispanic (59%), with a body mass index (BMI) of 45.1±7.4 kg/m2, age 43.3±11.5 years old, and 32% had at least one comorbidity.Findings to dateA total of 5552 patients were approached before surgery between February 2016 and May 2017, and 1975 (42%) completed a baseline survey. A total of 1203 (73%) patients completed the year 1 and 1033 (74%) patients completed the year 3 postoperative survey. Of these survey respondents, 1341 at baseline, 999 at year 1, and 951 at year 3 were included in the analyses of all survey and weight outcome data. A total of 803 (60% of eligible patients) had survey data for all time points. Data collected were self-reported constructs to support the proposed theoretical model. Height, weight and BMI were abstracted from the electronic medical record to obtain the main outcomes of the study: weight loss and regain.Future plansWe will collect self-reported constructs and obtain height, weight and BMI from the electronic medical record 5 years after bariatric surgery between April 2022 and January 2023. We will also collect patient experiences using focus groups of 8–12 patients each throughout 2022.

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Bariatric Surgical Alterations in Tolerability, Enjoyment and Cravings in the Diet (BSATED) instrument: A new scale to measure food preferences following bariatric surgery

Cited by 6 publications

References 52 publications

Food Reward after Bariatric Surgery and Weight Loss Outcomes: An Exploratory Study

Food Reward after Bariatric Surgery and Weight Loss Outcomes: An Exploratory Study

The Relationship between Bariatric Food Pyramid and Long-Term Anthropometric Measurements of Patients Undergoing Bariatric Surgery

Cohort profile: The Bariatric Experience Long Term (BELONG): a long-term prospective study to understand the psychosocial, environmental, health and behavioural predictors of weight loss and regain in patients who have bariatric surgery

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