Control of Eating Attributes and Weight Loss Outcomes over One Year After Sleeve Gastrectomy

Purpose Sleeve gastrectomy (SG) is a commonly performed metabolic-bariatric surgery, but its effectiveness is variable and difficult to predict. Our study aimed to compare control of eating (CoE) attributes pre- and post-SG depending on the achievement of optimal weight loss target at 1 year post-SG...

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Veröffentlicht in:Obesity surgery 2024-05, Vol.34 (5), p.1618-1629
Hauptverfasser: Lytvyak, Ellina, Zarrinpar, Amir, Dalle Ore, Cecilia, Lee, Euyhyun, Yazdani-Boset, Keila, Horgan, Santiago, Grunvald, Eduardo
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container_end_page 1629
container_issue 5
container_start_page 1618
container_title Obesity surgery
container_volume 34
creator Lytvyak, Ellina
Zarrinpar, Amir
Dalle Ore, Cecilia
Lee, Euyhyun
Yazdani-Boset, Keila
Horgan, Santiago
Grunvald, Eduardo
description Purpose Sleeve gastrectomy (SG) is a commonly performed metabolic-bariatric surgery, but its effectiveness is variable and difficult to predict. Our study aimed to compare control of eating (CoE) attributes pre- and post-SG depending on the achievement of optimal weight loss target at 1 year post-SG. Materials and Methods A prospective longitudinal cohort study using the CoE Questionnaire, pre-SG, and postoperatively at 3, 6, and 12 months was conducted. Total weight loss (TWL) ≥ 25% at 12 months post-SG was set as an optimal weight loss target. Results Forty-one patients (80.5% females, mean age 41.7 ± 10.6) were included. Sex, age, baseline weight, BMI, and smoking status were all comparable. At 3 months post-SG, “difficulty to control eating” score became significantly different between ≥ 25%TWL and 
doi_str_mv 10.1007/s11695-024-07158-9
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Our study aimed to compare control of eating (CoE) attributes pre- and post-SG depending on the achievement of optimal weight loss target at 1 year post-SG. Materials and Methods A prospective longitudinal cohort study using the CoE Questionnaire, pre-SG, and postoperatively at 3, 6, and 12 months was conducted. Total weight loss (TWL) ≥ 25% at 12 months post-SG was set as an optimal weight loss target. Results Forty-one patients (80.5% females, mean age 41.7 ± 10.6) were included. Sex, age, baseline weight, BMI, and smoking status were all comparable. At 3 months post-SG, “difficulty to control eating” score became significantly different between ≥ 25%TWL and &lt; 25%TWL groups (7 [0–50] vs. 17 [5–63], p  = 0.042). At 6 months, it was followed by “feeling of fullness,” “frequency of food cravings,” and “difficulty to resist cravings” demonstrating significant differences between ≥ 25%TWL and &lt; 25%TWL groups. At 12 months, significant differences between groups were observed in “feeling hungry,” “difficulty to resist cravings,” “eating in response to cravings,” and difficulty to control eating scores. Conclusion Individuals with obesity who achieved a target of ≥ 25%TWL at 1 year post-SG have an early improvement in overall eating control at 3 months that steadily persists at 6 and 12 months. Improvements in other aspects tend to follow later, at 6 and 12 months. These findings may assist in identifying individuals with inadequate response to help attain optimal weight loss targets and developing a prognostic model to identify predictors of successful weight loss. 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Our study aimed to compare control of eating (CoE) attributes pre- and post-SG depending on the achievement of optimal weight loss target at 1 year post-SG. Materials and Methods A prospective longitudinal cohort study using the CoE Questionnaire, pre-SG, and postoperatively at 3, 6, and 12 months was conducted. Total weight loss (TWL) ≥ 25% at 12 months post-SG was set as an optimal weight loss target. Results Forty-one patients (80.5% females, mean age 41.7 ± 10.6) were included. Sex, age, baseline weight, BMI, and smoking status were all comparable. At 3 months post-SG, “difficulty to control eating” score became significantly different between ≥ 25%TWL and &lt; 25%TWL groups (7 [0–50] vs. 17 [5–63], p  = 0.042). At 6 months, it was followed by “feeling of fullness,” “frequency of food cravings,” and “difficulty to resist cravings” demonstrating significant differences between ≥ 25%TWL and &lt; 25%TWL groups. At 12 months, significant differences between groups were observed in “feeling hungry,” “difficulty to resist cravings,” “eating in response to cravings,” and difficulty to control eating scores. Conclusion Individuals with obesity who achieved a target of ≥ 25%TWL at 1 year post-SG have an early improvement in overall eating control at 3 months that steadily persists at 6 and 12 months. Improvements in other aspects tend to follow later, at 6 and 12 months. These findings may assist in identifying individuals with inadequate response to help attain optimal weight loss targets and developing a prognostic model to identify predictors of successful weight loss. 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subjects Body mass index
Cohort analysis
Eating behavior
Gastrointestinal surgery
Medicine
Medicine & Public Health
Metabolism
Obesity
Original Contributions
Patients
Questionnaires
Remission (Medicine)
Skin cancer
Surgeons
Surgery
Variance analysis
Weight control
title Control of Eating Attributes and Weight Loss Outcomes over One Year After Sleeve Gastrectomy
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