Dietary Macronutrient Composition and Quality, Diet Quality, and Eating Behaviors at Different Times Since Laparoscopic Sleeve Gastrectomy

Purpose This study aimed to compare energy, macronutrients (quantity and quality), the overall dietary quality, and eating behaviors of patients undergoing laparoscopic sleeve gastrectomy (LSG) at different times since surgery. Materials and Methods This cross-sectional study included 184 adults at...

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Veröffentlicht in:Obesity surgery 2023-07, Vol.33 (7), p.2158-2165
Hauptverfasser: Kamali, Zahra, Tabesh, Mastaneh Rajabian, Moslehi, Nazanin, Estaki, Saghar, Barzin, Maryam, Khalaj, Alireza, Mirmiran, Parvin
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container_end_page 2165
container_issue 7
container_start_page 2158
container_title Obesity surgery
container_volume 33
creator Kamali, Zahra
Tabesh, Mastaneh Rajabian
Moslehi, Nazanin
Estaki, Saghar
Barzin, Maryam
Khalaj, Alireza
Mirmiran, Parvin
description Purpose This study aimed to compare energy, macronutrients (quantity and quality), the overall dietary quality, and eating behaviors of patients undergoing laparoscopic sleeve gastrectomy (LSG) at different times since surgery. Materials and Methods This cross-sectional study included 184 adults at least 1 year post-LSG. Dietary intakes were assessed by a 147-item food frequency questionnaire. Macronutrient quality was assessed by computing the macronutrient quality index (MQI), carbohydrate quality index, fat quality index, and healthy plate protein quality index (HPPQI). The Healthy Eating Index (HEI)-2015 was used to assess diet quality. The Dutch Eating Behavior Questionnaire was used to assess eating behaviors. Based on the time since LSG, the time at which eating data were also collected, participants were categorized into three groups: 1–2 years (group 1), 2–3 years (group 2), and 3–5 years (group 3). Results Group 3 consumed significantly more energy and absolute carbohydrates than group 1. The MQI and HPPQI scores of group 3 were significantly lower than those of group 1. The HEI score was significantly lower in group 3 compared to group 1, with a mean difference of 8.1 points. Compared to patients with 1–2 years following LSG, those with 2–3 and 3–5 years consumed more refined grains. Eating behavior scores did not differ between groups. Conclusion Patients at 3–5 years post-LSG consumed more energy and carbohydrates than those at 1–2 years after the surgery. Protein quality, overall macronutrient quality, and overall diet quality decreased as time passed following surgery. Graphical Abstract
doi_str_mv 10.1007/s11695-023-06651-x
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Materials and Methods This cross-sectional study included 184 adults at least 1 year post-LSG. Dietary intakes were assessed by a 147-item food frequency questionnaire. Macronutrient quality was assessed by computing the macronutrient quality index (MQI), carbohydrate quality index, fat quality index, and healthy plate protein quality index (HPPQI). The Healthy Eating Index (HEI)-2015 was used to assess diet quality. The Dutch Eating Behavior Questionnaire was used to assess eating behaviors. Based on the time since LSG, the time at which eating data were also collected, participants were categorized into three groups: 1–2 years (group 1), 2–3 years (group 2), and 3–5 years (group 3). Results Group 3 consumed significantly more energy and absolute carbohydrates than group 1. The MQI and HPPQI scores of group 3 were significantly lower than those of group 1. The HEI score was significantly lower in group 3 compared to group 1, with a mean difference of 8.1 points. Compared to patients with 1–2 years following LSG, those with 2–3 and 3–5 years consumed more refined grains. Eating behavior scores did not differ between groups. Conclusion Patients at 3–5 years post-LSG consumed more energy and carbohydrates than those at 1–2 years after the surgery. Protein quality, overall macronutrient quality, and overall diet quality decreased as time passed following surgery. 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Materials and Methods This cross-sectional study included 184 adults at least 1 year post-LSG. Dietary intakes were assessed by a 147-item food frequency questionnaire. Macronutrient quality was assessed by computing the macronutrient quality index (MQI), carbohydrate quality index, fat quality index, and healthy plate protein quality index (HPPQI). The Healthy Eating Index (HEI)-2015 was used to assess diet quality. The Dutch Eating Behavior Questionnaire was used to assess eating behaviors. Based on the time since LSG, the time at which eating data were also collected, participants were categorized into three groups: 1–2 years (group 1), 2–3 years (group 2), and 3–5 years (group 3). Results Group 3 consumed significantly more energy and absolute carbohydrates than group 1. The MQI and HPPQI scores of group 3 were significantly lower than those of group 1. The HEI score was significantly lower in group 3 compared to group 1, with a mean difference of 8.1 points. Compared to patients with 1–2 years following LSG, those with 2–3 and 3–5 years consumed more refined grains. Eating behavior scores did not differ between groups. Conclusion Patients at 3–5 years post-LSG consumed more energy and carbohydrates than those at 1–2 years after the surgery. Protein quality, overall macronutrient quality, and overall diet quality decreased as time passed following surgery. 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Materials and Methods This cross-sectional study included 184 adults at least 1 year post-LSG. Dietary intakes were assessed by a 147-item food frequency questionnaire. Macronutrient quality was assessed by computing the macronutrient quality index (MQI), carbohydrate quality index, fat quality index, and healthy plate protein quality index (HPPQI). The Healthy Eating Index (HEI)-2015 was used to assess diet quality. The Dutch Eating Behavior Questionnaire was used to assess eating behaviors. Based on the time since LSG, the time at which eating data were also collected, participants were categorized into three groups: 1–2 years (group 1), 2–3 years (group 2), and 3–5 years (group 3). Results Group 3 consumed significantly more energy and absolute carbohydrates than group 1. The MQI and HPPQI scores of group 3 were significantly lower than those of group 1. The HEI score was significantly lower in group 3 compared to group 1, with a mean difference of 8.1 points. Compared to patients with 1–2 years following LSG, those with 2–3 and 3–5 years consumed more refined grains. Eating behavior scores did not differ between groups. Conclusion Patients at 3–5 years post-LSG consumed more energy and carbohydrates than those at 1–2 years after the surgery. Protein quality, overall macronutrient quality, and overall diet quality decreased as time passed following surgery. Graphical Abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37221431</pmid><doi>10.1007/s11695-023-06651-x</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8441-5200</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Carbohydrates
Cross-Sectional Studies
Diet
Eating
Eating behavior
Feeding Behavior
Gastrectomy
Gastrointestinal surgery
Humans
Laparoscopy
Medicine
Medicine & Public Health
Nutrients
Obesity, Morbid - surgery
Original Contributions
Questionnaires
Surgery
title Dietary Macronutrient Composition and Quality, Diet Quality, and Eating Behaviors at Different Times Since Laparoscopic Sleeve Gastrectomy
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