SpringerLink
Log in

Food Consumption and Weight Recurrence in Patients Undergoing Bariatric Surgery with a Minimum of 2 Years Post-surgery

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

Eating habits are one of the factors that directly affect weight recurrence after bariatric surgery, and therefore, this study assessed the association between food consumption and weight recurrence in patients who underwent bariatric surgery a minimum of 2 years.

Methods

A cross-sectional observational study was conducted with patients who underwent bariatric surgery a minimum of 2 years through SUS, in the city of Palmas, Tocantins. Food consumption was assessed through two 24-h dietary recalls (R24). The foods were classified into groups by degree of processing following the NOVA classification system. Also, macronutrients and fiber contents were quantified. Anthropometric variables were evaluated and weight recurrence (WR) was defined as 15%.

Results

Ninety-three (93) patients participated in the study, being 83.9% female, with mean age of 43.5 ± 9.13 years, mean post-surgery time of 4 years, and 58% present WR. A lower total energy consumption was found in patients without WR compared to those with WR (p = 0.05). Among the WR group, calories from processed foods (p = 0.00) and culinary ingredients (p = 0.05) were higher. However, carbohydrate consumption (percentage) was lower in the WR group (p = 0.04). A positive correlation was found between total energy (p = 0.03), processed foods (p = 0.03) and weight recurrence (p = 0.03).

Conclusion

Weight recurrence is associated with total daily energy intake, carbohydrates and food groups classified according to NOVA.

Graphical Abstract

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bastos ECL, Barbosa EMWG, Silva GM. SORIANO, Santos EA dos, Vasconcelos SML. Determinants of weight regain after bariatric surgery Emanuelle. ABCD Arq Bras Cir Dig. 2013;26:26–32.

    Article  PubMed  Google Scholar 

  2. Sociedade Brasileira Cirurgia Bariátrica e Metabolica. Cirurgia bariátrica cresce 84,73% entre 2011 e 2018 [Internet]. https://www.sbcbm.org.br/. 2019 [cited 2022 Nov 10].

  3. Livingstone BEM, Redpath T, Naseer F, Boyd A, Martin M, Finlayson G, et al. Food intake following gastric bypass surgery: patients eat less but do not eat differently. J Nutr Am Soc Nutr. 2022;152:2319–32.

    Google Scholar 

  4. Pinto SL, Silva DCG, Bressan J. Absolute and relative changes in ultra-processed food consumption and dietary antioxidants in severely obese adults 3 months after Roux-en-Y gastric bypass. Obes Surg Obes Surg. 2019;29:1810–5.

    Article  Google Scholar 

  5. Pinto SL, Juvanhol LL, Bressan J. Increase in protein intake after 3 months of RYGB is an independent predictor for the remission of obesity in the first year of surgery. Obes Surg. 2019;29:3780–5.

    Article  PubMed  Google Scholar 

  6. Monteiro CA, Cannon GLR, et al. NOVA. The star shines bright. World Nutr. 2016;7:28–40.

    Google Scholar 

  7. Hall KD, Ayuketah A, Brychta R, Cai H, Cassimatis T, Chen KY, et al. Ultra-processed diets cause excess calorie intake and weight gain: an inpatient randomized controlled trial of ad libitum food intake. Cell Metab. 2019;30:67-77.e3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Barufaldi LA, Abreu GDA, Da VGV, Sichieri R, Kuschnir MCC, Cunha DB, et al. Programa para registro de recordatório alimentar de 24 horas: Aplicação no Estudo de Riscos Cardiovasculares em Adolescentes. Rev Bras Epidemiol. 2016;19:464–8.

    Article  PubMed  Google Scholar 

  9. IBGE. Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares: 2008-2009. Análise do Consumo Alimentar Pessoal no Brasil. Ministerio do Planejamento, Orçamento e Gestão, 2011.

  10. Associação Brasileira de Empresas de Pesquisa. http://www.abep.org/criterio-brasil.A lterações na aplicação do Critério Brasil, válidas a partir de 01/06/2021. Critério Bras. 2021;1–7.

  11. Jellife, D. Evoluación del estado nutricion dela comunidad. Ginebra, OMS. Série de monografia, v. 53, 1968.

  12. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consulation. Geneva: WHO; 1998. Technical Report Series, 894

    Article  Google Scholar 

  13. Organização Pan-Americana (OPAS). XXXVI Reunión del Comitê Asesor de Ivestigaciones en Salud – Encuestra Multicêntrica – Salud Beinestar y Envejecimeiento (SABE) en América Latina e el Caribe – Informe preliminar. Screening. 2002;22.

  14. Palacio A, Luna C, Maíz C, Blanco E. Nutritional and behavioral factors related to weight gain after bariatric surgery. Rev Med Chil. 2021;149:30–6.

    Article  PubMed  Google Scholar 

  15. Odom J, Zalesin KC, Washington TL, Miller WW, Hakmeh B, Zaremba DL, et al. Behavioral predictors of weight regain after bariatric surgery. Obes Surg. 2010;20:349–56.

    Article  PubMed  Google Scholar 

  16. Rodrigues LS, de Vasconcelos PHC, Gomes DL. Weight regain and eating behavior in physically active and inactive women after 24 months of bariatric surgery. Eat Weight Disord - Stud Anorexia, Bulim Obes. 2021;26:1709–17.

    Article  Google Scholar 

  17. Farias G, Silva RMO, da Silva PPP, Vilela RM, Bettini SC, Dâmaso AR, et al. Impact of dietary patterns according to NOVA food groups: 2 y after Roux-en-Y gastric bypass surgery. Nutrition. 2020;74:110746.

    Article  CAS  PubMed  Google Scholar 

  18. Sjöström L, Lindroos A-K, Peltonen M, Torgerson J, Bouchard C, Carlsson B, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683–93.

    Article  PubMed  Google Scholar 

  19. Dayan D, Kuriansky J, Abu-Abeid S. Weight regain following Roux-en-Y gastric bypass: Etiology and surgical treatment. Isr Med Assoc J. 2019;21:823–8.

    PubMed  Google Scholar 

  20. Dayyeh BKA, Jirapinyo P, Weitzner Z, Barker C, Flicker MS, Lautz DB, et al. HHS Public Access. 2015;76:275–82.

    Google Scholar 

  21. El Ansari W, Elhag W. Weight regain and insufficient weight loss after bariatric surgery: definitions, prevalence, mechanisms, predictors, prevention and management strategies, and knowledge gaps—a sco** review. Obes Surg Obes Surg. 2021;31:1755–66.

    Article  PubMed  Google Scholar 

  22. Maleckas A, Gudaityte R, Petereit R, Venclauskas L, Velickiene D. Weight regain after gastric bypass: etiology and treatment options. Gland Surg. 2016;5:617–24.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Kanerva N, Larsson I, Peltonen M, Lindroos AK, Carlsson LM. Changes in total energy intake and macronutrient composition after bariatric surgery predict long-term weight outcome: findings from the Swedish Obese Subjects (SOS) study. Am J Clin Nutr. 2017;106:136–45.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Miclotte L, Van de Wiele T. Food processing, gut microbiota and the globesity problem. Crit Rev Food Sci Nutr Taylor & Francis. 2020;60:1769–82.

    Article  CAS  Google Scholar 

  25. Farias G, Netto BDM, Bettini SC, Dâmaso AR, de Freitas ACT. Neuroendocrine regulation of energy balance: implications on the development and surgical treatment of obesity. Nutr Health. 2017;23:131–46.

    Article  PubMed  Google Scholar 

  26. Mechanick JI, Apovian C, Brethauer S, Garvey WT, Joffe AM, Kim J, et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, Surg Obes Relat Dis. Am Soc Bariatric Surg. 2020;16:175–247.

    Google Scholar 

  27. Kushner R, Cummings SHD. Bariatric surgery: postoperative nutritional management [monograph on the Internet]. Waltham UpToDate; 2019.

  28. Borges LPSL. Avaliação da ingestão de nutrientes e nível de atividade física no pós-operatório tardio de cirurgia bariátrica no Distrito Federal [Internet]. Tese de Doutorado, Universidade de Brasilia - UNB; 2022.

Download references

Acknowledgements

We thank all the volunteers in the research.

Author information

Authors and Affiliations

  1. Nutrition Course of the Federal University of Tocantins/TO, Palmas, Brazil

    Railane M. Beckman, Nayara Caetano & Sônia L. Pinto

  2. Postgraduate Program in Health Science of the Federal University of Tocantins/TO, Palmas, Brazil

    Ana Júlia R. B. Costa & Sônia L. Pinto

Authors
  1. Railane M. Beckman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ana Júlia R. B. Costa
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nayara Caetano
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sônia L. Pinto
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

Railane M. Beckman contributed in the data collection, analysis and interpretation, manuscript writing and final version approval. Ana Júlia R. B. Costa contributed in the data collection, analysis and interpretation, manuscript writing and final version approval. Nayara Caetano contributed in the data collection, analysis and interpretation, manuscript writing and final version approval. Sônia L. Pinto contributed in the design of the study, data collection, analysis and interpretation, manuscript writing and final version approval.

Corresponding author

Correspondence to Sônia L. Pinto.

Ethics declarations

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Beckman, R.M., Costa, A.J.R.B., Caetano, N. et al. Food Consumption and Weight Recurrence in Patients Undergoing Bariatric Surgery with a Minimum of 2 Years Post-surgery. OBES SURG 33, 3223–3229 (2023). https://doi.org/10.1007/s11695-023-06798-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-023-06798-7

Keywords

Search

Navigation