Analysis of the Association between Eating Behaviors and Weight Loss after Laparoscopic Sleeve Gastrectomy

Nikiforova, Ilana; Barnea, Royi; Azulai, Shir; Susmallian, Sergio

doi:10.1159/000502846

Cited by 10 publications

(1 citation statement)

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“…Another possible explanation could be that our measure of problem food consumption (number of times consumed per day) did not provide enough power given its seemingly restricted range. However, at least one other study has reported a similarly unexpected finding: Nikiforova and associates [55] found that, among their sample of 300 laparoscopic sleeve gastrectomy patients, there was a 12.9% increase in the number of patients who reported a diet rich in "sweets" and an 8.9% increase in the number of patients who reported a diet rich in "snacks" three years after surgery, despite a significant reduction in BMI. They concluded that while consumption of these foods increased post-surgery, they did not appear to have a negative effect on BMI.…”

Section: Problem Foods and Weightmentioning

confidence: 92%

Longitudinal Changes in Food Addiction Symptoms and Body Weight among Adults in a Behavioral Weight-Loss Program

et al. 2020

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Interest in food addiction (FA) has increased, but little is known about its clinical implications or potential treatments. Using secondary analyses from a randomized controlled trial, we evaluated the associations between changes in FA, body weight, and “problem food” consumption during a 22-month behavioral weight-loss program consisting of an initial four-month in-person intervention, 12-month extended-care, and six-month follow-up (n = 182). Food addiction was measured using the Yale Food Addiction Scale. “Problem foods” were identified from the literature and self-reporting. Multilevel modeling was used as the primary method of analysis. We hypothesized that reductions in problem food consumption during the initial treatment phase would be associated with long-term (22-month) FA reductions. As expected, we found that reductions in problem foods were associated with greater initial reductions in FA symptoms; however, they were also associated with a sharper rebound in symptoms over time (p = 0.016), resulting in no significant difference at Month 22 (p = 0.856). Next, we hypothesized that long-term changes in FA would be associated with long-term changes in body weight. Although both FA and weight decreased over time (ps < 0.05), month-to-month changes in FA were not associated with month-to-month changes in weight (p = 0.706). Instead, higher overall FA (i.e., mean scores over the course of the study) were associated with less weight loss (p = 0.008) over time. Finally, we hypothesized that initial reductions in problem food consumption would be associated with long-term reductions in weight, but this relationship was not significant (ps > 0.05). Given the complexity of the findings, more research is needed to identify interventions for long-term changes in FA and to elucidate the associations between problem foods, FA, and weight.

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Section: Problem Foods and Weightmentioning

confidence: 92%