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Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass
Abstract Objective Assess the lifestyle habits, including food patterns, of patients who underwent Roux-en-Y gastric bypass (RYGB) and to identify predictive factors in weight loss and regain. Methods Obese patients (100) who underwent RYGB from 1998 to 2008 were included. Dietary habits were assess...
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Published in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2012, Vol.28 (1), p.53-58 |
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description | Abstract Objective Assess the lifestyle habits, including food patterns, of patients who underwent Roux-en-Y gastric bypass (RYGB) and to identify predictive factors in weight loss and regain. Methods Obese patients (100) who underwent RYGB from 1998 to 2008 were included. Dietary habits were assessed by using 24 h dietary recall and the Food Frequency Questionnaire. Rates of weight regain and the percentage of excess weight loss (EWL) were calculated. Patients were also asked whether they attended nutritional follow-up visits after the operation and about the type and regularity of physical activities. Results The mean age was 45.1 ± 9.9 y, and the majority of the patients were women (84%). Mean EWL was 59.1 ± 20.3%. Weight regain was seen in 56% of the patients with 29% of the patients having regained over 10.1% of the minimum weight reached after RYGB. Weight regain increased significantly with time after surgery (up to 2 y: 14.7%; from 2 to 5 y: 69.7%; over 5 y: 84.8%). Poor diet quality characterized by excessive intake of calories, snacks, sweets, and fatty foods was statistically higher among those who regained weight. Sedentary lifestyle and lack of nutritional counseling follow-up were also significantly associated with regaining weight. Conclusion Despite satisfactory results of EWL, the patients did not properly maintain the lost weight, mainly after 5 y postsurgery. Major factors that influenced this weight gain were poor diet quality, sedentary lifestyle, and lack of nutritional counseling follow-up. |
doi_str_mv | 10.1016/j.nut.2011.01.011 |
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Methods Obese patients (100) who underwent RYGB from 1998 to 2008 were included. Dietary habits were assessed by using 24 h dietary recall and the Food Frequency Questionnaire. Rates of weight regain and the percentage of excess weight loss (EWL) were calculated. Patients were also asked whether they attended nutritional follow-up visits after the operation and about the type and regularity of physical activities. Results The mean age was 45.1 ± 9.9 y, and the majority of the patients were women (84%). Mean EWL was 59.1 ± 20.3%. Weight regain was seen in 56% of the patients with 29% of the patients having regained over 10.1% of the minimum weight reached after RYGB. Weight regain increased significantly with time after surgery (up to 2 y: 14.7%; from 2 to 5 y: 69.7%; over 5 y: 84.8%). Poor diet quality characterized by excessive intake of calories, snacks, sweets, and fatty foods was statistically higher among those who regained weight. Sedentary lifestyle and lack of nutritional counseling follow-up were also significantly associated with regaining weight. Conclusion Despite satisfactory results of EWL, the patients did not properly maintain the lost weight, mainly after 5 y postsurgery. Major factors that influenced this weight gain were poor diet quality, sedentary lifestyle, and lack of nutritional counseling follow-up.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2011.01.011</identifier><identifier>PMID: 21885246</identifier><identifier>CODEN: NUTRER</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Bariatric surgery ; Biological and medical sciences ; Body Mass Index ; Brazil ; Combined Modality Therapy ; Counseling ; Cross-Sectional Studies ; Diet - adverse effects ; Exercise ; Feeding Behavior ; Feeding. Feeding behavior ; Female ; Follow-Up Studies ; Food habits ; Food quality ; Fundamental and applied biological sciences. Psychology ; Gastric Bypass ; Gastroenterology and Hepatology ; Gastrointestinal surgery ; Humans ; Male ; Medical Records ; Middle Aged ; Motor Activity ; Nutritional Sciences - education ; Obesity ; Obesity, Morbid - diet therapy ; Obesity, Morbid - prevention & control ; Obesity, Morbid - surgery ; Patient Education as Topic ; Secondary Prevention ; Sedentary Lifestyle ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Weight control ; Weight Gain ; Weight loss ; Weight regain</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2012, Vol.28 (1), p.53-58</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-673e61d7215485fc059872d7aa24197a3f719e89e580d4a91675b309a3ae5f573</citedby><cites>FETCH-LOGICAL-c498t-673e61d7215485fc059872d7aa24197a3f719e89e580d4a91675b309a3ae5f573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25638189$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21885246$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Freire, Rachel Horta, M.Sc</creatorcontrib><creatorcontrib>Borges, Mariane Curado, M.Sc</creatorcontrib><creatorcontrib>Alvarez-Leite, Jacqueline Isaura, M.D., Ph.D</creatorcontrib><creatorcontrib>Correia, Maria Isabel Toulson Davisson, M.D., Ph.D</creatorcontrib><title>Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>Abstract Objective Assess the lifestyle habits, including food patterns, of patients who underwent Roux-en-Y gastric bypass (RYGB) and to identify predictive factors in weight loss and regain. Methods Obese patients (100) who underwent RYGB from 1998 to 2008 were included. Dietary habits were assessed by using 24 h dietary recall and the Food Frequency Questionnaire. Rates of weight regain and the percentage of excess weight loss (EWL) were calculated. Patients were also asked whether they attended nutritional follow-up visits after the operation and about the type and regularity of physical activities. Results The mean age was 45.1 ± 9.9 y, and the majority of the patients were women (84%). Mean EWL was 59.1 ± 20.3%. Weight regain was seen in 56% of the patients with 29% of the patients having regained over 10.1% of the minimum weight reached after RYGB. Weight regain increased significantly with time after surgery (up to 2 y: 14.7%; from 2 to 5 y: 69.7%; over 5 y: 84.8%). Poor diet quality characterized by excessive intake of calories, snacks, sweets, and fatty foods was statistically higher among those who regained weight. Sedentary lifestyle and lack of nutritional counseling follow-up were also significantly associated with regaining weight. Conclusion Despite satisfactory results of EWL, the patients did not properly maintain the lost weight, mainly after 5 y postsurgery. Major factors that influenced this weight gain were poor diet quality, sedentary lifestyle, and lack of nutritional counseling follow-up.</description><subject>Adult</subject><subject>Bariatric surgery</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Brazil</subject><subject>Combined Modality Therapy</subject><subject>Counseling</subject><subject>Cross-Sectional Studies</subject><subject>Diet - adverse effects</subject><subject>Exercise</subject><subject>Feeding Behavior</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Food habits</subject><subject>Food quality</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastric Bypass</subject><subject>Gastroenterology and Hepatology</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical Records</subject><subject>Middle Aged</subject><subject>Motor Activity</subject><subject>Nutritional Sciences - education</subject><subject>Obesity</subject><subject>Obesity, Morbid - diet therapy</subject><subject>Obesity, Morbid - prevention & control</subject><subject>Obesity, Morbid - surgery</subject><subject>Patient Education as Topic</subject><subject>Secondary Prevention</subject><subject>Sedentary Lifestyle</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Weight control</subject><subject>Weight Gain</subject><subject>Weight loss</subject><subject>Weight regain</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp9kt9rFDEQx4Mo9lr9A3yRgEh9cM_MbrKbIAhSrAoFwR8PPoVcdvaacy-5Jrut-9-b9U4LfSgEApnPTGbm-yXkGbAlMKjfbJZ-HJYlA1iy-cADsgDZVAWUnD8kCyaVKhRjzRE5TmnDGANVq8fkqAQpRcnrBZnOQ2jp1Wh6N0yv6e5ySs6anho7uOu_T8a3NH8T3eCCz5Eu9H24KcYdNYm2OGDcOm_8QENHb9CtLwcacW2cp6bLQfo1jL8L9MVPujYpl7F0Ne1MSk_Io870CZ8e7hPy4_zD97NPxcWXj5_P3l8Ulis5FHVTYQ1tU4LgUnSWCSWbsm2MKTmoxlRdAwqlQiFZy42CuhGriilTGRSdaKoTcrqvu4vhasQ06K1LFvveeAxj0gpAcQaVyuSre0ngQoqqKkWd0Rd30E0YY15PpnIpVmV9eKZgT9kYUorY6V10WxMnDUzPCuqNzqvVs4KazQdyzvND5XG1xfZ_xj_JMvDyAJiUleqi8dalWy53J0HO07zdc5iXe-0w6mQdeouti2gH3QZ3bxvv7mTb3vnZGr9wwnQ7rU6lZvrbbLXZaQDZZTx78A8oGcyX</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Freire, Rachel Horta, M.Sc</creator><creator>Borges, Mariane Curado, M.Sc</creator><creator>Alvarez-Leite, Jacqueline Isaura, M.D., Ph.D</creator><creator>Correia, Maria Isabel Toulson Davisson, M.D., Ph.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass</title><author>Freire, Rachel Horta, M.Sc ; Borges, Mariane Curado, M.Sc ; Alvarez-Leite, Jacqueline Isaura, M.D., Ph.D ; Correia, Maria Isabel Toulson Davisson, M.D., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-673e61d7215485fc059872d7aa24197a3f719e89e580d4a91675b309a3ae5f573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Bariatric surgery</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Brazil</topic><topic>Combined Modality Therapy</topic><topic>Counseling</topic><topic>Cross-Sectional Studies</topic><topic>Diet - adverse effects</topic><topic>Exercise</topic><topic>Feeding Behavior</topic><topic>Feeding. 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Academic</collection><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Freire, Rachel Horta, M.Sc</au><au>Borges, Mariane Curado, M.Sc</au><au>Alvarez-Leite, Jacqueline Isaura, M.D., Ph.D</au><au>Correia, Maria Isabel Toulson Davisson, M.D., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2012</date><risdate>2012</risdate><volume>28</volume><issue>1</issue><spage>53</spage><epage>58</epage><pages>53-58</pages><issn>0899-9007</issn><eissn>1873-1244</eissn><coden>NUTRER</coden><abstract>Abstract Objective Assess the lifestyle habits, including food patterns, of patients who underwent Roux-en-Y gastric bypass (RYGB) and to identify predictive factors in weight loss and regain. Methods Obese patients (100) who underwent RYGB from 1998 to 2008 were included. Dietary habits were assessed by using 24 h dietary recall and the Food Frequency Questionnaire. Rates of weight regain and the percentage of excess weight loss (EWL) were calculated. Patients were also asked whether they attended nutritional follow-up visits after the operation and about the type and regularity of physical activities. Results The mean age was 45.1 ± 9.9 y, and the majority of the patients were women (84%). Mean EWL was 59.1 ± 20.3%. Weight regain was seen in 56% of the patients with 29% of the patients having regained over 10.1% of the minimum weight reached after RYGB. Weight regain increased significantly with time after surgery (up to 2 y: 14.7%; from 2 to 5 y: 69.7%; over 5 y: 84.8%). Poor diet quality characterized by excessive intake of calories, snacks, sweets, and fatty foods was statistically higher among those who regained weight. Sedentary lifestyle and lack of nutritional counseling follow-up were also significantly associated with regaining weight. Conclusion Despite satisfactory results of EWL, the patients did not properly maintain the lost weight, mainly after 5 y postsurgery. Major factors that influenced this weight gain were poor diet quality, sedentary lifestyle, and lack of nutritional counseling follow-up.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21885246</pmid><doi>10.1016/j.nut.2011.01.011</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Bariatric surgery Biological and medical sciences Body Mass Index Brazil Combined Modality Therapy Counseling Cross-Sectional Studies Diet - adverse effects Exercise Feeding Behavior Feeding. Feeding behavior Female Follow-Up Studies Food habits Food quality Fundamental and applied biological sciences. Psychology Gastric Bypass Gastroenterology and Hepatology Gastrointestinal surgery Humans Male Medical Records Middle Aged Motor Activity Nutritional Sciences - education Obesity Obesity, Morbid - diet therapy Obesity, Morbid - prevention & control Obesity, Morbid - surgery Patient Education as Topic Secondary Prevention Sedentary Lifestyle Vertebrates: anatomy and physiology, studies on body, several organs or systems Weight control Weight Gain Weight loss Weight regain |
title | Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass |
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