Problematic food behaviours in laparoscopic sleeve gastrectomy patients: A prospective cohort pilot study

Ashleigh McIntosh, Nicola Gadd, Jennifer Hoult, Brianna Fear-Keen, Isabella R. Maimone, Skye Marshall

Research output: Contribution to journalMeeting AbstractResearchpeer-review

Abstract

Background: Problematic food behaviours have been associated with poor outcomes post bariatric surgery. Multidisciplinary follow‐up care has shown to improve weight loss and complications post‐operatively.
Aim: To investigate the number and types of food behaviours pre‐ and post‐surgery, and their impact on weight loss, complications, and multidisciplinary follow‐up (nurse and dietitian).
Methods: This observational prospective chart audit consecutively sampled 53 patients who underwent laparoscopic sleeve gastrectomy at a private medical centre. A food and eating problems checklist developed by the multi‐disciplinary team was inserted into medical notes. Patient characteristics, food problems, severity, and complication (surgical, gastrointestinal and nutritional) were collected at baseline and 6 months and analysed with SPSS. Linear and logistic regression examined relationships of significant continuous and categorical outcomes.
Results: Fifty‐three patients (39 years [IQR33‐66] and 117 kg [IQR103‐133 kg], 54% attendance at 6‐month follow‐up appointment and weight loss of 23.4 + 7.2%. The most commonly food problems were large portion sizes (87%), meal skipping (68.5%), graze eating patterns (57.4%), non‐hungry eating (31.5%) and binge eating (25.9%). Non hungry eating increased the odds of a moderate adverse event (OR: 4.4; 95%: CI, 1.1‐17.3; P = 0.034) and meal skipping was associated with a 5% less weight loss (95%; CI, −10.4 ‐ ‐0.133; P = 0.056). A significant decrease in problematic food behaviours were identified post‐surgery (P < 0.005).
Conclusion: Problematic food behaviours are common in laparoscopic sleeve gastrectomy patients and future studies would benefit from larger sample sizes and a longer follow‐up period to assist in understanding how to manage problematic food behaviours in bariatric surgery patients.
Original languageEnglish
Article number181
Pages (from-to)70-71
JournalNutrition and Dietetics
Volume77
Issue numberS1
DOIs
Publication statusPublished - Aug 2020
EventDietitians Association of Australia 37th National Conference: Discover. Grow. Evolve - Melbourne, Australia
Duration: 23 Aug 202025 Aug 2020
Conference number: 37th
https://daa2020.com.au/

Fingerprint Dive into the research topics of 'Problematic food behaviours in laparoscopic sleeve gastrectomy patients: A prospective cohort pilot study'. Together they form a unique fingerprint.

  • Related Projects

    Nutrition to optimise surgical outcomes

    Marshall, S., Reidlinger, D., O'Neill, H., Isenring, E. & Van der Meij, B.

    1/01/1830/06/26

    Project: Research

    Research by Master of Nutrition and Dietetic Practice Students

    Isenring, E., Marshall, S., Reidlinger, D., Kelly, J., Cox, G., Van der Meij, B., MacKenzie-Shalders, K., Mayr, H., Dahl, C., Crichton, M., O'Bryan, K. R., Norris, R., Warner, M., Davidson, A., Naranjo, A., Mahoney, S., Eberhardt, F., Dalwood, P., Lopez, E., Hofto, S., Innerarity, C. & So, D.

    1/01/1431/12/27

    Project: Research

    Bond University Nutrition and Dietetics Research Group Research Collaborations with External Clinical Partners

    Marshall, S., Isenring, E., MacKenzie-Shalders, K., Kelly, J., Campbell, K., Van der Meij, B., Cox, G., Reidlinger, D., Mayr, H., Banbury, M., Nucera, R., Jenkins, J., McCray, S., Canavan, R., Parker, B., de Groot, L., Cohen, F., Rich, G., Soni, A., McCarthy, A. L., Mackay, H., Young, A. M., Hickman, I., Wilkinson, S. A., Kiss, N. & Ali, A.

    1/01/14 → …

    Project: Research

    Cite this