Behaviours associated to maintenance of the results after bariatric surgery

Abstract

Bariatric Surgery (BS) is a method for obesity treatment which has been receiving attention mainly due to the positive results in the treatment of comorbidities associated with overweight. However, this type of intervention requires a period of adaptation and change of lifestyle mainly due to post surgery complications related to vitamins and minerals deficits. In this way, the objective of this study was to associate the anthropometric profile, body composition and time since the surgery with the adherence to healthy behavior eating on patients who underwent this procedure. A cross-sectional study was conducted with 98 patients who underwent gastric bypass Roux-Y. We evaluated weight, height, waist (WC) and hip circumferences, body fat (BF), skeletal muscle mass and feeding behavior by the Bariatric Surgery Self-management Questionnaire Seven, which has 7 domains related to feeding behavior (FB), the fluid intake (FI), physical activity (PA), management of Dumping Syndrome (MDS), admission of supplements (AS), consume of fruits, vegetables and whole grains (CFVWG) and protein intake (PI).  We verify association between total adherence of eating behaviors, CFVWG, and PI with nutritional status and WC after BS. We also observed lower weight, BMI and WC, % and quantity of BF in patients who presented good adherence in these domains. In the domains FB, FI, and PA the patients who had operated in less time present better adherence. The younger subjects showed higher PA adhesion compared to the older ones. In conclusion, feeding behaviors adherence after BS was associated with nutritional status and WC, as well as time since BS. It is suggested to carry out studies that propose intervention models for the better control and maintenance of feeding behaviors in patients who underwent BS.