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- Title
Correlates of Dietary Adherence and Maladaptive Eating Patterns Following Roux-en-Y Bariatric Surgery.
- Authors
Adler, Sarah; Fowler, Natasha; Robinson, Athena Hagler; Salcido, Lianne; Darcy, Alison; Toyama, Hannah; Safer, Debra Lynn
- Abstract
Background: Self-reported poor dietary adherence following bariatric surgery is associated with less successful weight loss outcomes. Poor dietary adherence is a global construct lacking specificity regarding its underlying, clinically targetable, maladaptive eating behaviors.Methods: Comprehensive online survey data were obtained from a sample of 274 adults who underwent Roux-en-Y surgery in the prior 1-12 years. Correlations between dietary adherence and six eating-related behaviors were calculated, with the frequency of each behavior reported on a 7-point scale. Linear regression modeling was applied.Results: All six maladaptive eating behaviors were highly correlated with dietary adherence (Pearson’s <italic>r</italic> > 0.5): grazing (<italic>r</italic> = − 0.565), mindless eating (<italic>r</italic> = − 0.572), loss of control eating (<italic>r</italic> = − 0.517), eating “more than is best” after dinner (<italic>r</italic> = − 0.518), eating foods off of one’s plan (<italic>r</italic> = − 0.557), and “when I eat something off-plan, I feel like I have blown it and I give up and eat more” (<italic>r</italic> = − 0.574). The estimated regression coefficients in the linear model was statistically significant, [<italic>F</italic>(5, 261) = 60.006, <italic>p</italic> < 0.001] and accounted for approximately 54% of the variance of global dietary adherence (<italic>R</italic>2 = 0.535, adjusted <italic>R</italic>2 = 0.526).Conclusion: Six maladaptive eating behaviors accounted for a highly significant portion of post-Roux-en-Y patients’ poor self- reported dietary adherence. Prospective studies are needed to investigate the relationship between targetable maladaptive eating behaviors and bariatric surgery outcomes.
- Subjects
BARIATRIC surgery; WEIGHT loss; COMPULSIVE eating; FOOD habits; EATING disorders; DISEASE risk factors
- Publication
Obesity Surgery, 2018, Vol 28, Issue 4, p1130
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-017-2987-9