Obesity Surgery

, Volume 19, Issue 3, pp 274–280 | Cite as

Differential Changes in Dietary Habits after Gastric Bypass Versus Gastric Banding Operations

  • Barbara Ernst
  • Martin Thurnheer
  • Britta Wilms
  • Bernd Schultes
Research Article

Abstract

Background

Reduction of food intake is an important mechanism by which bariatric procedures reduce body weight. However, only few studies have systematically assessed what patients actually eat after different types of bariatric operations.

Methods

Dietary habits were assessed by a food frequency questionnaire in 121 bariatric patients (48 gastric bypass patients, 73 gastric banding patients) during follow-up visits in our interdisciplinary obesity center as well as in 45 severely obese (body mass index (BMI) > 35 kg/m2) and 45 nonobese (BMI < 27 kg/m2) control subjects.

Results

As compared with nonobese control subjects, obese control subjects consumed more meat, white bread, and diet soft drinks. Gastric bypass patients showed an enhanced consumption of foods rich in protein such as poultry, fish, and eggs as well as of cooked vegetables, while the consumption of fatty sweets like chocolate, cake, biscuits, and cookies was found to be distinctly reduced in this patient group. In contrast, gastric banding patients reported on a reduced intake of pasta, white bread, and fresh fruits and, just like gastric bypass patients, also on an enhanced intake of poultry and fish. Direct comparison of dietary habits between the two bariatric patient groups revealed that gastric bypass patients consumed more frequently fresh fruits, eggs, and diet soft drinks but strikingly less chocolate than gastric banding patients.

Conclusion

Collectively, data clearly point to distinct changes in dietary habits after bariatric operations which markedly differ between gastric bypass and gastric banding patients. Overall, it is tempting to conclude that gastric bypass operations lead to a healthier and a more balanced diet than gastric band implantations.

Keywords

Food selection Avoiding behavior Dietary counseling Food frequency questionnaire Morbid obesity 

References

  1. 1.
    Demaria EJ. Bariatric surgery for morbid obesity. N Engl J Med. 2007;356:2176–83.PubMedCrossRefGoogle Scholar
  2. 2.
    Fujioka K. Follow-up of nutritional and metabolic problems after bariatric surgery. Diabetes Care. 2005;28:481–4.PubMedCrossRefGoogle Scholar
  3. 3.
    Parkes E. Nutritional management of patients after bariatric surgery. Am J Med Sci. 2006;331:207–13.PubMedCrossRefGoogle Scholar
  4. 4.
    Strader AD, Woods SC. Gastrointestinal hormones and food intake. Gastroenterology 2005;128:175–91.PubMedCrossRefGoogle Scholar
  5. 5.
    Bobbioni-Harsch E, Huber O, Morel P, et al. Factors influencing energy intake and body weight loss after gastric bypass. Eur J Clin Nutr. 2002;56:551–6.PubMedCrossRefGoogle Scholar
  6. 6.
    Dias MC, Ribeiro AG, Scabim VM, et al. Dietary intake of female bariatric patients after anti-obesity gastroplasty. Clinics 2006;61:93–8.PubMedCrossRefGoogle Scholar
  7. 7.
    Warde-Kamar J, Rogers M, Flancbaum L, et al. Calorie intake and meal patterns up to 4 years after Roux-en-Y gastric bypass surgery. Obes Surg. 2004;14:1070–9.PubMedCrossRefGoogle Scholar
  8. 8.
    Moize V, Geliebter A, Gluck ME, et al. Obese patients have inadequate protein intake related to protein intolerance up to 1 year following Roux-en-Y gastric bypass. Obes Surg. 2003;13:23–8.PubMedCrossRefGoogle Scholar
  9. 9.
    Trostler N, Mann A, Zilberbush N, et al. Nutrient intake following vertical banded gastroplasty or gastric bypass. Obes Surg. 1995;5:403–10.PubMedCrossRefGoogle Scholar
  10. 10.
    Trostler N, Mann A, Zilberbush N, et al. Weight loss and food intake 18 months following vertical banded gastroplasty or gastric bypass for severe obesity. Obes Surg. 1995;5:39–51.PubMedCrossRefGoogle Scholar
  11. 11.
    Naslund I, Jarnmark I, Andersson H. Dietary intake before and after gastric bypass and gastroplasty for morbid obesity in women. Int J Obes. 1988;12:503–13.PubMedGoogle Scholar
  12. 12.
    Thomas JR, Marcus E. High and low fat food selection with reported frequency intolerance following Roux-en-Y gastric bypass. Obes Surg. 2008;18:282–7.PubMedCrossRefGoogle Scholar
  13. 13.
    Avinoah E, Ovnat A, Charuzi I. Nutritional status seven years after Roux-en-Y gastric bypass surgery. Surgery 1992;111:137–42.PubMedGoogle Scholar
  14. 14.
    Duran de CC, Dalcanale L, Pajecki D, et al. Calcium intake and metabolic bone disease after eight years of Roux-en-Y gastric bypass. Obes Surg. 2008;18:386–90.CrossRefGoogle Scholar
  15. 15.
    Shai I, Henkin Y, Weitzman S, et al. Long-term dietary changes after vertical banded gastroplasty: is the trade-off favorable? Obes Surg. 2002;12:805–11.PubMedCrossRefGoogle Scholar
  16. 16.
    Silver HJ, Torquati A, Jensen GL, et al. Weight, dietary and physical activity behaviors two years after gastric bypass. Obes Surg. 2006;16:859–64.PubMedCrossRefGoogle Scholar
  17. 17.
    Brolin RL, Robertson LB, Kenler HA, et al. Weight loss and dietary intake after vertical banded gastroplasty and Roux-en-Y gastric bypass. Ann Surg. 1994;220:782–90.PubMedCrossRefGoogle Scholar
  18. 18.
    Kenler HA, Brolin RE, Cody RP. Changes in eating behavior after horizontal gastroplasty and Roux-en-Y gastric bypass. Am J Clin Nutr. 1990;52:87–2.PubMedGoogle Scholar
  19. 19.
    Buchwald H, Williams SE. Bariatric surgery worldwide 2003. Obes Surg. 2004;14:1157–64.PubMedCrossRefGoogle Scholar
  20. 20.
    Newby PK, Muller D, Hallfrisch J, et al. Dietary patterns and changes in body mass index and waist circumference in adults. Am J Clin Nutr. 2003;77:1417–25.PubMedGoogle Scholar
  21. 21.
    Forshee RA, Anderson PA, Storey ML. The role of beverage consumption, physical activity, sedentary behavior, and demographics on body mass index of adolescents. Int J Food Sci Nutr. 2004;55:463–78.PubMedCrossRefGoogle Scholar
  22. 22.
    Dragsted LO, Krath B, Ravn-Haren G, et al. Biological effects of fruit and vegetables. Proc Nutr Soc. 2006;65:61–7.PubMedCrossRefGoogle Scholar
  23. 23.
    Dragsted LO, Pedersen A, Hermetter A, et al. The 6-a-day study: effects of fruit and vegetables on markers of oxidative stress and antioxidative defense in healthy nonsmokers. Am J Clin Nutr. 2004;79:1060–72.PubMedGoogle Scholar
  24. 24.
    Beecher GR. Phytonutrients’ role in metabolism: effects on resistance to degenerative processes. Nutr Rev. 1999;57:S3–6.PubMedCrossRefGoogle Scholar
  25. 25.
    Suter M, Calmes JM, Paroz A, et al. A new questionnaire for quick assessment of food tolerance after bariatric surgery. Obes Surg. 2007;17:2–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Barbara Ernst
    • 1
  • Martin Thurnheer
    • 1
  • Britta Wilms
    • 2
  • Bernd Schultes
    • 1
    • 2
  1. 1.Interdisciplinary Obesity CenterRorschachSwitzerland
  2. 2.Department of Internal Medicine IUniversity of LuebeckLübeckGermany

Personalised recommendations