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Maladaptive Eating Behaviors and Metabolic Profile in Patients Submitted to Bariatric Surgery: a Longitudinal Study

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Abstract

Purpose

This study aims to investigate relations between maladaptive eating behaviors (MEB) and metabolic profile in patients submitted to bariatric surgery.

Methods

Longitudinal study including 70 patients before (T0), in the first year after surgery assessment (T1), and the second year after surgery assessment (T2). A face-to-face clinical interview assessed MEB at T0 and T2. Blood samples were collected at T0, T1, and T2 to assess fasting plasma glucose (FPG), glycated hemoglobin (HbA1c), insulin, insulin resistance (IR), and triglycerides (TG). Mixed model analyses with growth curves tested the differences between patients with MEB (M group) and non-MEB patients (NM group) on the course of metabolic parameters, while controlling for total weight loss and type of surgery.

Results

No differences between both groups were reached for levels of FPG (F(1, 140) = 2.936, p = 0.089), HbA1c (F(1, 96) = 0.099, p = 0.754), insulin (F(1, 121) = 0.146, p = 0.703), IR (F(1, 60) = 0.976, p = 0.327), and TG (F(1, 128) = 0.725, p = 0.396). All parameters improved from T0 to T1 for both groups. A distinct trend on the course of metabolic markers in the M group but not the NM group is observed, presenting an increase in HbA1c levels, insulin, and TG levels.

Conclusions

Both groups progressed favorably in the first 12 months of surgery. MEB may be associated with a trend for deterioration of metabolic profile after 12 months of surgery. The study should be replicated with longer-term assessments and a larger sample size.

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Acknowledgements

The authors wish to thank Gil Faria, MD, and Conceição Calhau, PhD, for their contribution on metabolic parameters’ data collection.

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Authors and Affiliations

  1. Faculty of Medicine, Hospital de São João, University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal

    Mara Pinto & Isabel Brandão

  2. School of Psychology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal

    Eva Conceição, Filipa Arrojado, Ana Rita Vaz & Ana Pinto-Bastos

  3. CINTESIS-Center for Research in Health Technologies and Information Systems, Department of Biochemistry, Faculty of Medicine, University of Porto, Centro de Investigacão Médica, 4200-450, Porto, Portugal

    Diogo Pestana

  4. Neuropsychiatic Research Institute, 120 8th St S, Fargo, ND, 58103, USA

    Li Cao

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  1. Mara Pinto
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  2. Eva Conceição
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  3. Isabel Brandão
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  8. Ana Pinto-Bastos
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Corresponding author

Correspondence to Eva Conceição.

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Support

This research was partially supported by Fundação para a Ciência e a Tecnologia/Foundation for Science and Technology through a European Union COMPETE program grant to Eva Conceição (IF/01219/2014), doctoral scholarship (SFRH/BD/104159/2014) to Ana Pinto-Bastos, a postdoctoral scholarship (SFRH/BPD/94490/2013) to Ana Rita Vaz, co-financed by FEDER under the PT2020 Partnership Agreement (UID/PSI/01662/2013) and the project PTDC/MHC-PCL/4974/2012.

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by the Institutional Ethics Committees of São João Hospital Centre and University of Minho, Portugal.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Mara Pinto and Eva Conceição contributed equally to this work.

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Pinto, M., Conceição, E., Brandão, I. et al. Maladaptive Eating Behaviors and Metabolic Profile in Patients Submitted to Bariatric Surgery: a Longitudinal Study. OBES SURG 27, 1554–1562 (2017). https://doi.org/10.1007/s11695-016-2523-3

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