Obesity Surgery

, Volume 28, Issue 4, pp 1130–1135 | Cite as

Correlates of Dietary Adherence and Maladaptive Eating Patterns Following Roux-en-Y Bariatric Surgery

  • Sarah Adler
  • Natasha Fowler
  • Athena Hagler Robinson
  • Lianne Salcido
  • Alison Darcy
  • Hannah Toyama
  • Debra Lynn Safer
Original Contributions

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 r > 0.5): grazing (r = − 0.565), mindless eating (r = − 0.572), loss of control eating (r = − 0.517), eating “more than is best” after dinner (r = − 0.518), eating foods off of one’s plan (r = − 0.557), and “when I eat something off-plan, I feel like I have blown it and I give up and eat more” (r = − 0.574). The estimated regression coefficients in the linear model was statistically significant, [F(5, 261) = 60.006, p < 0.001] and accounted for approximately 54% of the variance of global dietary adherence (R 2 = 0.535, adjusted R 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.

Keywords

Bariatric surgery Binge eating Dietary adherence Maladaptive eating patterns Roux-en-Y 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of Psychiatry & Behavioral SciencesStanford University School of MedicineStanfordUSA
  2. 2.PGSP-Stanford Psy.D. ConsortiumPalo Alto UniversityPalo AltoUSA

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