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Dietary experiences after bariatric surgery in patients with obesity: A qualitative systematic review

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Abstract

This systematic review evaluated the dietary experience of patients with obesity post-bariatric surgery. Scopus, CINAHL, Medline, Psych INFO, and Embase databases were searched and JBI Critical Appraisal Tool was used for quality assessment. Thomas and Harden’s three-stage thematic synthesis was undertaken using the Enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) statement for reporting. Of the 24 studies extracted, we coded and developed 34 descriptive themes into 7 categories, which were then categorized to 3 analytical themes. The number of all the participants in the 24 articles is 383 people. The results revealed most patients can control their diet for a short period post-surgery. However, this was a matter of gradual self-consciousness as patients also required support and dietary management in postoperative recovery.

Clinical Trial Registration Number

The protocol for this qualitative systematic review has been registered with PROSPERO (registration number CRD42021229083).

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References

  1. Kopelman P. Health risks associated with overweight and obesity. Obesity reviews : an official journal of the International Association for the Study of Obesity. 2007;8(Suppl 1):13–7.

    Article  Google Scholar 

  2. Luppino FS, de Wit LM, Bouvy PF et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010;67(3):220–9.

    Article  PubMed  Google Scholar 

  3. Lim SS, Vos T, Flaxman AD et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet (London, England). 2012;380(9859):2224–60.

    Article  Google Scholar 

  4. National Clinical Guideline Centre (UK). Obesity: identification, assessment and management of overweight and obesity in children, young people and adults: partial update of CG43. London: National Institute for Health and Care Excellence (NICE); 2014.

  5. Conceição EM, Utzinger LM, Pisetsky EM. Eating Disorders and Problematic Eating Behaviours Before and After Bariatric Surgery: Characterization, Assessment and Association with Treatment Outcomes. Eur Eat Disord Rev. 2015;23(6):417–25.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Novelli IR, Fonseca LG, Gomes DL et al. Emotional eating behavior hinders body weight loss in women after Roux-en-Y gastric bypass surgery. Nutrition. 2018;49:13–6.

    Article  PubMed  Google Scholar 

  7. Williams-Kerver GA, Steffen KJ, Mitchell JE. Eating Pathology After Bariatric Surgery: an Updated Review of the Recent Literature. Curr Psychiatry Rep. 2019;21(9):86.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Sandelowski M, Docherty S, Emden C. Focus on qualitative methods. Qualitative metasynthesis: issues and techniques. Research in Nursing & Health. 1997;20(4):365–71.

    Article  CAS  Google Scholar 

  9. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8:45.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Lin H-C, Tsao L-I. Living with my small stomach: The experiences of post-bariatric surgery patients within 1 year after discharge. J Clin Nurs. 2018;27(23–24):4279–89.

    Article  PubMed  Google Scholar 

  11. Lynch A. “When the honeymoon is over, the real work begins:” Gastric bypass patients’ weight loss trajectories and dietary change experiences. Soc Sci Med. 2016;151:241–9.

    Article  PubMed  Google Scholar 

  12. Lynch A, Bisogni CA. Gastric bypass patients’ goal-strategy-monitoring networks for long-term dietary management. Appetite. 2014;81:138–51.

    Article  PubMed  Google Scholar 

  13. Lloyd FMM, Hewison A, Efstathiou N. “It just made me feel so desolate”: Patients’ narratives of weight gain following laparoscopic insertion of a gastric band. Journal of Clinical Nursing (John Wiley & Sons, Inc). 2018;27(3–4):732–42.

    Article  Google Scholar 

  14. Tolvanen L, Svensson Å, Hemmingsson E et al. Perceived and Preferred Social Support in Patients Experiencing Weight Regain After Bariatric Surgery-a Qualitative Study. Obes Surg. 2021;31(3):1256–64.

    Article  PubMed  Google Scholar 

  15. Centre for Reviews and Dissemination. Systematic reviews: CRD’s guidance for undertaking reviews in health care. York: University of York; 2009. https://www.york.ac.uk/crd/publications/journal-articles/2009/.

  16. A, T.J.H. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC medical research methodology. 2008;8:45. https://doi.org/10.1186/1471-2288-8-45.

    Article  Google Scholar 

  17. Tong A, Flemming K, McInnes E et al. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research ethodology. 2012;12(1):181.

    Article  Google Scholar 

  18. Lockwood C, Porrit K, Munn Z, Rittenmeyer L, Salmond S, Bjerrum M, Loveday H, Carrier J, Stannard D. Chapter 2: systematic reviews of qualitative evidence. In: Aromataris E, Munn Z, editors. JBI manual for evidence synthesis. JBI: 2020. Available from https://synthesismanual.jbi.global. https://doi.org/10.46658/JBIMES-20-03.

  19. Pearson A. Balancing the evidence: incorporating the synthesis of qualitative data into systematic reviews. JBI Reports. 2004;2:45–64.

    Article  Google Scholar 

  20. Engström M, Forsberg A. Wishing for deburdening through a sustainable control after bariatric surgery. Int J Qual Stud Health Well-being. 2011;6(1).

  21. Benson-Davies S, Davies ML, Kattelmann K. Understanding Eating and Exercise Behaviors in Post Roux-en-Y Gastric Bypass Patients: A Quantitative and Qualitative Study. Bariatric surgical practice and patient care. 2013;8(2):61–8.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Da Silva SSP, Maia ÂDC. Patients’ experiences after bariatric surgery: a qualitative study at 12-month follow-up. Clinical obesity. 2013;3(6):185–93.

    Article  PubMed  Google Scholar 

  23. Geraci AA, Brunt A, Marihart C. The work behind weight-loss surgery: a qualitative analysis of food intake after the first two years post-op. ISRN Obes. 2014;2014:427062.

  24. Groven KS, Galdas P, Solbrække KN. Becoming a normal guy: Men making sense of long-term bodily changes following bariatric surgery. Int J Qual Stud Health Well Being. 2015;10:29923.

    Article  PubMed  Google Scholar 

  25. Janse Van Vuuren M, Strodl E, White KM et al. Psychosocial presentation of revisional LAGB patients: a qualitative study. Clinical obesity. 2015;5(5):273–80.

    Article  CAS  PubMed  Google Scholar 

  26. Groven KS. “Then I Can Become Very Ill”: Women’s Experiences of Living With Irreversible Changes in Their Viscera. Health Care Women Int. 2016;37(6):599–619.

    Article  PubMed  Google Scholar 

  27. Groven KS, Glenn NM. The experience of regaining weight following weight loss surgery: A narrative-phenomenological exploration. Health Care Women Int. 2016;37(11):1185–202.

    Article  PubMed  Google Scholar 

  28. Hillersdal L, Christensen BJ, Holm L. Patients’ strategies for eating after gastric bypass surgery: a qualitative study. Eur J Clin Nutr. 2016;70(4):523–7.

    Article  CAS  PubMed  Google Scholar 

  29. Laurenius A, Engström M. Early dumping syndrome is not a complication but a desirable feature of Roux-en-Y gastric bypass surgery. Clinical obesity. 2016;6(5):332–40.

    Article  CAS  PubMed  Google Scholar 

  30. Lier HØ, Aastrom S, Rørtveit K. Patients’ daily life experiences five years after gastric bypass surgery - a qualitative study. Journal of Clinical Nursing (John Wiley & Sons, Inc). 2016;25(3–4):322–31.

    Article  Google Scholar 

  31. Wood KV, Ogden J. Patients’ long-term experiences following obesity surgery with a focus on eating behaviour: A qualitative study. J Health Psychol. 2016;21(11):2447–56.

    Article  PubMed  Google Scholar 

  32. Liu RH, Irwin JD. Understanding the post-surgical bariatric experiences of patients two or more years after surgery. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2017;26(11):3157–68.

    Article  Google Scholar 

  33. Spadola CE, Wagner EF, Varga LM et al. A Qualitative Examination of Increased Alcohol Use after Bariatric Surgery among Racially/Ethnically Diverse Young Adults. Obesity surgery. 2018;28(6):1492–7.

    Article  PubMed  Google Scholar 

  34. Kabu Hergül F, Özbayır T. I am as normal as everyone now. . . : examination of experiences of patients undergoing bariatric surgery according to Roy’s adaptation model: a qualitative study. Clin Nurs Res. 2021;30(4):511–21.

  35. Reaves DL, Dickson JM, Halford JCG et al. A Qualitative Analysis of Problematic and Non-problematic Alcohol Use After Bariatric Surgery. Obes Surg. 2019;29(7):2200–9.

    Article  PubMed  Google Scholar 

  36. Watson C, Riazi A, Ratcliffe D. Exploring the Experiences of Women Who Develop Restrictive Eating Behaviours After Bariatric Surgery. Obes Surg. 2020;30(6):2131–9.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Yu Y, Burke LE, Shen Q et al. A Qualitative Exploration of Patients’ Experiences with Lifestyle Changes After Sleeve Gastrectomy in China. Obes Surg. 2020;30(8):3127–34.

    Article  PubMed  Google Scholar 

  38. Liebl L, Barnason S, Brage Hudson D. Awakening: a qualitative study on maintaining weight loss after bariatric surgery. Journal of Clinical Nursing (John Wiley & Sons, Inc). 2016;25(7–8):951–61.

    Article  Google Scholar 

  39. Raves DM, Brewis A, Trainer S et al. Bariatric Surgery Patients’ Perceptions of Weight-Related Stigma in Healthcare Settings Impair Post-surgery Dietary Adherence. Front Psychol. 2016;7:1497.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Behary P, Miras AD. Food preferences and underlying mechanisms after bariatric surgery. Proc Nutr Soc. 2015;74(4):419–25.

    Article  PubMed  Google Scholar 

  41. Parrott JFL, Rabena R, et al. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surg Obes Relat Dis. 2017;13(5):727–41.

    Article  PubMed  Google Scholar 

  42. de Godoy ACM, Aprígio LCS, de Godoy EP et al. Food Tolerance and Eating Behavior After Roux-en-Y Gastric Bypass Surgery. Obesity Surgery. 2018;28(6):1540–5.

    Article  PubMed  Google Scholar 

  43. Khalifa IG, Tobar WL, Hegazy TO et al. Food Tolerance After Laparoscopic Sleeve Gastrectomy with Total Antral Resection. Obes Surg. 2019;29(7):2263–9.

    Article  PubMed  Google Scholar 

  44. Larjani S, S.I., Hao G M, et al. Preoperative predictors of adherence to multidisciplinary follow-up care postbariatric surgery. Surg Obes Relat Dis. 2016;12(2):350–6.

    Article  PubMed  Google Scholar 

  45. Aarts F, Geenen R, Gerdes VE et al. Attachment anxiety predicts poor adherence to dietary recommendations: an indirect effect on weight change 1 year after gastric bypass surgery. Obes Surg. 2015;25(4):666–72.

    Article  PubMed  Google Scholar 

  46. Lynch A, Bisogni C. Understanding dietary monitoring and self-weighing by gastric bypass patients: a pilot study of self-monitoring behaviors and long-term weight outcomes. Obes Surg. 2012;22(12):1818–26.

    Article  PubMed  Google Scholar 

  47. Sudan R, Sudan R, Lyden E et al. Food cravings and food consumption after Roux-en-Y gastric bypass versus cholecystectomy. Surg Obes Relat Dis. 2017;13(2):220–6.

    Article  PubMed  Google Scholar 

  48. Groven KS, Råheim M, Engelsrud G. Changing bodies, changing habits: women’s experiences of interval training following gastric bypass surgery. Health Care Women Int. 2015;36(3):276–302.

    Article  PubMed  Google Scholar 

  49. Chao AM, Wadden TA, Faulconbridge LF et al. Binge-eating disorder and the outcome of bariatric surgery in a prospective, observational study: Two-year results. Obesity (Silver Spring). 2016;24(11):2327–33.

    Article  PubMed Central  Google Scholar 

  50. Pinto M, Conceicao E, Brandao I et al. Maladaptive Eating Behaviors and Metabolic Profile in Patients Submitted to Bariatric Surgery: a Longitudinal Study. Obes Surg. 2017;27(6):1554–62.

    Article  PubMed  Google Scholar 

  51. Himes SM, G.K., Clark MM, et al. Stop regain: a pilot psychological intervention for bariatric patients experiencing weight regain. Obesity Surgery. 2015;25(5):922–7.

    Article  PubMed  Google Scholar 

  52. Chan JKY, King M, Vartanian LR. Patient perspectives on psychological care after bariatric surgery: A qualitative study. Clinical Obesity. 2020;10(6):1–9.

    Article  Google Scholar 

  53. Geraci AA, Brunt AR, Marihart CL. Social Support Systems: A Qualitative Analysis of Female Bariatric Patients After the First Two Years Postoperative. BARIATRIC SURGICAL PRACTICE AND PATIENT CARE. 2014;9(2):66–71.

    Article  Google Scholar 

  54. Youssef A, Wiljer D, Mylopoulos M, Maunder R, Sockalingam S. “Caring About Me”: a pilot framework to understand patient-centered care experience in integrated care - a qualitative study. BMJ Open. 2020;10(7):e034970.

  55. Sarwer DB, Dilks RJ, West-Smith L. Dietary intake and eating behavior after bariatric surgery: threats to weight loss maintenance and strategies for success. Surg Obes Relat Dis. 2011;7(5):644–51.

    Article  PubMed  Google Scholar 

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Acknowledgements

All authors acknowledge their rankings. Thanks to Junfeng Zhang from the Songshan Lake Central Hospital, Dongguan, Guangdong, China and Cuiping Ni from the School of Nursing, China Medical University for their help and guidance in this study! We thank TopEdit (www.topeditsci.com) and Elsevier editing services for its linguistic assistance during the preparation of this manuscript.

Funding

Fund Project: Scientific Research Project of Liaoning Provincial Education Department (FWZR2020014).

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Correspondence to Yingli Pan.

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Key Points

1. Systematic evaluation of the dietary experience of patients post-bariatric surgery is inadequate.

2. Patients’ change in body max index (BMI) post-bariatric surgery is hindered by uncontrolled diet and poor eating habits.

3. Adverse side effects post-bariatric surgery are the results of negative eating habits.

4. Patients need dietary management support from healthcare providers and family post-bariatric surgery.

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Li, Z., Pan, Y., Zhang, Y. et al. Dietary experiences after bariatric surgery in patients with obesity: A qualitative systematic review. OBES SURG 32, 2023–2034 (2022). https://doi.org/10.1007/s11695-022-06018-8

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