Skip to main content
Log in

Alteration Pattern of Taste Perception After Bariatric Surgery: a Systematic Review of Four Taste Domains

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

Efforts continue to understand the underlying mechanism of weight loss after bariatric surgery. Taste perception has shown to be a contributing factor. However, the alteration pattern in different taste domains and among bariatric procedures has not been sufficiently investigated.

Objectives

To study the alteration pattern in the perception of four taste domains after different bariatric procedures.

Settings

Private Research Institute, USA.

Methods

A systematic review was conducted to pool available data in the literature on post-operative changes in the perception of sensitivity to four taste domains after Roux-en-Y gastric bypass (RYGB), laparoscopic sleeve gastrectomy (LSG), and adjustable gastric banding (AGB).

Results

Our study showed that bariatric surgery is associated with significant change in sensitivity to all four taste domains especially salt taste, sweetness, and sourness. LSG patients showed an increased sensitivity to all four taste domains. However, RYGB patients had a variable alteration pattern of taste perception but more commonly a decreased sensitivity to sweetness and an increased sensitivity to salt taste and sourness. Additionally, AGB patients had a decreased sensitivity to sweetness, salt taste, and sourness.

Conclusion

Bariatric surgery is associated with taste change in a way which results in less preference for high-calorie food and possibly reduced calorie intake. This may explain one of the mechanisms by which bariatric surgery produces weight loss. However, data are heterogeneous, the potential effect dilutes over time, and the alteration varies significantly between different procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Drewnowski A. The cost of US foods as related to their nutritive value. Am J Clin Nutr. 2010;92(5):1181–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Mendoza JA, Drewnowski A, Christakis DA. Dietary energy density is associated with obesity and the metabolic syndrome in U.S. adults. Diabetes Care. 2007;30(4):974–9.

    Article  PubMed  Google Scholar 

  3. Cardenas Fuentes G et al. Association of physical activity with body mass index, waist circumference and incidence of obesity in older adults. Eur J Pub Health. 2018;28(5):944–50.

    Article  Google Scholar 

  4. Ochs-Balcom HM, Preus L, Nie J, et al. Physical activity modifies genetic susceptibility to obesity in postmenopausal women. Menopause. 2018;25(10):1131–7.

    Article  PubMed  Google Scholar 

  5. Donaldson LF, Bennett L, Baic S, et al. Taste and weight: is there a link? Am J Clin Nutr. 2009;90(3):800S–3S.

    Article  CAS  PubMed  Google Scholar 

  6. Drewnowski A. Taste preferences and food intake. Annu Rev Nutr. 1997;17:237–53.

    Article  CAS  PubMed  Google Scholar 

  7. Han P, Bagenna B, Fu M. The sweet taste signalling pathways in the oral cavity and the gastrointestinal tract affect human appetite and food intake: a review. Int J Food Sci Nutr. 2018:1–11.

  8. Low YQ, Lacy K, Keast R. The role of sweet taste in satiation and satiety. Nutrients. 2014;6(9):3431–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Aguayo, G.A., et al., Taste preference and psychopathology. Bull Soc Sci Med Grand Duche Luxemb, 2012(2): p. 7–14.

  10. Berthoud HR, Zheng H. Modulation of taste responsiveness and food preference by obesity and weight loss. Physiol Behav. 2012;107(4):527–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Shoar S, Saber AA. Long-term and midterm outcomes of laparoscopic sleeve gastrectomy versus Roux-en-Y gastric bypass: a systematic review and meta-analysis of comparative studies. Surg Obes Relat Dis. 2017;13(2):170–80.

    Article  PubMed  Google Scholar 

  12. Khorgami Z, Shoar S, Andalib A, et al. Trends in utilization of bariatric surgery, 2010-2014: sleeve gastrectomy dominates. Surg Obes Relat Dis. 2017;13(5):774–8.

    Article  PubMed  Google Scholar 

  13. Khorgami Z, Petrosky JA, Andalib A, et al. Fast track bariatric surgery: safety of discharge on the first postoperative day after bariatric surgery. Surg Obes Relat Dis. 2017;13(2):273–80.

    Article  PubMed  Google Scholar 

  14. Ahmed K, Penney N, Darzi A, et al. Taste changes after bariatric surgery: a systematic review. Obes Surg. 2018;28(10):3321–32.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0, ed. J. Higgins and S. Green. 2011: The Cochrane Collaboration.

  16. Hutton B, Salanti G, Caldwell DM, et al. The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Ann Intern Med. 2015;162(11):777–84.

    Article  PubMed  Google Scholar 

  17. Altun H, Hanci D, Altun H, et al. Improved gustatory sensitivity in morbidly obese patients after laparoscopic sleeve gastrectomy. Ann Otol Rhinol Laryngol. 2016;125(7):536–40.

    Article  PubMed  Google Scholar 

  18. Burge JC et al. Changes in patients’ taste acuity after Roux-en-Y gastric bypass for clinically severe obesity. J Am Diet Assoc. 1995;95(6):666–70.

    Article  CAS  PubMed  Google Scholar 

  19. Ekmekcioglu C, Maedge J, Lam L, et al. Salt taste after bariatric surgery and weight loss in obese persons. PeerJ. 2016;4:e2086.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Graham L, Murty G, Bowrey DJ. Taste, smell and appetite change after Roux-en-Y gastric bypass surgery. Obes Surg. 2014;24(9):1463–8.

    Article  CAS  PubMed  Google Scholar 

  21. Makaronidis JM, Neilson S, Cheung WH, et al. Reported appetite, taste and smell changes following Roux-en-Y gastric bypass and sleeve gastrectomy: effect of gender, type 2 diabetes and relationship to post-operative weight loss. Appetite. 2016;107:93–105.

    Article  PubMed  Google Scholar 

  22. Nance K, Eagon J, Klein S, et al. Effects of sleeve gastrectomy vs. Roux-en-Y gastric bypass on eating behavior and sweet taste perception in subjects with obesity. Nutrients. 2017;10(1)

  23. Pepino MY, Bradley D, Eagon JC, et al. Changes in taste perception and eating behavior after bariatric surgery-induced weight loss in women. Obesity (Silver Spring). 2014;22(5):E13–20.

    Article  Google Scholar 

  24. Scruggs DM, Buffington C, Cowan Jr GS. Taste acuity of the morbidly obese before and after gastric bypass surgery. Obes Surg. 1994;4(1):24–8.

    Article  CAS  PubMed  Google Scholar 

  25. Tichansky DS, Boughter Jr JD, Madan AK. Taste change after laparoscopic Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2006;2(4):440–4.

    Article  PubMed  Google Scholar 

  26. Van Vuuren MAJ et al. Taste, enjoyment, and desire of flavors change after sleeve gastrectomy-short term results. Obes Surg. 2017;27(6):1466–73.

    Article  PubMed  Google Scholar 

  27. Wang JL, Yang Q, Hajnal A, et al. A pilot functional MRI study in Roux-en-Y gastric bypass patients to study alteration in taste functions after surgery. Surg Endosc. 2016;30(3):892–8.

    Article  PubMed  Google Scholar 

  28. Zerrweck C, Zurita L, Álvarez G, et al. Taste and olfactory changes following laparoscopic gastric bypass and sleeve gastrectomy. Obes Surg. 2016;26(6):1296–302.

    Article  PubMed  Google Scholar 

  29. Keller KL, Olsen A, Cravener TL, et al. Bitter taste phenotype and body weight predict children's selection of sweet and savory foods at a palatable test-meal. Appetite. 2014;77:113–21.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Perna S, Riva A, Nicosanti G, et al. Association of the bitter taste receptor gene TAS2R38 (polymorphism RS713598) with sensory responsiveness, food preferences, biochemical parameters and body-composition markers. A cross-sectional study in Italy. Int J Food Sci Nutr. 2018;69(2):245–52.

    Article  CAS  PubMed  Google Scholar 

  31. Oftedal KN, Tepper BJ. Influence of the PROP bitter taste phenotype and eating attitudes on energy intake and weight status in pre-adolescents: a 6-year follow-up study. Physiol Behav. 2013;118:103–11.

    Article  CAS  PubMed  Google Scholar 

  32. Andreozzi P, Sarnelli G, Pesce M, et al. The bitter taste receptor agonist quinine reduces calorie intake and increases the postprandial release of cholecystokinin in healthy subjects. J Neurogastroenterol Motil. 2015;21(4):511–9.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Disse E, Bussier AL, Veyrat-Durebex C, et al. Peripheral ghrelin enhances sweet taste food consumption and preference, regardless of its caloric content. Physiol Behav. 2010;101(2):277–81.

    Article  CAS  PubMed  Google Scholar 

  34. Macedo DM, Diez-Garcia RW. Sweet craving and ghrelin and leptin levels in women during stress. Appetite. 2014;80:264–70.

    Article  PubMed  Google Scholar 

  35. Kalinowski P, Paluszkiewicz R, Wróblewski T, et al. Ghrelin, leptin, and glycemic control after sleeve gastrectomy versus Roux-en-Y gastric bypass-results of a randomized clinical trial. Surg Obes Relat Dis. 2017;13(2):181–8.

    Article  PubMed  Google Scholar 

  36. Fonseca DC, Sala P, Singer J, et al. Upregulation of ghrelin gene expression in the excluded stomach of obese women with type 2 diabetes after Roux-en-Y gastric bypass in the SURMetaGIT study. Obes Surg. 2018;28(3):877–80.

    Article  PubMed  Google Scholar 

  37. Jyotaki M, Sanematsu K, Shigemura N, et al. Leptin suppresses sweet taste responses of enteroendocrine STC-1 cells. Neuroscience. 2016;332:76–87.

    Article  CAS  PubMed  Google Scholar 

  38. Cai H, Cong WN, Daimon CM, et al. Altered lipid and salt taste responsivity in ghrelin and GOAT null mice. PLoS One. 2013;8(10):e76553.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Zhang Y, Li F, Liu FQ, et al. Elevation of fasting ghrelin in healthy human subjects consuming a high-salt diet: a novel mechanism of obesity? Nutrients. 2016;8(6)

  40. Hallersund P, Sjöström L, Olbers T, et al. Gastric bypass surgery is followed by lowered blood pressure and increased diuresis - long term results from the Swedish obese subjects (SOS) study. PLoS One. 2012;7(11):e49696.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. DeSimone JA, Lyall V. Taste receptors in the gastrointestinal tract III. Salty and sour taste: sensing of sodium and protons by the tongue. Am J Physiol Gastrointest Liver Physiol. 2006;291(6):G1005–10.

    Article  CAS  PubMed  Google Scholar 

  42. Simchen U, Koebnick C, Hoyer S, et al. Odour and taste sensitivity is associated with body weight and extent of misreporting of body weight. Eur J Clin Nutr. 2006;60(6):698–705.

    Article  CAS  PubMed  Google Scholar 

  43. Monneuse MO, Rigal N, Frelut ML, et al. Taste acuity of obese adolescents and changes in food neophobia and food preferences during a weight reduction session. Appetite. 2008;50(2–3):302–7.

    Article  PubMed  Google Scholar 

  44. Bajerska J, Mildner-Szkudlarz S, Górnaś P, et al. The effects of muffins enriched with sour cherry pomace on acceptability, glycemic response, satiety and energy intake: a randomized crossover trial. J Sci Food Agric. 2016;96(7):2486–93.

    Article  CAS  PubMed  Google Scholar 

  45. Chen MC, Wu SV, Reeve Jr JR, et al. Bitter stimuli induce Ca2+ signaling and CCK release in enteroendocrine STC-1 cells: role of L-type voltage-sensitive Ca2+ channels. Am J Physiol Cell Physiol. 2006;291(4):C726–39.

    Article  CAS  PubMed  Google Scholar 

  46. Mendieta-Zeron H et al. Biliopancreatic diversion induces villi elongation and cholecystokinin and ghrelin increase. Diabetes Metab Syndr. 2011;5(2):66–70.

    Article  PubMed  Google Scholar 

  47. Sorensen TI et al. Plasma cholecystokinin in obese patients before and after jejunoileal bypass with 3:1 or 1:3 jejunoileal ratio--no role in the increased risk of gallstone formation. Dan Med Bull. 1994;41(4):469–72.

    CAS  PubMed  Google Scholar 

  48. Brennan IM, Little TJ, Feltrin KL, et al. Dose-dependent effects of cholecystokinin-8 on antropyloroduodenal motility, gastrointestinal hormones, appetite, and energy intake in healthy men. Am J Physiol Endocrinol Metab. 2008;295(6):E1487–94.

    Article  CAS  PubMed  Google Scholar 

  49. Little TJ, Horowitz M, Feinle-Bisset C. Role of cholecystokinin in appetite control and body weight regulation. Obes Rev. 2005;6(4):297–306.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Saeed Shoar.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Statement of Informed Consent

Not applicable as it is a systematic review and meta-analysis with no original data from patients.

Statement of Human and Animal Rights/Ethical Approval

Not applicable as it is a systematic review and meta-analysis with no original data from patients.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shoar, S., Naderan, M., Shoar, N. et al. Alteration Pattern of Taste Perception After Bariatric Surgery: a Systematic Review of Four Taste Domains. OBES SURG 29, 1542–1550 (2019). https://doi.org/10.1007/s11695-019-03730-w

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-019-03730-w

Keywords

Navigation