Jabbour Jana, Awada Dalia, Naim Nour, Al-Jawaldeh Ayoub, Haidar Ahmad Houssein, Mortada Hussein, Hoteit Maha
Nutrition Department, School of Health Sciences, Modern University for Business and Sciences, Beirut 6573, Lebanon.
PHENOL Research Group (Public Health Nutrition Program-Lebanon), Faculty of Public Health, Lebanese University, Beirut 6573, Lebanon.
Healthcare (Basel). 2021 Oct 21;9(11):1416. doi: 10.3390/healthcare9111416.
Even though bariatric surgeries (BS) are on the rise in Lebanon and the Middle East, the changes in diet quality, binge eating, and food cravings in this region are poorly studied peri-operatively. This cross-sectional study aimed to assess binge eating behaviors, food craving and the Healthy Eating Index (HEI) in Lebanese patients who underwent BS in a duration that exceeds 6 months. Evaluation included a dietary assessment of usual diet preoperatively and postoperatively. It included the collection of information on sociodemographic, anthropometric and surgical variables, as well as the administration of dietary recalls and questionnaires to calculate the HEI score, the Binge Eating Scale (BES) and the Food Craving Inventory (FCI). Participants ( = 60) were mostly females (85%) who had undergone sleeve gastrectomy (90%), with a mean duration since BS of 2.4 ± 1.8 years. Despite improvements in their HEI scores, 97% of the participants remained in the worst category. The frequency of participants in the severe BES category dropped markedly postoperatively from 78% to 5% ( < 0.01). Food craving followed a similar trend, with scores dropping from 50 ± 36 pre-surgery to 30 ± 25 post surgery ( < 0.01). Weight regain, prevalent among 40% of participants, was predicted by BES. Despite the improvement in BES and FCI, HEI improvement remained shy. Future interventions should validate findings in other countries and assess means for optimizing HEI scores among BS patients in the Middle East region.
尽管减肥手术在黎巴嫩和中东地区呈上升趋势，但该地区围手术期饮食质量、暴饮暴食和食物渴望的变化研究较少。这项横断面研究旨在评估在超过6个月的时间内接受减肥手术的黎巴嫩患者的暴饮暴食行为、食物渴望和健康饮食指数（HEI）。评估包括术前和术后对日常饮食的饮食评估。它包括收集社会人口统计学、人体测量学和手术变量的信息，以及进行饮食回忆和问卷调查，以计算HEI得分、暴饮暴食量表（BES）和食物渴望量表（FCI）。参与者（n = 60）大多为女性（85%），接受了袖状胃切除术（90%），自减肥手术以来的平均时间为2.4±1.8年。尽管他们的HEI得分有所改善，但97%的参与者仍处于最差类别。严重BES类别的参与者频率术后从78%显著下降到5%（P < 0.01）。食物渴望也呈现类似趋势，得分从术前的50±36降至术后的30±25（P < 0.01）。40%的参与者存在体重反弹，BES可预测体重反弹情况。尽管BES和FCI有所改善，但HEI的改善仍然有限。未来的干预措施应在其他国家验证研究结果，并评估优化中东地区减肥手术患者HEI得分的方法。
