Department of Surgery, Aristotle Univesity of Thessaloniki, 54636, Thessaloniki, Greece.
First Department of Surgery, National & Kapodistrian University of Athens, Athens, Greece.
Obes Surg. 2024 Jun;34(6):2091-2100. doi: 10.1007/s11695-024-07233-1. Epub 2024 May 4.
In recent years, numerous studies have tried to decode the way bariatric surgery works toward weight reduction by the use of food preference questionnaires. The intragastric balloon has gained popularity, mainly due to its limited invasiveness, in patients with obesity not fulfilling criteria for bariatric surgery. However, there is no study assessing the changes in food preferences [FP]. We decided to analyze the FP of individuals prior to intragastric balloon insertion and following its removal, on the strict condition that participants must complete the 6-month treatment period and attend at least 4 of the 7 follow-up interviews.
Patients were asked to rate the frequency of consumption of 63 food items before balloon insertion, at monthly intervals and after balloon removal. The food categories were protein, carbohydrates, fruit and vegetables, and sweets and fats.
The questionnaires of 320 participants were analyzed. A reduced frequency in consumption of meat and meat products, high-fat, and high-carbohydrate/sugary products and an increase in raw vegetables and fruit was found in all individuals.
The intragastric balloon seems to exert analogically similar mechanisms to bariatric surgery for weight loss, both functioning through alterations in FP. These are dictated by the anatomical re-configuration of the stomach, but mainly by counseling of dieticians and the self-education of the patient after experiencing unpleasant postprandial discomfort.
近年来,许多研究试图通过使用食物偏好问卷来解码减重手术的作用机制。胃内球囊因具有微创性,在不符合减重手术标准的肥胖患者中得到了广泛应用。然而,目前还没有研究评估食物偏好[FP]的变化。我们决定分析胃内球囊置入前后个体的 FP,严格的条件是参与者必须完成 6 个月的治疗期,并至少参加 7 次随访访谈中的 4 次。
在胃内球囊置入前、每月一次和取出后,患者被要求对 63 种食物的消费频率进行评分。食物类别包括蛋白质、碳水化合物、水果和蔬菜以及甜食和脂肪。
分析了 320 名参与者的问卷。所有个体都发现肉类和肉类产品、高脂肪、高碳水化合物/含糖产品的消费频率降低,而生蔬菜和水果的消费频率增加。
胃内球囊似乎通过改变 FP 发挥与减重手术类似的减肥机制,这两种机制都通过改变 FP 起作用。这些是由胃的解剖结构重新配置决定的,但主要是通过营养师的咨询和患者在经历不愉快的餐后不适后的自我教育。