Impact of Bariatric Surgery on the Healthy Eating Index, Binge Eating Behavior and Food Craving in a Middle Eastern Population: A Lebanese Experience

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...

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Autores principales: Jana Jabbour, Dalia Awada, Nour Naim, Ayoub Al-Jawaldeh, Houssein Haidar Ahmad, Hussein Mortada, Maha Hoteit
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/b564941a6b7b4c7aa615167a8d679d10
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spelling oai:doaj.org-article:b564941a6b7b4c7aa615167a8d679d102021-11-25T17:43:39ZImpact of Bariatric Surgery on the Healthy Eating Index, Binge Eating Behavior and Food Craving in a Middle Eastern Population: A Lebanese Experience10.3390/healthcare91114162227-9032https://doaj.org/article/b564941a6b7b4c7aa615167a8d679d102021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1416https://doaj.org/toc/2227-9032Even 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 (<i>n</i> = 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% (<i>p</i> < 0.01). Food craving followed a similar trend, with scores dropping from 50 ± 36 pre-surgery to 30 ± 25 post surgery (<i>p</i> < 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.Jana JabbourDalia AwadaNour NaimAyoub Al-JawaldehHoussein Haidar AhmadHussein MortadaMaha HoteitMDPI AGarticlebariatric surgeryhealthy eating indexbinge eating behaviorfood cravingLebanonMedicineRENHealthcare, Vol 9, Iss 1416, p 1416 (2021)
institution DOAJ
collection DOAJ
language EN
topic bariatric surgery
healthy eating index
binge eating behavior
food craving
Lebanon
Medicine
R
spellingShingle bariatric surgery
healthy eating index
binge eating behavior
food craving
Lebanon
Medicine
R
Jana Jabbour
Dalia Awada
Nour Naim
Ayoub Al-Jawaldeh
Houssein Haidar Ahmad
Hussein Mortada
Maha Hoteit
Impact of Bariatric Surgery on the Healthy Eating Index, Binge Eating Behavior and Food Craving in a Middle Eastern Population: A Lebanese Experience
description 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 (<i>n</i> = 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% (<i>p</i> < 0.01). Food craving followed a similar trend, with scores dropping from 50 ± 36 pre-surgery to 30 ± 25 post surgery (<i>p</i> < 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.
format article
author Jana Jabbour
Dalia Awada
Nour Naim
Ayoub Al-Jawaldeh
Houssein Haidar Ahmad
Hussein Mortada
Maha Hoteit
author_facet Jana Jabbour
Dalia Awada
Nour Naim
Ayoub Al-Jawaldeh
Houssein Haidar Ahmad
Hussein Mortada
Maha Hoteit
author_sort Jana Jabbour
title Impact of Bariatric Surgery on the Healthy Eating Index, Binge Eating Behavior and Food Craving in a Middle Eastern Population: A Lebanese Experience
title_short Impact of Bariatric Surgery on the Healthy Eating Index, Binge Eating Behavior and Food Craving in a Middle Eastern Population: A Lebanese Experience
title_full Impact of Bariatric Surgery on the Healthy Eating Index, Binge Eating Behavior and Food Craving in a Middle Eastern Population: A Lebanese Experience
title_fullStr Impact of Bariatric Surgery on the Healthy Eating Index, Binge Eating Behavior and Food Craving in a Middle Eastern Population: A Lebanese Experience
title_full_unstemmed Impact of Bariatric Surgery on the Healthy Eating Index, Binge Eating Behavior and Food Craving in a Middle Eastern Population: A Lebanese Experience
title_sort impact of bariatric surgery on the healthy eating index, binge eating behavior and food craving in a middle eastern population: a lebanese experience
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/b564941a6b7b4c7aa615167a8d679d10
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