Relationship between Eating Behavior, Quality of Life and Weight Regain in Women after Bariatric Surgery

Int J Environ Res Public Health. 2022 Jun 22;19(13):7648. doi: 10.3390/ijerph19137648.

Abstract

Individuals undergoing bariatric Surgery (BS) may have long-term weight regain. There is a need to investigate factors that may be related to this and if they can interfere with Quality of Life (QOL). This study aims to evaluate the relationship between eating behavior, perception of QOL, and weight regain in women after 24 months of bariatric surgery. This was a transversal study with 50 adult women residents in the city of Belém, Brazil. Sociodemographic, anthropometric, eating behavior (Three-Factor Eating Questionnaire—TFEQ-21) and perception of QOL (Item Short Form Healthy Survey—SF-36) data were collected. In 60% (n = 30) there was weight regain (≥15%), with a mean weight regain of 23.3% (±18.4). Emotional eating was the most frequent pattern (p = 0.047). Regarding QOL, the functional capacity and limitation due to physical aspects domains had a better perception (p < 0.0001). Women without weight regain showed a better perception of the functional capacity aspects (p = 0.007), limitation due to physical aspects (p = 0.044), social aspects (p = 0.048), and general physical components (p = 0.016) and also had an inverse association with the perception of QOL in physical components (p = 0.008). Patterns of eating behavior and weight regain can damage the perception of QOL, especially physical capacity. Long-term follow-up is essential to evaluate the behavior of people who have undergone BS in order to prevent weight regain and QOL damage.

Keywords: bariatric surgery; eating behavior; emotional eating; quality of life.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bariatric Surgery*
  • Feeding Behavior / psychology
  • Female
  • Humans
  • Obesity, Morbid* / surgery
  • Quality of Life / psychology
  • Surveys and Questionnaires
  • Weight Gain

Grants and funding

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001 (master’s scholarship awarded to T.N.B. for 1-year). The other authors did not receive support from any organization for the submitted study. The article processing charge (APC) was financed by the Research Department of the Federal University of Pará (Pró-Reitoria de Pesquisa e Pós-Graduação–PROPESP/UFPA), notice 02/2022 (PAPQ/PROPESP).