Obesity

Hedonic hunger, eating behavior, and food reward and preferences 1 year after initial weight loss by diet or bariatric surgery

Obesity (Silver Spring)Published Prospective cohort study

Authors' conclusion

Continued WL with bariatric surgery is paralleled by favorable changes in eating behavior and food reward and preferences. By contrast, controls experienced weight regain at 1Y follow-up and no changes in eating behavior. These striking differences are likely to be important in the long-term WL management of individuals with severe obesity.

Study context

Population
Patients scheduled for sleeve gastrectomy or Roux-en-Y gastric bypass, and controls
Exposure
Very low-energy diet plus bariatric surgery (SG or RYGB) vs very low-energy diet alone
Outcome
Changes in hedonic hunger, eating behavior, and food reward and preferences
Follow-up
1-year follow-up

Main finding

As reported in the abstract

Hedonic hunger, eating behavior, and food reward · 1Y follow-up
  • Decreases in emotional eating, hunger, disinhibition and food reward and increases in dietary restraint at 1Y in the bariatric-surgery groups only

Observational data: associations, not effects.

Further findings

Anthropometric variables and hedonic hunger · week 11

Changes in anthropometric variables comparable across groups; hedonic hunger decreased overall

Body weight and fat mass · 1Y follow-up

Bariatric-surgery groups continued to lose body weight and fat mass; weight regain in controls

Original publication

Hedonic hunger, eating behavior, and food reward and preferences 1 year after initial weight loss by diet or bariatric surgery. Obesity (Silver Spring). Published 23 April 2024. doi:10.1002/oby.24021

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