Abstract
Background
Weight loss and long-term weight maintenance in bariatric surgery patients are related to maintaining satiety. It can be related to glycemic load (GL) and carbohydrate (g CHO) intake. The aim of this study was to investigate the effect of g CHO and GL and in weight loss on patients who had undergone bariatric surgery.
Method
The following measurements/calculations were conducted as follows: current body weight (kg), current BMI, percentage of excess weight loss (PEWL), average monthly weight loss (AMWL), energy intake (kcal per day), and GL calculation. Correlations were found among the studied variables. A multiple linear regression analysis of diet variables executed with GL and weight loss.
Results
The population presented 66% of EWL. The average of total energy intake (TEI) was 1220 ± 480, and the calculated GL resulted in an average of 73.2. Negative correlations were found between AMWL and TEI (p = 0.04), and between AMWL and GL (p = 0.009); furthermore, a negative correlation was found between carbohydrate intake in grams and AMWL (p = 0.003). A positive correlation (p = 0.017) was found between GL and TEI. Weight loss and GL were also correlated. Among the intake variables, GL and g CHO consumed are held accountable for 62 percent of AMWL. The multiple linear regression analysis showed that GL and carbohydrate grams (g CHO) account for 62% of AMWL.
Conclusion
The glycemic load and grams of carbohydrate are intake factors that can be useful tools in weight loss and long-term weight maintenance on patients who have undergone Roux-en-Y Gastric Bypass (RYGB).
Similar content being viewed by others
References
Buchwald H, Avidor Y, Braunwald E, et al. Bariatric review. JAMA. 2004;292:1725–37.
Mognol P, Chosidow D, Marmuse JP. Laparoscopic conversion of laparoscopic gastric banding to Roux-en-Y Gastric Bypass: a review of seventy patients. Obes Surg. 2004;14:1349–53.
Sugerman HJ, et al. Gastric bypass for treating severe obesity. Am J Clin Nutr Bethesda. Apr 2000;55(2):108–13.
Brolin RE. Bariatric surgery and long-term control of morbid obesity. JAMA. 2002;288:2793–6.
Gerstein DE, Woodward-Lopez G, Evans AE, et al. Clarifying concepts about macronutriets’ effect on satiation and saciety. J Am Diet Assoc. 2004;104:1151–3.
Flanagan L Jr. Understanding the function of the small gastric pouch. In: Deitel M, Cowan GSM, editors. Update: surgery for morbidly obese patient. Toronto: FD Communications Inc.; 2000. p. 147–60.
Kristensen ST. Social and cultural aspects perspectives on hunger, appetite and satiety. Eur J Clin Nutr. 2000;54(6):473–8.
Cummings DE, Overduin J, Foster-Schubert K. Gastric bypass for obesity: mechanisms of weight loss and diabetes resolution. J Clin Endocrinol Metab. 2004;89(6):2608–15.
Fruhbeck G, Diez-Caballero A, Gil MJ, et al. The decrease in plasma ghrelin concentrations following bariatric surgery depends on the functional integrity of the fundus. Obes Surg. 2004;14:606–12.
Kral J. Surgical treatment of obesity. Nat Clin Pract. 2007;3(8):574–83.
Cummings DE, Weigle DS, Frayo RS, et al. Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med. 2002;346:1623–30.
Ariyasu H, Takaya K, Tagami T, Ogawa Y, Hosoda K, Akamizu T, et al. Stomach is a major source of circulating ghrelin, and feeding state determines plasma ghrelin-like immunoreactivity levels in humans. J Clin Endocrinol Metab. 2001;86(10):4753–8.
Cummings DE, et al. A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans. Diabetes. 2001;50:1714–9.
Hanusch-Enserer U, Cauza E, Brabant G, et al. Plasma ghrelin in obesity before and after weight loss after laparoscopic adjustable gastric banding. J Clin Endocrinol Metab. 2004;89:3352–8.
Stoeckli R, Chanda R, Langer I, et al. Changes of body weight and plasma ghrelin levels after gastric banding and gastric bypass. Obes Res. 2004;12:346–50.
Tso P, Liu M. Ingested fat and satiety. Physiol Behav. 2004;81:275–87.
Morínigo R, et al. Glucagon-like Peptide-1, Peptide YY, hunger, and satiety after gastric bypass surgery in morbidly obese subjects. J Clin Endocrinol Metab. 2006;91(5):1735–40.
Korner J, Bessler M, Cirilo LJ, et al. Effects of Roux-en-Y gastric bypass surgery on fasting and postprandial concentrations of plasma ghrelin, peptide YY, and insulin. J Clin Endocrinol Metab. 2005;90(1):359–65.
Jenkins DJ, Wolever TM, Taylor RH, et al. Glycemic Index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr. 1981;34:362–6.
Ludwig DS. Dietary glycemic index and obesity. J Nutr. 2000;130:280s–3s.
Roberts SB. High-glycemic index foods, hunger and obesity: is there a connection? Nutr Rev. 2000;8:163–9.
Pawlak DB, Ebbeling CB, Ludwig DS. Should obese patient be counseled to follow a low-glycaemic index diet? Yes. Obes Rev. 2002;3:235–43.
Foster-Power K, Holt SH, Brand-Miller JC. International table of glycemic index and glycemic load values. Am J Clin Nutr. 2002;76:5–56.
Ebbeling CB, Ludwing DS. Treating obesity in youth: should dietary glycemic load be a consideration? Adv Pediatr. 2001;48:179–212.
Gordon CC, Chumlea WC, Roche AF. Stature, recumbent length and weight. In: Lohman TG, Roche AF, Martorell R, editors. Anthropometrics standarlization reference manual. Champaign, IL: Human Kinetics; 1988. p. 3–8.
World Health Organization. Physical status: the use and interpretation of anthropometry. Geneva: WHO; 1995.
Metropolitan Height and Weight Tables 1983. Metropolitan Life Foundation, Statistical Bulletin 1959.
Moize V, Geliebter A, Gluck. Obese patients have inadequate protein intake related to protein intolerance up to 1 year following Roux-en-Y gastric bypass. Obes Surg. 2003;13:23–8.
Cottan DR, Atkinson J, Anderson A, et al. A case-controlled matched-pair cohort study of laparoscopic Roux-en-Y Gastric Bypass and lap-band® patients in a single US center with three-year follow-up. Obes Surg. 2006;16:534–40.
Botelho CZ, Viana RPT, Fli MF, et al. Registro Fotográfico para inquéritos Dietéticos utensílios e porções. Goiânia: UFG; 1996. p. 21–63.
Nutrisurvey. Available at http://www.nutrisurvey.de/. Accessed in December 2002.
Pinheiro ABV, Lacerda EMA, Benzecry EH, et al. Tabela para Avaliação de Consumo Alimentar em Medidas Caseiras. São Paulo: Atheneu; 2000.
Ludwig D. The glycemic index physiological mechanism relating to obesity, diabetes, and cardiovascular disease. JAMA. 2002;287:2414–23.
FAO/WHO. Expert consultation on carbohydrates in human nutrition. Geneva; 1998.
Woodward BG. The surgical experience. In: A complete guide to obesity surgery. 1st ed. Traffor Publishing.
Balsiger BM, Murr MM, Poggio JL, et al. Bariatric surgery. Med Clin North Am. 2000;84:477–89.
Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity in selective versus random assignment. Am J Surg. 1989;157:93–102.
Christou NV, Sampalis JS, Liberman M, et al. Surgery decreases long-term mortality, morbidily and health care use in morbidly obese patient. Ann Surg. 2004;240:416–24.
Brolin RE, Robertson LB, Kenler HA, Cody RP. Weight loss and dietary intake aftervertical banded gastroplasty and Roux-en-Y gastric bypass. Ann Surg. 1994;220.
Hsu GLK, Benoti PN, Dwyer, et al. Nonsurgical factors that influence the outcome of bariatric surgery: a review. Psychosom Med. 1998;60:338–46.
Brolin RE. Gastric bypass. In: Sugerman HJ, editor. The surgical clinics of North America. Obesity surgery. Vol. 81. Pennsylvania: Saunders Company; 2001. p. 1077–95.
Stocker DJ. Management of bariatric surgery patient. Endocrinol Metab Clin N Am. 2003;32:437–57.
Wardé-Kamar J, Rogers M, Flancbaum, et al. Calorie intake and meal patterns up to 4 years after Roux-en-Y gastric bypass surgery. Obes Surg. 2004;14:1070–90.
Banegas JR. Diretrizes para la elaboracion de estúdios poblaciones de alimentacion y nutricion; 1994.
O’Neil PM. Assessing dietary intake in management of obesity. Obes Res. 2001;9(5):361–6.
Andersen T, et al. Pouch volume stoma diameter and clinical outcome after gastroplasty for morbid obesity. Scand Gastroenterol. 1984;19:643–9.
Blake M, et al. Assessment of nutrient in association with weight loss after gastric restrictive procedures for morbid obesity. Aust NZJ Surg. 1991;61:195–9.
Canadian Diabetes Association. Available at www.diabetes.ca. Accessed in January 2006.
Blundell JE, Burley VJ. Satiation, satiety and the action of fibre on food intake. Int J Obes. 1997; Suppl 1:9–25.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Faria, S.L., Faria, O.P., Lopes, T.C. et al. Relation Between Carbohydrate Intake and Weight Loss After Bariatric Surgery. OBES SURG 19, 708–716 (2009). https://doi.org/10.1007/s11695-008-9583-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-008-9583-y