Abstract

Background: Obesity is now recognized as one of the most important public health issues worldwide. Bariatric surgery is the most durable weight-loss solution for patients with morbid obesity. However, adopting healthy eating behaviors is essential for successful weight loss and improving health-related quality of life.

Purpose: This study aimed to assess the association between eating behaviors and health-related quality of life (HRQOL) and examined influencing factors among patients after bariatric surgery.

Methods: The cross-sectional study design was adopted with convenience sampling conducted at bariatric center in Southern Taiwan. A total of 296 morbid obesity patients were recruited. Data were collected from August 2023 to January 2024. The data was collected using structured questionnaires, including demographic and medical-related variables, the Dutch Eating Behavior Questionnaire (DEBQ), and the Impact of Weight on Quality of Life-Lite scale (IWQOL-Lite). Statistical analyses were conducted using SPSS statistical package version 25.

Results: The results indicated significant positive correlations between IWQOL-Lite and postoperative months (r= .130 ~ .270, p= .026 ~ < .001) but negative correlations between emotional eating behavior (r= -.135, p= .021 ~ < .001), external eating behavior (r= -.174, p= .003) and postoperative months. The postoperative BMI decline rate and total weight loss were significantly positively correlated with IWQOL-Lite subscale (including physical function dimension, self-esteem dimension), but significantly negatively correlated with emotional eating behavior. Furthermore, there were significant negative correlations between restrained eating behavior, emotional eating behavior, external eating behavior and HRQOL subscales (r= -.172 ~ -.293, p < .001) and overall HRQOL (r= -.250 ~ -.406, p < .001). A hierarchical regression model identified 6 predictors of overall HRQOL. These predictors were: postoperative months, BMI, and body weight (7.1%), restrained eating behavior (5.7%), emotional eating behavior (2.3%), external eating behavior (7.6%). These predictors accounted for 22.7% of total variance.

Conclusions/Discussion: This study can assist healthcare professionals understand patients' eating behaviors and provide targeted care interventions to modify adverse eating habits, thereby improving the health-related quality of life for patients with morbid obesity following bariatric surgery.

Notes

References:

Baheeg, M., Elgohary, S. A., Tag-Eldin, M., Hegab, A. M. E., Shehata, M. S., Osman, E. M., . . . Hasan, A. (2022). Effect of laparoscopic sleeve gastrectomy vs laparoscopic Rouxen Y gastric bypass on weight loss in Egyptian patients with morbid obesity. Ann Med Surg (Lond), 73, 103235. doi:10.1016/j.amsu.2021.103235

Nandrino, J.-L., Grynberg, D., Gandolphe, M.-C., Willem, C., Benaisa, K., Taccoen, A., . . . Pattou, F. (2020). Decreased emotional eating behavior is associated with greater excess weight loss five years after gastric banding. Appetite, 149, 104620.

Romeijn, M. M., Schellekens, J., Bonouvrie, D. S., Janssen, L., van Dielen, F. M., Leclercq, W. K., & van de Wal, M. (2021). Emotional eating as predictor of weight loss 2 years after Rouxen Y gastric bypass. Clinical obesity, 11(4), e12458.

Van Strien, T., Frijters, J. E., Bergers, G. P., & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 5(2), 295-315.

World Obesity Federation. (2024). Prevalence of Obesity. Retrieved from: https://www.worldobesity.org/about/about-obesity/prevalence-of-obesity

Description

1. There were significant negative correlations between restrained eating behavior, emotional eating behavior, external eating behavior and HRQOL

2. The 6 predictors (including postoperative months, BMI, body weight, restrained eating behavior, emotional eating behavior, and external eating behavior) of overall HRQOL. These predictors accounted for 22.7% of total variance.

Author Details

Shih-Ting LO, BSN; Shu-Fen Wu, PhD(c); Yu-Rong Hsu, MS; Tien-Chou Soong, MS

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Quantitative Research

Keywords:

Public and Community Health, Primary Care, Obesity, Bariatric Surgery, Eating Behaviors, Quality of Life

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Click on the above link to access the poster.

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The Explorative of Eating Behavior, Quality of Life and Related Factor in Bariatric Surgery Patients

Seattle, Washington, USA

Background: Obesity is now recognized as one of the most important public health issues worldwide. Bariatric surgery is the most durable weight-loss solution for patients with morbid obesity. However, adopting healthy eating behaviors is essential for successful weight loss and improving health-related quality of life.

Purpose: This study aimed to assess the association between eating behaviors and health-related quality of life (HRQOL) and examined influencing factors among patients after bariatric surgery.

Methods: The cross-sectional study design was adopted with convenience sampling conducted at bariatric center in Southern Taiwan. A total of 296 morbid obesity patients were recruited. Data were collected from August 2023 to January 2024. The data was collected using structured questionnaires, including demographic and medical-related variables, the Dutch Eating Behavior Questionnaire (DEBQ), and the Impact of Weight on Quality of Life-Lite scale (IWQOL-Lite). Statistical analyses were conducted using SPSS statistical package version 25.

Results: The results indicated significant positive correlations between IWQOL-Lite and postoperative months (r= .130 ~ .270, p= .026 ~ < .001) but negative correlations between emotional eating behavior (r= -.135, p= .021 ~ < .001), external eating behavior (r= -.174, p= .003) and postoperative months. The postoperative BMI decline rate and total weight loss were significantly positively correlated with IWQOL-Lite subscale (including physical function dimension, self-esteem dimension), but significantly negatively correlated with emotional eating behavior. Furthermore, there were significant negative correlations between restrained eating behavior, emotional eating behavior, external eating behavior and HRQOL subscales (r= -.172 ~ -.293, p < .001) and overall HRQOL (r= -.250 ~ -.406, p < .001). A hierarchical regression model identified 6 predictors of overall HRQOL. These predictors were: postoperative months, BMI, and body weight (7.1%), restrained eating behavior (5.7%), emotional eating behavior (2.3%), external eating behavior (7.6%). These predictors accounted for 22.7% of total variance.

Conclusions/Discussion: This study can assist healthcare professionals understand patients' eating behaviors and provide targeted care interventions to modify adverse eating habits, thereby improving the health-related quality of life for patients with morbid obesity following bariatric surgery.