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The Short-Term Effect of Sleeve Gastrectomy on Blood Lipid Parameters and Emotional Appetite in Morbidly Obese Individuals

Year 2024, , 38 - 46, 30.04.2024
https://doi.org/10.58605/bingolsaglik.1420164

Abstract

Background: Obesity is a public health problem that has an increasing effect all over the world and affects health in many ways. In cases where the BMI exceeds 40 kg/m2 or in individuals with a BMI of 35 kg/m2 and accompanying diseases, weight loss cannot be achieved, thus bariatric surgeries are applied.
Methods: In this study, the relationship between blood lipid parameters and emotional appetite status in the pre-operative and early post-operative periods of individuals who underwent sleeve gastrectomy (n = 47) was investigated.
Results: As a result of the study, total cholesterol, triglyceride, high density lipoprotein (HDL) cholesterol, and low density lipoprotein (LDL) cholesterol values of individuals in the early post-operative period were statistically significantly decreased (p< 0.001). It was found that there was a weak positive correlation between individuals' early post-operative total cholesterol and LDL cholesterol values, positive mood and state total scores, and negative emotion and state total scores (p<0.05).
Conclusion: As a result, it is seen that sleeve gastrectomy has positive effects on blood lipid parameters and the emotional appetite status of individuals, even in the male post-operative period. However, lifestyle changes should be tried for weight loss before surgery is preferred, and dietitians should be given a greater role in this process.

References

  • Singhal S, Agarwal D, Kanojiya R, Arora D, Avesthi A, Kothari A. Effect of laparoscopic sleeve gastrectomy on lipid profile of obese patients in complete nine month follow up. International Surgery Journal. 2016; 3(1), 42–46. http://doi.org/10.18203/2349-2902.isj20151486.
  • Waldmann E, Hüttl TP, Göke B, Lang R, Parhofer KG. Effect of sleeve gastrectomy on postprandial lipoprotein metabolism in morbidly obese patients. Lipids in Health and Disease. 2013; 12(1), 82. http://doi.org/10.1186/1476-511X-12-82.
  • Praveen Raj P, Bhattacharya S, Saravana Kumar S, et al. Comparison of Effects of Sleeve Gastrectomy and Gastric Bypass on Lipid Profile Parameters in Indian Obese: a Case Matched Analysis. Obesity Surgery. 2017; 27(10), 2606–2612. http://doi.org/10.1007/s11695-017-2692-8.
  • Sarkhosh K, Birch DW, Shi X, Gill RS, Karmali S. The impact of sleeve gastrectomy on hypertension: A systematic review. Obesity Surgery. 2012; 22(5), 832–837. http://doi.org/10.1007/s11695-012-0615-2.
  • Sarac I, Backhouse K, Shojaee-Moradie F, et al. Gender differences in VLDL1 and VLDL2 triglyceride kinetics and fatty acid kinetics in obese postmenopausal women and obese men. Journal of Clinical Endocrinology and Metabolism. 2012; 97(7), 2475–2481. http://doi.org/10.1210/jc.2011-3248.
  • Van Osdol AD, Grover BT, Borgert AJ, Kallies KJ, Kothari SN. Impact of laparoscopic Roux-en-Y Gastric bypass versus sleeve gastrectomy on postoperative lipid values. Surgery for Obesity and Related Diseases. 2017; 13(3), 399–403. http://doi.org/10.1016/j.soard.2016.09.031.
  • Wheeler BJ, Lawrence J, Chae M, et al. Intuitive eating is associated with glycaemic control in adolescents with type I diabetes mellitus. Appetite. 2016; 96, 160–165. http://doi.org/10.1016/j.appet.2015.09.016.
  • Demirel B, Yavuz K, Karadere M, Safak Y, Turkcapar M. The Emotional Appetite Questionnaire (EMAQ)’s Reliability and Validity and Relationship with Body Mass Index and Emotional Schemas. Journal of Cognitive-Behavioral Psychotherapy and Research. 2014; 3(3), 171. http://doi.org/10.5455/JCBPR.44046.
  • Van Strien T, Cebolla A, Etchemendy E. Emotional eating and food intake after sadness and joy. Appetite. 2013; 66, 20–25. http://doi.org/10.1016/j.appet.2013.02.016.
  • Van Strien T, Herman CP, Verheijden MW. Dietary restraint and body mass change. A 3-year follow up study in a representative Dutch sample. Appetite. 2014; 76, 44–49. http://doi.org/10.1016/j.appet.2014.01.015.
  • Nolan LJ, Halperin LB, Geliebter A. Emotional Appetite Questionnaire. Construct validity and relationship with BMI. Appetite. 2010; 54(2), 314–319. http://doi.org/10.1016/j.appet.2009.12.004.
  • Sirbu A, Copaescu C, Martin S, Barbu C, Olaru R, Fica S. Six months results of laparoscopic sleeve gastrectomy in treatment of obesity and its metabolic complications. Chirurgia (Bucur), 2012; 107(4), 469–475.
  • Boza C, Salinas J, Salgado N, et al. Laparoscopic sleeve gastrectomy as a stand-alone procedure for morbid obesity: Report of 1,000 cases and 3-year follow-up. Obesity Surgery. 2012; 22(6), 866–871. http://doi.org/10.1007/s11695-012-0591-6.
  • Braghetto I, Korn O, Valladares H. et al. Laparoscopic sleeve gastrectomy: Surgical technique, indications and clinical results. Obesity Surgery. 2007; 17(11), 1442–1450. http://doi.org/10.1007/s11695-008-9421-2.
  • Buchwald H, Rudser KD, Williams SE, Michalek VN, Vagasky J, Connett JE. Overall mortality, incremental life expectancy, and cause of death at 25 years in the program on the surgical control of the hyperlipidemias. Annals of Surgery. 2010; 251(6), 1034–1040. http://doi.org/10.1097/SLA.0b013e3181deb4d0.
  • Ekici G. The Relationship between Nutritional Habits and Body Image, Emotional State and Academic Achievement in Dormitory Girls. 2013; 1(2), 11–19.
  • Coca A, Cea-Calvo L, Lozano JV, et al. Colesterol HDL y enfermedad cardiovascular en mujeres hipertensas de España. Estudio RIMHA. Revista Espanola de Cardiologia, 2009; 62(9), 1022–1031. http://doi.org/10.1016/S0300-8932(09)72100-1.
  • Aslan M, Aslan I, Özcan F, Eryılmaz R, Ensari CO, Bilecik T. A pilot study investigating early postoperative changes of plasma polyunsaturated fatty acids after laparoscopic sleeve gastrectomy. 2014; 1–7. http://doi.org/10.1186/1476-511X-13-62.
  • Benaiges D, Flores-Le-Roux JA, Pedro-Botet J, et al. Impact of restrictive (Sleeve Gastrectomy) vs hybrid bariatric surgery (roux-en-y gastric bypass) on lipid profile. Obesity Surgery. 2012; 22(8), 1268–1275. http://doi.org/10.1007/s11695-012-0662-8.
  • Zhang F, Strain GW, Lei W, Dakin GF, Gagner M, Pomp A. Changes in Lipid Profiles in Morbidly Obese Patients After Laparoscopic Sleeve Gastrectomy (LSG). Obesity Surgery. 2011; 21(3), 305–309. http://doi.org/10.1007/s11695-010-0285-x.
  • To V, Hüttl T, Lang R, Piotrowski K, Parhofer K. Changes in Body Weight, Glucose Homeostasis, Lipid Profiles, and Metabolic Syndrome after Restrictive Bariatric Surgery. Experimental and Clinical Endocrinology & Diabetes. 2012; 120(09), 547–552. http://doi.org/10.1055/s-0032-1323738.
  • Azevedo FR, Santoro S, Correa-giannella ML, et al. Prospective randomized controlled trial of the metabolic effects of sleeve gastrectomy with transit bipartition. Obes Surg. 2018. https://doi.org/10.1007/s11695-018-3239-3.
  • Elhag W, El Ansari W, Abdulrazzaq S, Abdullah A, Elsherif M, Elgenaied I. Evolution of 29 Anthropometric, Nutritional, and Cardiometabolic Parameters Among Morbidly Obese Adolescents 2 Years Post Sleeve Gastrectomy. Obesity Surgery. 2018; 28(2), 474–482. http://doi.org/10.1007/s11695-017-2868-2.
  • Capoccia D, Coccia F, Guarisco G, Testa M, Rendina R, Abbatini F. Long-term metabolic effects of laparoscopic sleeve gastrectomy. Obes surg. 2018. https://doi.org/10.1007/s11695-018-3153-8.
  • Ruiz-Tovar J, Oller I, Galindo I, et al. Change in levels of C-reactive protein (CRP) and serum cortisol in morbidly obese patients after laparoscopic sleeve gastrectomy. Obesity Surgery. 2013; 23(6), 764–769. http://doi.org/10.1007/s11695-013-0865-7.
  • Milad NM, Khalil AH, Mokhtar SM, Daoud MM. How far is sleeve gastrectomy more effective than diet regimen in treating obesity-associated hyperlipidemia. The Egyptian Journal of Surgery. 2017; 36(3): 239–245.
  • Mensorio MS, Cebolla A, Lisón JF, Rodilla E, Palomar G, Miragall M, Baños RM. Emotional eating as a mediator between anxiety and cholesterol in population with overweight and hypertension. Psychology, Health and Medicine. 2017; 22(8), 911–918. http://doi.org/10.1080/13548506.2016.1271134.
  • Moschonis G, Georgiou A, Sarapi K, Manios Y. Association of distorted eating behaviors with cardiometabolic risk indices in preadolescents. The Healthy Growth Study. Appetite. 2015; 91, 35–40. http://doi.org/10.1016/j.appet.2015.03.023.

Morbid Obez Bireylerde Tüp Mide Ameliyatının Kan Lipid Parametreleri ve Duygusal İştah Üzerine Kısa Dönem Etkisi

Year 2024, , 38 - 46, 30.04.2024
https://doi.org/10.58605/bingolsaglik.1420164

Abstract

Amaç: Obezite tüm dünyada etkisi giderek artan ve sağlığı birçok yönden etkileyen bir halk sağlığı sorunudur. Beden kütle indeksinin'nın (BKİ) 40 kg/m2'yi aştığı durumlarda veya BKİ 35 kg/m2 olan ve eşlik eden hastalıkları olan kişilerde kilo kaybı sağlanamadığında obezite ameliyatlarına başvurulmaktadır.
Yöntem: Bu çalışmada tüp mide ameliyatı geçiren bireylerin (n=47) ameliyat öncesi ve ameliyat sonrası erken dönemlerinde kan lipit parametreleri ile emosyonel iştah durumu arasındaki ilişki araştırılmıştır.
Bulgular: Çalışma sonucunda bireylerin ameliyat sonrası erken dönemde total kolesterol, trigliserit, yüksek yoğunluklu lipoprotein (HDL) kolesterol ve düşük yoğunluklu lipoprotein (LDL) kolesterol değerleri istatistiksel olarak anlamlı düzeyde azaldı (p< 0,001). Bireylerin ameliyat sonrası erken dönem toplam kolesterol ve LDL kolesterol değerleri ile pozitif duygu ve durum toplam puanları ile negatif duygu ve durum toplam puanları arasında pozitif yönde zayıf bir korelasyon olduğu belirlendi (p<0,05).
Sonuç: Sonuç olarak tüp mide ameliyatının erkeklerde ameliyat sonrası dönemde bile kan lipit parametreleri ve bireylerin emosyonel iştah durumu üzerine olumlu etkileri olduğu görülmektedir. Ancak ameliyat tercih edilmeden önce kilo vermeye yönelik yaşam tarzı değişiklikleri denenmeli ve bu süreçte diyetisyenler daha aktif rol almalıdır.

References

  • Singhal S, Agarwal D, Kanojiya R, Arora D, Avesthi A, Kothari A. Effect of laparoscopic sleeve gastrectomy on lipid profile of obese patients in complete nine month follow up. International Surgery Journal. 2016; 3(1), 42–46. http://doi.org/10.18203/2349-2902.isj20151486.
  • Waldmann E, Hüttl TP, Göke B, Lang R, Parhofer KG. Effect of sleeve gastrectomy on postprandial lipoprotein metabolism in morbidly obese patients. Lipids in Health and Disease. 2013; 12(1), 82. http://doi.org/10.1186/1476-511X-12-82.
  • Praveen Raj P, Bhattacharya S, Saravana Kumar S, et al. Comparison of Effects of Sleeve Gastrectomy and Gastric Bypass on Lipid Profile Parameters in Indian Obese: a Case Matched Analysis. Obesity Surgery. 2017; 27(10), 2606–2612. http://doi.org/10.1007/s11695-017-2692-8.
  • Sarkhosh K, Birch DW, Shi X, Gill RS, Karmali S. The impact of sleeve gastrectomy on hypertension: A systematic review. Obesity Surgery. 2012; 22(5), 832–837. http://doi.org/10.1007/s11695-012-0615-2.
  • Sarac I, Backhouse K, Shojaee-Moradie F, et al. Gender differences in VLDL1 and VLDL2 triglyceride kinetics and fatty acid kinetics in obese postmenopausal women and obese men. Journal of Clinical Endocrinology and Metabolism. 2012; 97(7), 2475–2481. http://doi.org/10.1210/jc.2011-3248.
  • Van Osdol AD, Grover BT, Borgert AJ, Kallies KJ, Kothari SN. Impact of laparoscopic Roux-en-Y Gastric bypass versus sleeve gastrectomy on postoperative lipid values. Surgery for Obesity and Related Diseases. 2017; 13(3), 399–403. http://doi.org/10.1016/j.soard.2016.09.031.
  • Wheeler BJ, Lawrence J, Chae M, et al. Intuitive eating is associated with glycaemic control in adolescents with type I diabetes mellitus. Appetite. 2016; 96, 160–165. http://doi.org/10.1016/j.appet.2015.09.016.
  • Demirel B, Yavuz K, Karadere M, Safak Y, Turkcapar M. The Emotional Appetite Questionnaire (EMAQ)’s Reliability and Validity and Relationship with Body Mass Index and Emotional Schemas. Journal of Cognitive-Behavioral Psychotherapy and Research. 2014; 3(3), 171. http://doi.org/10.5455/JCBPR.44046.
  • Van Strien T, Cebolla A, Etchemendy E. Emotional eating and food intake after sadness and joy. Appetite. 2013; 66, 20–25. http://doi.org/10.1016/j.appet.2013.02.016.
  • Van Strien T, Herman CP, Verheijden MW. Dietary restraint and body mass change. A 3-year follow up study in a representative Dutch sample. Appetite. 2014; 76, 44–49. http://doi.org/10.1016/j.appet.2014.01.015.
  • Nolan LJ, Halperin LB, Geliebter A. Emotional Appetite Questionnaire. Construct validity and relationship with BMI. Appetite. 2010; 54(2), 314–319. http://doi.org/10.1016/j.appet.2009.12.004.
  • Sirbu A, Copaescu C, Martin S, Barbu C, Olaru R, Fica S. Six months results of laparoscopic sleeve gastrectomy in treatment of obesity and its metabolic complications. Chirurgia (Bucur), 2012; 107(4), 469–475.
  • Boza C, Salinas J, Salgado N, et al. Laparoscopic sleeve gastrectomy as a stand-alone procedure for morbid obesity: Report of 1,000 cases and 3-year follow-up. Obesity Surgery. 2012; 22(6), 866–871. http://doi.org/10.1007/s11695-012-0591-6.
  • Braghetto I, Korn O, Valladares H. et al. Laparoscopic sleeve gastrectomy: Surgical technique, indications and clinical results. Obesity Surgery. 2007; 17(11), 1442–1450. http://doi.org/10.1007/s11695-008-9421-2.
  • Buchwald H, Rudser KD, Williams SE, Michalek VN, Vagasky J, Connett JE. Overall mortality, incremental life expectancy, and cause of death at 25 years in the program on the surgical control of the hyperlipidemias. Annals of Surgery. 2010; 251(6), 1034–1040. http://doi.org/10.1097/SLA.0b013e3181deb4d0.
  • Ekici G. The Relationship between Nutritional Habits and Body Image, Emotional State and Academic Achievement in Dormitory Girls. 2013; 1(2), 11–19.
  • Coca A, Cea-Calvo L, Lozano JV, et al. Colesterol HDL y enfermedad cardiovascular en mujeres hipertensas de España. Estudio RIMHA. Revista Espanola de Cardiologia, 2009; 62(9), 1022–1031. http://doi.org/10.1016/S0300-8932(09)72100-1.
  • Aslan M, Aslan I, Özcan F, Eryılmaz R, Ensari CO, Bilecik T. A pilot study investigating early postoperative changes of plasma polyunsaturated fatty acids after laparoscopic sleeve gastrectomy. 2014; 1–7. http://doi.org/10.1186/1476-511X-13-62.
  • Benaiges D, Flores-Le-Roux JA, Pedro-Botet J, et al. Impact of restrictive (Sleeve Gastrectomy) vs hybrid bariatric surgery (roux-en-y gastric bypass) on lipid profile. Obesity Surgery. 2012; 22(8), 1268–1275. http://doi.org/10.1007/s11695-012-0662-8.
  • Zhang F, Strain GW, Lei W, Dakin GF, Gagner M, Pomp A. Changes in Lipid Profiles in Morbidly Obese Patients After Laparoscopic Sleeve Gastrectomy (LSG). Obesity Surgery. 2011; 21(3), 305–309. http://doi.org/10.1007/s11695-010-0285-x.
  • To V, Hüttl T, Lang R, Piotrowski K, Parhofer K. Changes in Body Weight, Glucose Homeostasis, Lipid Profiles, and Metabolic Syndrome after Restrictive Bariatric Surgery. Experimental and Clinical Endocrinology & Diabetes. 2012; 120(09), 547–552. http://doi.org/10.1055/s-0032-1323738.
  • Azevedo FR, Santoro S, Correa-giannella ML, et al. Prospective randomized controlled trial of the metabolic effects of sleeve gastrectomy with transit bipartition. Obes Surg. 2018. https://doi.org/10.1007/s11695-018-3239-3.
  • Elhag W, El Ansari W, Abdulrazzaq S, Abdullah A, Elsherif M, Elgenaied I. Evolution of 29 Anthropometric, Nutritional, and Cardiometabolic Parameters Among Morbidly Obese Adolescents 2 Years Post Sleeve Gastrectomy. Obesity Surgery. 2018; 28(2), 474–482. http://doi.org/10.1007/s11695-017-2868-2.
  • Capoccia D, Coccia F, Guarisco G, Testa M, Rendina R, Abbatini F. Long-term metabolic effects of laparoscopic sleeve gastrectomy. Obes surg. 2018. https://doi.org/10.1007/s11695-018-3153-8.
  • Ruiz-Tovar J, Oller I, Galindo I, et al. Change in levels of C-reactive protein (CRP) and serum cortisol in morbidly obese patients after laparoscopic sleeve gastrectomy. Obesity Surgery. 2013; 23(6), 764–769. http://doi.org/10.1007/s11695-013-0865-7.
  • Milad NM, Khalil AH, Mokhtar SM, Daoud MM. How far is sleeve gastrectomy more effective than diet regimen in treating obesity-associated hyperlipidemia. The Egyptian Journal of Surgery. 2017; 36(3): 239–245.
  • Mensorio MS, Cebolla A, Lisón JF, Rodilla E, Palomar G, Miragall M, Baños RM. Emotional eating as a mediator between anxiety and cholesterol in population with overweight and hypertension. Psychology, Health and Medicine. 2017; 22(8), 911–918. http://doi.org/10.1080/13548506.2016.1271134.
  • Moschonis G, Georgiou A, Sarapi K, Manios Y. Association of distorted eating behaviors with cardiometabolic risk indices in preadolescents. The Healthy Growth Study. Appetite. 2015; 91, 35–40. http://doi.org/10.1016/j.appet.2015.03.023.
There are 28 citations in total.

Details

Primary Language English
Subjects Health Promotion
Journal Section Araştırma Makaleleri
Authors

Tuba Onay 0000-0002-5940-6609

Alper Tokay 0000-0002-2394-5555

Early Pub Date April 28, 2024
Publication Date April 30, 2024
Submission Date January 15, 2024
Acceptance Date February 19, 2024
Published in Issue Year 2024

Cite

Vancouver Onay T, Tokay A. The Short-Term Effect of Sleeve Gastrectomy on Blood Lipid Parameters and Emotional Appetite in Morbidly Obese Individuals. BÜSAD. 2024;5(1):38-46.