Obezite Cerrahisi Sonrası Hastaların Yemek Yeme Davranışları ve Yaşam Kaliteleri Arasındaki İlişki

Yıl 2025, Cilt: 41 Sayı: 2, 249 - 258, 22.08.2025

Pınar Ongün , İrem Nur Tülü , İnci Kırtıl , Ferhat Çay

https://doi.org/10.53490/egehemsire.1317914

Öz

Başlık: OBEZİTE CERRAHİSİ SONRASI HASTALARIN YEMEK YEME DAVRANIŞLARI VE YAŞAM KALİTELERİ ARASINDAKİ İLİŞKİ

ÖZ
Amaç: Araştırmada, obezite cerrahisi geçiren hastaların yemek yeme davranışları ve yaşam kaliteleri arasındaki ilişkinin belirlenmesi amaçlandı.
Yöntem: Tanımlayıcı türdeki bu çalışma, Mart-Nisan 2023 tarihleri arasında yürütüldü. Örneklem büyüklüğünü belirlemek amacıyla güç analizi yapıldı ve katılımcı hasta sayısı 156 olarak belirlendi. 18 yaş ve üzerinde olan, araştırmaya katılmaya gönüllü olan, psikiyatrik bir hastalık tanısı olmayan, obezite ameliyatını geçireli en az 1 yıl olan bireyler araştırmaya dahil edildi. Veriler, Veri Toplama Formu, Yetişkin Yeme Davranışı Ölçeği ve Obezite Cerrahisi Sonrası Yaşam Kalitesi Ölçeği kullanılarak elde edildi. Verilerin analizinde, istatistiksel anlamlılık p<0.05 olarak değerlendirildi.
Bulgular: Hastaların yaş ortalaması 37.77±11.39 olup, %78.3’ünün kadın, %66.2’sinin evli, %44.5’inin üniversite mezunu olduğu ve %50.9’unun taburculuk sonrası egzersiz yapmadığı saptandı. Yeme davranışı ölçeğinde en yüksek puanı alan ilk üç alt boyut sırasıyla; duygusal aşırı yeme, açlık ve yemek keyfi alt boyutları olarak belirlendi. Obezite Cerrahisi Sonrası Yaşam Kalitesi Ölçeği biyopsikososyal alan toplam puanı 36.28±8.63, komplikasyonlar boyutu toplam puanı ise 16.93±4.43 olarak bulundu. Hastaların cinsiyeti, medeni durumu, taburculuk sonrası egzersiz durumu, eğitim durumu ve ameliyat sonrası verilen kilo ile Yetişkin Yeme Davranışı Ölçeği alt boyutları arasında anlamlı fark olduğu görüldü (p<0.05). Obezite Cerrahisi Sonrası Yaşam Kalitesi Ölçeği Komplikasyon alanı ile Yetişkin Yeme Davranışı Ölçeği’nin duygusal yetersiz yeme (-0.238) alt boyutu arasında negatif yönde istatistiksel olarak anlamlı çok zayıf ve açlık (-0.304) alt boyutu arasında negatif yönde istatistiksel olarak anlamlı zayıf ilişki olduğu belirlendi.
Sonuç: Obezite cerrahisi sonrası hastaların, en fazla duygusal durumlarda aşırı besin alımı davranışlarının tetiklendiği saptandı. Diğer yandan hastaların yaşam kalitesi ölçek puanlarının orta düzeyde olduğu ve son 1 yılda görülen sorunların yüksek düzeyde olmadığı belirlendi.
Anahtar kelimeler: Obezite; yaşam kalitesi; yeme alışkanlığı.
Destekleyen kurumlar: Yoktur.
Kaynakça: Al Khalifa, K., Al Ansari, A. (2018). Quality of life, food tolerance, and eating disorder behavior after laparoscopic gastric banding and sleeve gastrectomy-results from a middle eastern center of excellence. BMC Obesity, 5(44), 1-6. doi: 10.1186/s40608-018-0220-6
Allison, C.K., Wu, J., Spitzer, C.J., McCuen-Wurst, C., Ashare, L.R., Tewksbury, C., LaGrotte, A.C., Wadden, A.T., Williams, N.N., Sarwer, B.D. (2023). Changes in eating behaviors and their relation to weight change 6 and 12 months after bariatric surgery. Obesity Surgery, 33, 733-742. doi: 10.1007/s11695-022-06442-w
Bellicha, A., Ciangura, C., Poitou, C., Portero, P., Oppert, J.M. (2018). Effectiveness of exercise training after bariatric surgery – a systematic literature review and meta-analysis. Obesity Reviews, 19(11), 1544-1556. doi: 10.1111/obr.12740.
Berino, N.T., Reis, L.A., Carvalhal, L.M.M., Kikuchi, D.L.J., Teixeira, R.C.R., Gomes, L.D. (2022). Relationship between eating behavior, quality of life and weight regain in women after bariatric surgery. International Journal of Environmental Research and Public Health, 19, 7648. doi: 10.3390/ijerph19137648
Blanchet, C.M., Frering, V., Gignoux, B., Matussiere, Y., Oudar, P., Noel, R., Mirabaud, A. (2018). Four-year evolution of a thrombophylaxis protocol in an Enhanced Recovery After Surgery (ERAS) program: recent results in 485 patients. Obesity Surgery, 28(7), 2140-2144. Doi: 10.1007/s11695-018-3299-4
Cengiz Açıl, H., Kökçü Doğu, Ö., Usta, E., Yılmaz Çelik, A., Karaman, K., Aygin, D. (2020). Development of the postbariatric surgery quality of life scale. Bariatric Surgical Practice and Patient Care, 15(4), 236-242. doi: 10.1089/bari.2020.0014
Centers for Disease Control and Prevention (CDC). Defining Adult Overweight & Obesity. (2022). Erişim adresi: https://www.cdc.gov/obesity/basics/adult-defining.html
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159. doi: 10.1037//0033-2909.112.1.155
Flolo, N.T., Tell, S.G., Kolotkin, L.R., Aasprang, A., Norekval, M.T., Vage, V., Hufthammer, O.K., Andersen, R.J. (2019). Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study. BMJ Open, 9, e031170. doi: 10.1136/bmjopen-2019-031170
Hales, C.M., Carroll, M.D., Fryar, C.D., Ogden, C.L. (2020). Prevalence of obesity and severe obesity among adults : United State, 2017-2018. NCHS Data Brief, 360, 1-7. Erişim adresi: https://www.cdc.gov/nchs/data/databriefs/db360-h.pdf
Hilbert, A., Staerk, C., Strömer, A., Mansfeld, T., Sander, J., Seyfried, F., Kaiser, S., Dietrich, A., Mayr, A. (2022). Nonnormative eating behaviors and eating disorders and their associations with weight loss and quality of life during 6 years following obesity surgery. Nutrition, Obesity, and Exercise, 5(8), e2226244. doi: 10.1001/jamanetworkopen.2022.26244
Ionescu, M., Mırıca, M.R., Iosıfescu, R., Vacarasu, A., Petrisor, P. (2021). Living and eating behavior before and after metabolic surgery in Romanian patients. Modern Medicine, 28(2), 193-199. Erişim adresi: https://medicinamoderna.ro/wp-content/uploads/2021/06/Living-and-Eating-Behavior-before-and.pdf
Kizy, S., Jahansouz, C., Wirth, K., Ikramuddin, S., Leslie, D. (2017). Bariatric surgery: a perspective for primary care. Obesity Treatment in Diabetes Patients, 30(4), 265-275. doi: 10.2337/ds17-0034
Major, P., Stefura, T., Dziurowicz, B., Radwan, J., Wysocki, M., Malczak, P., Pedziwiatr, M. (2020). Quality of life 10 years after bariatric surgery. Obesity Surgery, 30, 3675-3684. doi: 10.1007/s11695-020-04726-7
Oved, I., Endevelt, R., Mardy-Tilbor, L., Raziel, A., Sherf-Dagan, S. (2021). Health status, eating, and lifestyle habits in the long term following sleeve gastrectomy. Obesity Surgery, 31, 2979-2987. doi: 10.1007/s11695-021-05336-7
Pepino, Y.M., Stein, I.R., Eagon, C.J., Klein, S. (2014). Bariatric surgery-induced weight loss causes remission of food addiction in extreme obesity. Obesity (Silver Spring), 22(8), 1792-1798. doi: 10.1002/oby.20797
Sheaffer, W.W., Day, R.W., Harold, K.L., Kidwell, J.T., Tiede, J.L., Benjamin, T.R., Bersoux, S., Madura, J.A. (2018). Decreasing length of stay in bariatric surgery: the power of suggestion. American Journal of Surgery, 215(3), 452-455. doi: 10.1016/j.amjsurg.2017.09.041
Sheets, S.C., Peat, M.C., Berg, C.K., White, K.E., Bocchieri-Ricciardi, L., Chen, Y.E., Mitchell, E.J. (2015). Post-operative psychosocial predictors of outcome in bariatric surgery. Obesity Surgery, 25(2), 330-345. doi: 10.1007/s11695-014-1490-9
Sierzantowicz, R., Ladny, R.J., Lewko, J. (2022). Quality of life after bariatrik surgery: a systematic review. International Journal of Environmental Research and Public Health, 19 (15), 9078. doi: 10.3390/ijerph19159078
Sioka, E., Tzovaras, G., Oikonomou, K., Katsogridaki, G., Zachari, E., Papamargaritis, D., Pinaka, O., Zacharoulis, D. (2013). Influence of eating profile on the outcome of laparoscopic sleeve gastrectomy. Obesity Surgery, 23, 501-508. Doi: 10.1007/s11695-012-0831-9
Soares, L.F., de Sousa, B.L., Corradi-Perini, C., da Cruz, R.R.M., Nunes, J.G.M., Branco-Filho, J.A. (2014). Food quality in the late postoperative period of bariatric surgery: an evaluation using the bariatric food pyramid. Obesity Surgery, 24, 1481-1486. doi: 10.1007/s11695-014-1198-x
Taba, V.J., Suzuki, O.M., Nascimento, S.F., Iuamoto, R.L., Hsing, T.W., Pipek, Z.L., D’Albuquerque, C.A.L., Meyer, A., Andraus, W. (2021). The development of feeding and eating disorders after bariatric surgery: a systematic review and meta-analysis. Nutrients, 13, 2396. doi: 10.3390/nu13072396
Türkiye İstatistik Kurumu (TÜİK). (2020). Türkiye Sağlık Araştırması. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2019-33661
Ünal, Ş., Sevinçer, M.G., Maner, F.A. (2019). Bariatrik cerrahi sonrası kilo geri alımının; gece yeme, duygusal yeme, yeme endişesi, depresyon ve demografik özellikler tarafından yordanması. Türk Psikiyatri Dergisi, 30(x), 31-41. doi: 10.5080/u23174
Wong, Y.L., Zafari, N., Churilov, L., Stammers, L., Price, S., Ekinci, E.I., Sumithran, P. (2020). Change in emotional eating after bariatric surgery: systematic review and meta-analysis. BJS Open, 4(6), 995-1014. doi: 10.1002/bjs5.50318
World Health Organization (WHO). The World Health Organization Quality of Life. (2012). Erişim adresi: https://www.who.int/publications/i/item/WHO-HIS-HSI-Rev.2012.03
World Health Organization (WHO). World Health Statistics 2020 Visual Summary. (2020). Erişim adresi: https://www.who.int/data/gho/publications/world-health-statistics
Yaralı, S., Hacıalioğlu, N., Kılınç, T. (2022). Obezite cerrahisi sonrası hastaların sağlıklı yaşam biçimi davranışları, yeme tutumları ve kilo durumlarının değerlendirilmesi. Journal of Nursology, 25(1), 36-44. doi: 10.54614/JANHS.2022.1005922
Yılmaz, P., Yılmaz, M. (2019). Effect on quality of life of the changing body image of individuals with obesity surgery. Bariatric Surgical Practice and Patient Care, 14(2), 74-80. doi: 10.1089/bari.2018.0034
Yücel, M., Karaibrahimoğlu, A., Orhan, H. (2022). Yetişkin yeme davranışı ölçeği: Türkçe’ye uyarlama geçerlik ve güvenilirlik çalışması. Avrasya Sağlık Bilimleri Dergisi, 5(2), 59-67. Erişim adresi: https://dergipark.org.tr/tr/download/article-file/2053447

Anahtar Kelimeler

Obezite , yaşam kalitesi , yeme alışkanlığı

Destekleyen Kurum

Yoktur.

Proje Numarası

Yoktur.

Teşekkür

Yoktur.

The Relationship between Eating Behaviours and Quality of Life of Patients After Surgery

Öz

Title: THE RELATIONSHIP BETWEEN EATING BEHAVIORS AND QUALITY OF LIFE OF PATIENTS AFTER BARIATRIC SURGERY

ABSTRACT
Objective: The aim of the study was to determine the relationship between eating behaviors and quality of life of patients undergoing bariatric surgery.
Methods: This descriptive study was conducted between March and April 2023. Power analysis was performed to determine the sample size and the number of participating patients was determined as 156. Individuals aged 18 years and over, who volunteered to participate in the study, who did not have a diagnosis of a psychiatric disease, and who had undergone obesity surgery for at least 1 year were included in the study. Data were obtained by using the Data Collection Form, Adult Eating Behavior Scale and Postbariatric Surgery Quality of Life Scale. In the analysis of the data, statistical significance was evaluated as p<0.05.
Results: The mean age of the patients was 37.77±11.39 years, 78.3% were female, 66.2% were married, 44.5% were graduated from university and 50.9% did not exercise after discharge. The first three sub-dimensions with the highest scores in the Adult Eating Behavior Scale were determined as emotional overeating, hunger and food pleasure sub-dimensions, respectively. The total score of the biopsychosocial dimension of the Postbariatric Surgery Quality of Life Scale was 36.28±8.63 and the total score of the complications dimension was 16.93±4.43. There was a significant difference between the gender, marital status, post-discharge exercise status, educational status, and postoperative weight loss and the sub-dimension of the Adult Eating Behavior Scale (p<0.05). It was determined that there was a statistically significant very weak negative relationship between the complications dimension of the Postbariatric Surgery Quality of Life Scale and the emotional undereating (-0.238) sub-dimension and a statistically significant weak negative relationship between the hunger (-0.304) sub-dimension of the Adult Eating Behavior Scale.
Conclusion: It was found that excessive food intake behaviors of patients after bariatric surgery were triggered mostly in emotional situations. On the other hand, the quality of life scale scores of the patients were found to be moderate and the problems seen in the last 1 year were not at a high level.
Key words: Obesity; quality of life; eating behavior.
Funding: None.
References:
Al Khalifa, K., Al Ansari, A. (2018). Quality of life, food tolerance, and eating disorder behavior after laparoscopic gastric banding and sleeve gastrectomy-results from a middle eastern center of excellence. BMC Obesity, 5(44), 1-6. doi: 10.1186/s40608-018-0220-6
Allison, C.K., Wu, J., Spitzer, C.J., McCuen-Wurst, C., Ashare, L.R., Tewksbury, C., LaGrotte, A.C., Wadden, A.T., Williams, N.N., Sarwer, B.D. (2023). Changes in eating behaviors and their relation to weight change 6 and 12 months after bariatric surgery. Obesity Surgery, 33, 733-742. doi: 10.1007/s11695-022-06442-w
Bellicha, A., Ciangura, C., Poitou, C., Portero, P., Oppert, J.M. (2018). Effectiveness of exercise training after bariatric surgery – a systematic literature review and meta-analysis. Obesity Reviews, 19(11), 1544-1556. doi: 10.1111/obr.12740.
Berino, N.T., Reis, L.A., Carvalhal, L.M.M., Kikuchi, D.L.J., Teixeira, R.C.R., Gomes, L.D. (2022). Relationship between eating behavior, quality of life and weight regain in women after bariatric surgery. International Journal of Environmental Research and Public Health, 19, 7648. doi: 10.3390/ijerph19137648
Blanchet, C.M., Frering, V., Gignoux, B., Matussiere, Y., Oudar, P., Noel, R., Mirabaud, A. (2018). Four-year evolution of a thrombophylaxis protocol in an Enhanced Recovery After Surgery (ERAS) program: recent results in 485 patients. Obesity Surgery, 28(7), 2140-2144. Doi: 10.1007/s11695-018-3299-4
Cengiz Açıl, H., Kökçü Doğu, Ö., Usta, E., Yılmaz Çelik, A., Karaman, K., Aygin, D. (2020). Development of the postbariatric surgery quality of life scale. Bariatric Surgical Practice and Patient Care, 15(4), 236-242. doi: 10.1089/bari.2020.0014
Centers for Disease Control and Prevention (CDC). Defining Adult Overweight & Obesity. (2022). Erişim adresi: https://www.cdc.gov/obesity/basics/adult-defining.html
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159. doi: 10.1037//0033-2909.112.1.155
Flolo, N.T., Tell, S.G., Kolotkin, L.R., Aasprang, A., Norekval, M.T., Vage, V., Hufthammer, O.K., Andersen, R.J. (2019). Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study. BMJ Open, 9, e031170. doi: 10.1136/bmjopen-2019-031170
Hales, C.M., Carroll, M.D., Fryar, C.D., Ogden, C.L. (2020). Prevalence of obesity and severe obesity among adults : United State, 2017-2018. NCHS Data Brief, 360, 1-7. Erişim adresi: https://www.cdc.gov/nchs/data/databriefs/db360-h.pdf
Hilbert, A., Staerk, C., Strömer, A., Mansfeld, T., Sander, J., Seyfried, F., Kaiser, S., Dietrich, A., Mayr, A. (2022). Nonnormative eating behaviors and eating disorders and their associations with weight loss and quality of life during 6 years following obesity surgery. Nutrition, Obesity, and Exercise, 5(8), e2226244. doi: 10.1001/jamanetworkopen.2022.26244
Ionescu, M., Mırıca, M.R., Iosıfescu, R., Vacarasu, A., Petrisor, P. (2021). Living and eating behavior before and after metabolic surgery in Romanian patients. Modern Medicine, 28(2), 193-199. Erişim adresi: https://medicinamoderna.ro/wp-content/uploads/2021/06/Living-and-Eating-Behavior-before-and.pdf
Kizy, S., Jahansouz, C., Wirth, K., Ikramuddin, S., Leslie, D. (2017). Bariatric surgery: a perspective for primary care. Obesity Treatment in Diabetes Patients, 30(4), 265-275. doi: 10.2337/ds17-0034
Major, P., Stefura, T., Dziurowicz, B., Radwan, J., Wysocki, M., Malczak, P., Pedziwiatr, M. (2020). Quality of life 10 years after bariatric surgery. Obesity Surgery, 30, 3675-3684. doi: 10.1007/s11695-020-04726-7
Oved, I., Endevelt, R., Mardy-Tilbor, L., Raziel, A., Sherf-Dagan, S. (2021). Health status, eating, and lifestyle habits in the long term following sleeve gastrectomy. Obesity Surgery, 31, 2979-2987. doi: 10.1007/s11695-021-05336-7
Pepino, Y.M., Stein, I.R., Eagon, C.J., Klein, S. (2014). Bariatric surgery-induced weight loss causes remission of food addiction in extreme obesity. Obesity (Silver Spring), 22(8), 1792-1798. doi: 10.1002/oby.20797
Sheaffer, W.W., Day, R.W., Harold, K.L., Kidwell, J.T., Tiede, J.L., Benjamin, T.R., Bersoux, S., Madura, J.A. (2018). Decreasing length of stay in bariatric surgery: the power of suggestion. American Journal of Surgery, 215(3), 452-455. doi: 10.1016/j.amjsurg.2017.09.041
Sheets, S.C., Peat, M.C., Berg, C.K., White, K.E., Bocchieri-Ricciardi, L., Chen, Y.E., Mitchell, E.J. (2015). Post-operative psychosocial predictors of outcome in bariatric surgery. Obesity Surgery, 25(2), 330-345. doi: 10.1007/s11695-014-1490-9
Sierzantowicz, R., Ladny, R.J., Lewko, J. (2022). Quality of life after bariatrik surgery: a systematic review. International Journal of Environmental Research and Public Health, 19 (15), 9078. doi: 10.3390/ijerph19159078
Sioka, E., Tzovaras, G., Oikonomou, K., Katsogridaki, G., Zachari, E., Papamargaritis, D., Pinaka, O., Zacharoulis, D. (2013). Influence of eating profile on the outcome of laparoscopic sleeve gastrectomy. Obesity Surgery, 23, 501-508. Doi: 10.1007/s11695-012-0831-9
Soares, L.F., de Sousa, B.L., Corradi-Perini, C., da Cruz, R.R.M., Nunes, J.G.M., Branco-Filho, J.A. (2014). Food quality in the late postoperative period of bariatric surgery: an evaluation using the bariatric food pyramid. Obesity Surgery, 24, 1481-1486. doi: 10.1007/s11695-014-1198-x
Taba, V.J., Suzuki, O.M., Nascimento, S.F., Iuamoto, R.L., Hsing, T.W., Pipek, Z.L., D’Albuquerque, C.A.L., Meyer, A., Andraus, W. (2021). The development of feeding and eating disorders after bariatric surgery: a systematic review and meta-analysis. Nutrients, 13, 2396. doi: 10.3390/nu13072396
Türkiye İstatistik Kurumu (TÜİK). (2020). Türkiye Sağlık Araştırması. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2019-33661
Ünal, Ş., Sevinçer, M.G., Maner, F.A. (2019). Bariatrik cerrahi sonrası kilo geri alımının; gece yeme, duygusal yeme, yeme endişesi, depresyon ve demografik özellikler tarafından yordanması. Türk Psikiyatri Dergisi, 30(x), 31-41. doi: 10.5080/u23174
Wong, Y.L., Zafari, N., Churilov, L., Stammers, L., Price, S., Ekinci, E.I., Sumithran, P. (2020). Change in emotional eating after bariatric surgery: systematic review and meta-analysis. BJS Open, 4(6), 995-1014. doi: 10.1002/bjs5.50318
World Health Organization (WHO). The World Health Organization Quality of Life. (2012). Erişim adresi: https://www.who.int/publications/i/item/WHO-HIS-HSI-Rev.2012.03
World Health Organization (WHO). World Health Statistics 2020 Visual Summary. (2020). Erişim adresi: https://www.who.int/data/gho/publications/world-health-statistics
Yaralı, S., Hacıalioğlu, N., Kılınç, T. (2022). Obezite cerrahisi sonrası hastaların sağlıklı yaşam biçimi davranışları, yeme tutumları ve kilo durumlarının değerlendirilmesi. Journal of Nursology, 25(1), 36-44. doi: 10.54614/JANHS.2022.1005922
Yılmaz, P., Yılmaz, M. (2019). Effect on quality of life of the changing body image of individuals with obesity surgery. Bariatric Surgical Practice and Patient Care, 14(2), 74-80. doi: 10.1089/bari.2018.0034
Yücel, M., Karaibrahimoğlu, A., Orhan, H. (2022). Yetişkin yeme davranışı ölçeği: Türkçe’ye uyarlama geçerlik ve güvenilirlik çalışması. Avrasya Sağlık Bilimleri Dergisi, 5(2), 59-67. Erişim adresi: https://dergipark.org.tr/tr/download/article-file/2053447

Anahtar Kelimeler

obesity , quality of life , eating behavior

Proje Numarası

Yoktur.

Kaynakça

• Al Khalifa, K. ve Al Ansari, A. (2018). Quality of life, food tolerance, and eating disorder behavior after laparoscopic gastric banding and sleeve gastrectomy-results from a middle eastern center of excellence. BMC Obesity, 5(44), 1-6. doi: 10.1186/s40608-018-0220-6
• Allison, C.K., Wu, J., Spitzer, C.J., McCuen-Wurst, C., Ashare, L.R., Tewksbury, C., LaGrotte, A.C., Wadden, A.T., Williams, N.N. ve Sarwer, B.D. (2023). Changes in eating behaviors and their relation to weight change 6 and 12 months after bariatric surgery. Obesity Surgery, 33, 733-742. doi: 10.1007/s11695-022-06442-w
• Bellicha, A., Ciangura, C., Poitou, C., Portero, P. ve Oppert, J.M. (2018). Effectiveness of exercise training after bariatric surgery – a systematic literature review and meta-analysis. Obesity Reviews, 19(11), 1544-1556. doi: 10.1111/obr.12740.
• Berino, N.T., Reis, L.A., Carvalhal, L.M.M., Kikuchi, D.L.J., Teixeira, R.C.R. ve Gomes, L.D. (2022). Relationship between eating behavior, quality of life and weight regain in women after bariatric surgery. International Journal of Environmental Research and Public Health, 19, 7648. doi: 10.3390/ijerph19137648
• Bertoletti, J., Aparicio, G.J.M., Bodignon, S. ve Trentini, M.C. (2018). Body image and bariatric surgery: a systematic review of literature. Bariatric Surgical Practice and Patient Care, 14(2), 1-12. doi: 10.1089/bari.2018.0036
• Blanchet, C.M., Frering, V., Gignoux, B., Matussiere, Y., Oudar, P., Noel, R. ve Mirabaud, A. (2018). Four-year evolution of a thrombophylaxis protocol in an Enhanced Recovery After Surgery (ERAS) program: recent results in 485 patients. Obesity Surgery, 28(7), 2140-2144. doi: 10.1007/s11695-018-3299-4
• Bosc, L., Mathias, F., Monsaingeon, M., Gronnier, C., Pupier, E. ve Gatta-Cherifi, B. (2022). Long-term changes in body image after bariatric surgery: an observational cohort study. PloS One, 17(12), e0276167. doi: 10.1371/journal.pone.0276167
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