Evidence map›Paper›PMID 32447636›Full record

ArticleObesity surgery2020

Eating Behavior after Bariatric Surgery (EBBS) Questionnaire: a New Validated Tool to Quantify the Patients' Compliance to Post-Bariatric Dietary and Lifestyle Suggestions.

Giorgia Spaggiari, Daniele Santi, Giulia Budriesi, Paola Dondi, Sonia Cavedoni, Laura Leonardi, Carolina Delvecchio, Laura Valentini, Mario Bondi, Clelia Miloro and 1 more

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Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 17 citations in OpenAlex.

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  4. Bridging the Gap: Evaluating Tools for Adherence to Dietary-Related Behavioral Recommendations After Metabolic Bariatric Surgery-A Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Giorgia SpaggiariUnit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Daniele SantiUnit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy. daniele.santi@unimore.it.ORCID http://orcid.org/0000-0001-6607-7105
Giulia BudriesiDepartment of Metabolic Diseases and Clinical Nutrition, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Paola DondiServizio di Psicologia Ospedaliera, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Sonia CavedoniServizio di Psicologia Ospedaliera, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Laura LeonardiServizio di Psicologia Ospedaliera, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Carolina DelvecchioServizio di Psicologia Ospedaliera, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Laura ValentiniServizio di Psicologia Ospedaliera, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Mario BondiUnit of Endocrinology, Azienda USL of Modena, Modena, Italy.
Clelia MiloroDepartment of Metabolic Diseases and Clinical Nutrition, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Patrizia Federica ToschiDepartment of Metabolic Diseases and Clinical Nutrition, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Azienda Ospedaliero-Universitaria di Modena · ITAzienda Unita' Sanitaria Locale Di Modena · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn the management of bariatric surgery follow-up, a multidisciplinary approach allows to evaluate the weight loss maintenance and the dietary and lifestyle changes adherence. The main aim of this study is to create and to validate a questionnaire (eating behavior after bariatric surgery (EBBS)) to objectivize the compliance to dietary/lifestyle suggestions after bariatric surgery. MATERIALS AND

methodsAn observational retrospective monocentric clinical trial was carried out at the Bariatric Surgery Unit of Modena, Italy. All weight-related data of bariatric surgery patients collected during the multidisciplinary post-surgical path were recorded. EBBS questionnaire and three validated psychological tests were administered. EBBS includes 11 questions concerning food (domain A), drinks (B), behaviors (C), and lifestyle (S). All data analyzed in the study were collected during the same visit.

resultsIn 41 enrolled patients (52.2 + 11.9 years), the total weight loss after surgery was 44.87 + 18.37 kg (- 35.40 + 11.60%), with a weight loss maintenance of 86.92 + 14.30%. The EBBS questionnaire showed a good internal validity (Cronbach's alpha 0.743, Hotelling's T-square test p < 0.001). The S domain was directly related with the percentage of weight loss maintained (p = 0.048), suggesting that the frequent physical activity and the periodic weight self-check are the most predictive behaviors to obtain weight control. None of the psychological questionnaires appeared related to the weight trend.

conclusionsWe validated for the first time a 11-item self-filling questionnaire allowing to quantify the adaption to dietary/lifestyle suggestions provided after bariatric surgery. EBBS questionnaire could be a useful tool both in clinical and research setting to monitor the patient's adherence to post-surgical indications and to identify predictive factors for bariatric surgery efficacy.

Indexed as

Bariatric SurgeryObesity, MorbidFeeding BehaviorHumansItalyLife StyleRetrospective StudiesSurveys and Questionnairesbariatric surgeryDietary recommendationslifestyle changeObesityPost-surgical follow-up

Identifiers

PMID32447636
OpenAlexW3027404587

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.