Evidence map›Paper›PMID 33353862›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2021

Ecological momentary assessment of gastrointestinal symptoms and risky eating behaviors in Roux-en-Y gastric bypass and sleeve gastrectomy patients.

Dale S Bond, J Graham Thomas, Daniel B Jones, Leah M Schumacher, Jennifer Webster, E Whitney Evans, Andrea B Goldschmidt, Sivamainthan Vithiananthan

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In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Dale S BondDepartment of Psychiatry and Human Behavior, Weight Control and Diabetes Research Center, The Miriam Hospital/Brown Alpert Medical School, Providence, Rhode Island. Electronic address: dbond@lifespan.org.
J Graham ThomasDepartment of Psychiatry and Human Behavior, Weight Control and Diabetes Research Center, The Miriam Hospital/Brown Alpert Medical School, Providence, Rhode Island. Electronic address: jthomas4@lifespan.org.
Daniel B JonesDepartment of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Leah M SchumacherDepartment of Psychiatry and Human Behavior, Weight Control and Diabetes Research Center, The Miriam Hospital/Brown Alpert Medical School, Providence, Rhode Island.
Jennifer WebsterDepartment of Psychiatry and Human Behavior, Weight Control and Diabetes Research Center, The Miriam Hospital/Brown Alpert Medical School, Providence, Rhode Island.
E Whitney EvansDepartment of Psychiatry and Human Behavior, Weight Control and Diabetes Research Center, The Miriam Hospital/Brown Alpert Medical School, Providence, Rhode Island.
Andrea B GoldschmidtDepartment of Psychiatry and Human Behavior, Weight Control and Diabetes Research Center, The Miriam Hospital/Brown Alpert Medical School, Providence, Rhode Island.
Sivamainthan VithiananthanDepartment of Surgery, The Miriam Hospital/Brown Alpert Medical School, Providence, Rhode Island.
Miriam Hospital · USBeth Israel Deaconess Medical Center · US

Funding

Training in Behavioral & Preventive MedicineT32HL076134 · NHLBI · MIRIAM HOSPITAL · PI John Graham Thomas · 2006 to 2026
$5.7M
Ecological Momentary Assessment of Behavioral and Psychosocial Predictors of Weight Loss Following Bariatric SurgeryR01DK108579 · NIDDK · MIRIAM HOSPITAL · PI BOND, DALE S, THOMAS, JOHN GRAHAM · 2015 to 2017
$1.3M
NHLBI NIH HHS T32 HL076134NIDDK NIH HHS R01 DK108579
6 · The paper itself

Abstract

backgroundGastrointestinal symptoms (GIS) are common after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). However, little is known about frequencies of GIS and their co-occurrence with risky eating behaviors.

objectivesCompare RYGB and SG on GIS and risky eating behaviors, and test associations between GIS and behaviors.

settingTwo university hospitals in Northeastern United States.

methodsRYGB (n = 18) and SG (n = 53) patients completed smartphone-based ecological momentary assessment of GIS and risky eating behaviors at 4 semi-random times daily for 10 days preoperatively and at 3, 6, and 12 months postoperatively. Study objectives were evaluated using generalized linear mixed-effects models.

resultsAll available data from each assessment were included in the analysis: participant attrition was 18%, 30%, and 38% at 3, 6, and 12 months. All GIS were reduced at 12 months postoperative. Bloating decreased consistently whereas cramping, dehydration, and dumping first increased at 3 to 6 months then decreased to 12 months. Diarrhea, nausea, reflux, and vomiting decreased to 12 months for RYGB, but first increased at 3 to 6 months then decreased to 12 months for SG. Consumption of carbonated and sugar-sweetened beverages, fatty meats, and sweets decreased to 6 months then rebounded at 12 months. Eating past the first sign of fullness, drinking liquids with meals, not starting meals with protein, and fried foods consumption decreased to 6 months and then rebounded for RYGB only at 12 months. Alcohol consumption did not change. Sweets consumption and eating past the first sign of fullness were most consistently associated with GIS for both RYGB and SG patients.

conclusionGIS and risky eating behaviors improved postoperatively, although patterns of change were variable and occasionally differed between RYGB and SG. Pending replication, patients may benefit from intervention to limit risky behaviors that are tailored to their surgery type.

Indexed as

Gastric BypassObesity, MorbidEcological Momentary AssessmentFeeding BehaviorGastrectomyHumansBariatric surgeryEating behaviorEcological momentary assessmentGastrointestinal symptomsObesitySmartphone

Identifiers

PMID33353862
PMCPMC9206719
OpenAlexW3110414225

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Registered trials

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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.