Evidence map›Paper›PMID 42053903›Full record

ArticleObesity surgery2026

Food Consumption by Processing Levels in Adults Two or More Years After Sleeve Gastrectomy: Associations with Surgical Outcomes and Eating Behaviors.

Nazanin Moslehi, Zahra Kamali, Mahdieh Golzarand, Maryam Barzin, Alireza Khalaj, Parvin Mirmiran

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Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Nazanin MoslehiNutrition and Endocrine Research Center, Research Institute for Endocrine Disorders, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Scienceshran, Tehran, Iran, Islamic Republic of. moslehinazanin@yahoo.com.
Zahra KamaliNutrition and Endocrine Research Center, Research Institute for Endocrine Disorders, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Scienceshran, Tehran, Iran, Islamic Republic of.
Mahdieh GolzarandNutrition and Endocrine Research Center, Research Institute for Endocrine Disorders, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Scienceshran, Tehran, Iran, Islamic Republic of.
Maryam BarzinObesity Research Center, Research Institute for Metabolic and Obesity Disorders, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of.
Alireza KhalajTehran Obesity Treatment Center, Department of Surgery, Faculty of Medicine, Shahed University, Tehran, Iran, Islamic Republic of.
Parvin MirmiranDepartment of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of. parvin.mirmiran@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the associations between food intakes based on processing level, postoperative outcomes, and eating behaviors in patients undergoing sleeve gastrectomy (SG).

methodThis cross-sectional study included 146 adults assessed 2–4 years post-SG. Food intake was categorized using the NOVA system into unprocessed/minimally processed foods (MPFs), processed culinary ingredients (PCIs), processed foods (PFs), and ultra-processed foods (UPFs). Eating behaviors were evaluated with the Dutch Eating Behavior Questionnaire. Outcomes included percentage of total weight loss (%TWL) and percentage of fat-free mass (FFM) loss relative to TWL (%FFML), with suboptimal response (lowest TWL tertile, < 25.7%) and excessive FFM loss (highest %FFML tertile, > 28%) as dichotomized endpoints. Linear and logistic regression analyses, adjusted for covariates, examined associations.

resultsPFs and UPFs comprised 34% of participants’ overall daily energy intake. Although NOVA groups were not significantly related to %TWL or %FFML, a higher intake of UPF (above the median of 18.9% of energy) was associated with 2.4 times greater odds of a suboptimal clinical response (odds ratio = 2.42; 95% CI = 1.11, 5.29). No NOVA groups were related to excessive FFM loss. Regarding eating behaviors, greater restrained eating was significantly associated with higher consumption of MPF + PCI (B = 3.07; 95% CI = 0.04, 6.11) and lower intake of UPF (B = -3.39; 95% CI = -5.93, -0.86) after adjusting for demographic and lifestyle factors.

conclusionsA high consumption of UPF may be associated with an increased likelihood of suboptimal clinical response 2–4 years after sleeve gastrectomy, independent of total energy intake. Restrained eating behavior is independently associated with a dietary pattern featuring more minimally processed foods and fewer UPFs.

Indexed as

EatingFeeding BehaviorGastrectomyObesity, MorbidAdultCross-Sectional StudiesEnergy IntakeFast FoodsFemaleFood, ProcessedHumansMaleMiddle AgedSurveys and QuestionnairesTreatment OutcomeWeight LossBariatric surgeryBody compositionNOVAUltra-processed foodsUnprocessed and minimally processed foods

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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.