Abstract

Background: Bariatric surgery is known as the most effective treatment resulting in long-term weight loss for obesity. However, behavioral changes, including food preference, food allergies, and consumption, between groups of patients who underwent bariatric surgery in comparison with people who did not have bariatric surgery have not been fully discussed in the literature. Objective: The aim of this article is to describe patient-reported changes of perception related to food preferences, consumption, and food allergies in participants who underwent bariatric surgery and to compare their food consumption with participants who did not have bariatric surgery in Saudi Arabia. Methodology: This study is a secondary analysis of the Sharik Diet and Health National Survey (SDHNS) conducted in July 2021. Quota sampling was utilized to generate balanced distributions of participants by age and gender across all administrative regions of Saudi Arabia. Data collection included sociodemographic information (age, gender, and educational level), as well as food habits and the consumption of various food categories. Results: Of the 6267 potential participants contacted in 2021 from the 13 administrative regions of Saudi Arabia, 5228 successfully completed the interview, with a response rate of 83.4%. Gender was distributed equally among the total participants in the sample. The prevalence of bariatric surgeries in Saudi Arabia was estimated at around 4.1% of the total sample. More than 36% of people who had bariatric surgery experienced food taste changes, and around 15% reported a decrease in allergic reactions to food. Moreover, 68.1% had food preference changes, either starting to favor a new food or no longer favoring one. There was a significant association between consuming more red meat, chicken, and energy drinks and a decreased consumption of grains and rice among those who had the bariatric surgery compared with those who did not. Conclusions: This study found that more than two-thirds of people who had bariatric surgery self-reported food taste and food preference changes. More studies should be performed on the Saudi population, including clinical follow-up, to better understand these changes.

Highlights

  • Obesity is a worldwide epidemic affecting children, adolescents, and adults [1]

  • Gastric bypass, is known as the most effective treatment resulting in superior long-term weight loss compared with other measures for those with severe obesity, morbid obesity, or obesity with comorbidities who do not respond to other weight management programs [5]

  • Few studies have examined food intake patterns after surgical weight loss, this study found that the participants who had bariatric surgery were consuming more foods that are rich in protein, such as red meat and chicken, compared with those who did not have surgery

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Summary

Introduction

Obesity prevalence tripled between 1975 and 2016, and its association with other diseases has become well known [2]. Saudi Arabia ranged between 24.7% and 25.1% [3,4]. Bariatric surgery, such as Roux-en-Y gastric bypass, is known as the most effective treatment resulting in superior long-term weight loss compared with other measures for those with severe obesity, morbid obesity, or obesity with comorbidities who do not respond to other weight management programs [5]. Bariatric surgery is associated with the reduced incidence of new diabetes, hypertension, and hypercholesterolemia, in addition to ensuring prolonged weight loss and improving quality of life [6,7]. Bariatric surgery is known as the most effective treatment resulting in longterm weight loss for obesity. Behavioral changes, including food preference, food allergies, and consumption, between groups of patients who underwent bariatric surgery in comparison with people who did not have bariatric surgery have not been fully discussed in the literature

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