The EBBS Questionnaire (Eating Behavior After Bariatric Surgery) Is a Useful Tool for Identifying Individuals at Risk of Long-Term Weight Regain After Sleeve Gastrectomy.
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Abstract
Purpose: Bariatric surgery (BS) is an effective treatment for severe obesity, yet weight regain (WR) affects a significant proportion of patients in the long term. The lack of useful and standardized tools makes the follow-up of these patients more difficult. The Eating Behavior after Bariatric Surgery (EBBS) questionnaire was designed to assess adherence to post-surgical lifestyle recommendations, which may predict successful weight maintenance. This study aimed to adapt the EBBS for Spanish-speaking patients and evaluate its utility in assessing adherence to long-term lifestyle changes and its association with weight outcomes.
Material and methods: A total of 100 patients who underwent a sleeve gastrectomy (mean follow-up 90.4 ± 46 months) were included. The EBBS was administered to evaluate food, drink, behavior, and lifestyle domains.
Results: Significant weight regain was observed in 70% of participants, and emotional eating (65%) and depression (53%) were common. The EBBS demonstrated good internal consistency (Cronbach's alpha = 0.662). Higher total EBBS scores were significantly associated with greater excess weight loss (EWL), particularly for patients maintaining over 50% EWL (p = 0.04). Logistic regression revealed that EBBS scores > 13.5 predicted EWL > 50% (OR = 17.8, p = 0.010), underscoring the value of this tool in identifying patients at risk for WR.
Conclusions: The Spanish version of the EBBS is a reliable tool for assessing post-BS diet and lifestyle patterns and predicting long-term weight outcomes. Tailored interventions based on EBBS results may improve adherence to dietary and lifestyle recommendations, reducing the risk of WR.
期刊介绍：
Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions.
Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.
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