title: Long-term effects of gastric bypass surgery on psychosocial well-being and eating behavior: not all that glitters is gold.
abstract: OBJECTIVE
  The aim of this pilot study was to evaluate long-term effects of Roux-en-Y gastric bypass (RYGB) on physical and psychosocial health as well as eating behavior of obese patients.
  
  
  METHODS
  We compared 23 patients 7 years after RYGB to 23 body mass index (BMI), sex, and age matched obese control patients by means of self-reporting questionnaires: Hospital Anxiety and Depression Scale (HADS), Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q SF), Dutch Eating Behavior Questionnaire (DEBQ), and Alcohol Use Disorders Identification Test (AUDIT). Data are presented as median ± interquartile rage.
  
  
  RESULTS
  Physical health had improved and body image (80 ± 25% vs. 20 ± 49%, p < 0.001) was better in post-RYGB patients when compared to controls. HADS-depression score (4 ± 8 vs. 11 ± 9; p = 0.005) was lower post-RYGB. Satisfaction with physical health (2 ± 2 vs. 2 ± 1, p = 0.037), daily life functioning (4 ± 2 vs. 2 ± 2, p = 0.050), and hobbies (4 ± 1 vs. 2 ± 2, p = 0.011) was higher post-RYGB, but social relationships and sexual performance were not perceived as superior. In addition, post-RYGB patients were more prone to eat on external cues (13 ± 7 vs. 19 ± 13; p = 0.007).
  
  
  CONCLUSIONS
  Seven years post-RYGB, patients reported a significant improvement of physical health and higher satisfaction with daily life, but not with social relationships or sexual performance. Eating behavior post-RYGB was more influenced by external cues.
authors.affiliation: a Laboratory for Clinical and Experimental Medicine and Endocrinology , KU Leuven , Leuven , Belgium.|b Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Roman
authors.initials: R
authors.lastname: Vangoitsenhoven
authors.affiliation: b Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Pascal
authors.initials: P
authors.lastname: Frederiks
authors.affiliation: a Laboratory for Clinical and Experimental Medicine and Endocrinology , KU Leuven , Leuven , Belgium.
authors.forename: Brecht
authors.initials: B
authors.lastname: Gijbels
authors.affiliation: a Laboratory for Clinical and Experimental Medicine and Endocrinology , KU Leuven , Leuven , Belgium.|c Department of Abdominal Surgery , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Matthias
authors.initials: M
authors.lastname: Lannoo
authors.affiliation: b Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Wout
authors.initials: W
authors.lastname: Van der Borght
authors.affiliation: b Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Amber
authors.initials: A
authors.lastname: Van den Eynde
authors.affiliation: a Laboratory for Clinical and Experimental Medicine and Endocrinology , KU Leuven , Leuven , Belgium.|b Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Ann
authors.initials: A
authors.lastname: Mertens
authors.affiliation: a Laboratory for Clinical and Experimental Medicine and Endocrinology , KU Leuven , Leuven , Belgium.|b Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Chantal
authors.initials: C
authors.lastname: Mathieu
authors.affiliation: a Laboratory for Clinical and Experimental Medicine and Endocrinology , KU Leuven , Leuven , Belgium.|b Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Bart
authors.initials: B
authors.lastname: Van der Schueren
mesh_terms: D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology / Q000601:surgery*; D010865:Pilot Projects; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss / Q000502:physiology*
keywords: Bariatric surgery; Eating behavior; Long-term effects; Quality of life; Roux-en-Y gastric bypass