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Purpose <p>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.</p> Material and Methods <p>A total of 100 patients who underwent a sleeve gastrectomy (mean follow-up 90.4 ± 46&#xa0;months) were included. The EBBS was administered to evaluate food, drink, behavior, and lifestyle domains.</p> Results <p>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 (<i>p</i> = 0.04). Logistic regression revealed that EBBS scores &gt; 13.5 predicted EWL &gt; 50% (OR = 17.8, <i>p</i> = 0.010), underscoring the value of this tool in identifying patients at risk for WR.</p> Conclusions <p>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.</p> Graphical Abstract <p></p>

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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

  • 期刊论文

  • 发表日期：

    2025年4月3日

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  • Joana Nicolau,
  • Pilar Sanchís,
  • Guido Sfondrini,
  • Luisa Ayala,
  • Antelm Pujol,
  • María Isabel Tamayo,
  • Lluís Masmiquel

摘要

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.

Graphical Abstract