Document Type : Research articles
Authors
1 Department of General Surgery, Istanbul Obesity Surgery (IOC), Kurtkoy Ersoy Hospital, Istanbul, Turkey
2 Department of General Surgery, Sozen Surgery Clinic, Kurtkoy Ersoy Hospital, Istanbul, Turkey
Abstract
Background: Demands for fasting occasionally arise in patients undergoing bariatric surgery, depending on their beliefs.
Objectives: In the present study, patients who had undergone laparoscopic sleeve gastrectomy (LSG) and experienced fasting at different postoperative times were examined, and the effects of fasting in Ramadan were evaluated.
Methods: A total of 206 patients who underwent LSG were included in the study. All participants were asked to complete three separate questionnaires. The first questionnaire consisted of 15 items on general eating habits and fasting. The second questionnaire comprised 7 items, scores on a 10-point scale, assessing the feeling of hunger while fasting and the desire to get food. The third questionnaire included a total of 9 items asked to determine the psychological state.
Results: The first fasting was observed 13.6±9.1 months (1-36) after the operation. The mean hunger/food cravings score was 26.1±9.6, and the mean psychological disturbance index score was 6.9±3.8. A total of 42.6% of the patients stated that they lost weight while fasting. There was no significant difference between the genders in terms of food consumption habits. There was no difference between the groups in terms of weight and energy level changes after the initiation of fasting.
Conclusion: One year after LSG, most people begin fasting, and women begin their fasting earlier than men. Fasting becomes more difficult after surgery as time passes.
Keywords
- Mohammed N, Ammori BJ, Syed A. Investigating iron deficiency in the severely obese: challenges and solutions. Br J Hosp Med (Lond). 2012;73(11):606–7. [PubMed: 23147357].
- Bal BS, Finelli FC, Shope TR, Koch TR. Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol. 2012;8(9):544–56. doi: 10.1038/nrendo.2012.48. [PubMed: 22525731].
- Lazzati A, Guy Lachuer R, Delaunay V, Szwarcensztein K, Azoulay D. Bariatric surgery trends in France: 2005-2011. Surg Obes Relat Dis 2014;10(2):328-34. doi: 10.1016/j.soard.2013.07.015. [PubMed: 24209875].
- Reames BN, Finks JF, Bacal D, Carlin AM, Dimick JB. Changes in bariatric surgery procedure use in Michigan, 2006-2013. JAMA 2014;312(9):959-61. doi: 10.1001/jama.2014.7651. [PubMed: 25182106].
- Recep D. Fastıng ın islam and other religions: A comparative analysis. J Int Soc Res.2016;42(9):1784-99.
- Bragazzi NL. Ramadan fasting and chronic kidney disease: a systematic review. J Res Med Sci. 2014;19(7):665–76. [PubMed: 25364369].
- Sun Y, Fu Z, Bo Q, Mao Z, Ma X, Wang C. The reliability and validity of PHQ-9 in patients with major depressive disorder
- in psychiatric hospital. BMC Psychiatry. 2020;20(1):1-7. doi:10.1186/s12888-020-02885-6. [PubMed: 32993604].
- Chen S, Chiu H, Xu B, Ma Y, Jin T, Wu M, Conwell Y. Reliability and validity of the PHQ-9 for screening late-life depression in Chinese primary care. Int J Geriatr Psychiatry. 2010;25(11):1127-33. doi: 10.1002/gps.2442. [PubMed: 20029795].
- Yehoshua RT, Eidelman LA, Stein M, Fichman S, Mazor A, Chen J, et al. Laparoscopic sleeve gastrectomy: volume and pressure assessment. Obes Surg. 2008;18(9):1083–8. doi: 10.1007/s11695-008-9576-x. [PubMed: 18535864].
- Monteleone P, Castaldo E, Maj M. Neuroendocrine dysregulation of food intake in eating disorders. Regul Pept. 2008;149(1):39–50. doi: 10.1016/j.regpep.2007.10.007. [PubMed: 18582958].
- Waterhouse J, Alkib L, Reilly T. Effects of ramadan upon fluid and food intake, fatigue, and physical, mental, and social activities: a comparison between the UK and Libya. Chronobiol Int. 2008;25(5):697-724. doi: 10.1080/07420520802397301. [PubMed: 18780199].
- Almansour HA, Chaar B, Saini B. Fasting, diabetes, and optimizing health outcomes for Ramadan observers: a literature review.Diabetes Ther. 2017;8(2):227–49. doi: 10.1007/s13300- 017-0233-z. [PubMed: 28181087].
- Al Arouj M, Assaad Khalil S, Buse J, Fahdil I, Fahmy M, Hafez S, et al. Recommendations for management of diabetes during Ramadan: update 2010. Diabetes Care. 2010;33(8):1895- 902. doi: 10.2337/dc10-0896. [PubMed: 20668157].
- Ghouri N, Gatrad R, Sattar N, Dhami S, Sheikh A. Summerwinter switching of the Ramadan fasts in people with diabetes living in temperate regions. Diabet Med.2012;29(6):696-7. doi: 10.1111/j.1464-5491.2011.03519.x. [PubMed: 22060294].
- Bahammam A. Does Ramadan fasting affect sleep?. Int
- J Clin Pract. 2006;60(12):1631-7. doi: 10.1111/j.1742-1241.2005.00811.x. [PubMed: 16669826].
- Alkandari JR, Maughan RJ, Roky R, Aziz AR, Karli U. The implications of Ramadan fasting for human health
- and well-being. J Sports Sci. 2012;30(1):9–19. doi: 10.1080/02640414.2012.698298. [PubMed: 22742901].
- Trepanowski JF, Bloomer RJ. The impact of religious fasting on human health. Nutr J. 2010;9:1-9. doi: 10.1186/1475-2891-9-57. [PubMed: 21092212].
- Chan F, Slater C, Syed AA. Fasts after bariatric surgery. BMJ. 2010;341:3706. doi: 10.1136/bmj.c3706. [PubMed: 20659987].
- Faria SL, Faria OP, Buffington C, de Almeida Cardeal M, Ito MK. Dietary protein intake and bariatric surgery patients: a review. Obes Surg. 2011;21(11):1798–805. doi: 10.1007/s11695-011-0441-y. [PubMed: 21590346].
- Andreu A, Moize V, Rodriguez L, Flores L, Vidal J. Protein intake, body composition, and protein status following bariatric surgery. Obes Surg. 2010;20(11):1509–15. doi: 10.1007/s11695-010-0268-y. [PubMed: 20820937].
- Custodio Afonso Rocha V, Ramos de Arvelos L, Pereira Felix G, Nogueir a Prado de Souza D, Bernardino Neto M, Santos Resende E, et al. Evolution of nutritional, hematologic and biochemical changes in obese women during 8 weeks after Roux-en-Y gastric bypass. Nutr Hosp. 2012;27(4):113–40. doi: 10.3305/nh.2012.27.4.5812. [PubMed: 23165553].
- Moize V, Andreu A, Rodriguez L, Flores L, Ibarzabal A, Lacy A, et al. Protein intake and lean tissue mass retention following bariatric surgery. Clin Nutr. 2013;32(4):550-5. doi: 10.1016/j.clnu.2012.11.007. Epub 2012 Nov 14. [PubMed: 23200926].
- Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the obesity society, and American society for metabolic & bariatric surgery. Obesity (Silver Spring). 2013;21(1):1-64. doi: 10.1002/oby.20461. [PubMed: 23529939].
- Kermansaravi M, Omar I, Mahawar K, Shahabi S, Bashir A, Haddad A, et al. Religious fasting of muslim patients after metabolic and bariatric surgery: a modified delphi consensus. Obes Surg. 2021;31(12):5303-11. doi: 10.1007/s11695-021-05724-z. [PubMed: 34617207].
- Al Ozairi E, Al Kandari J, AlHaqqan D, AlHarbi O, Masters Y, Syed AA. Obesity surgery and Ramadan: a prospective analysis of nutritional intake, hunger and satiety and adaptive behaviours during fasting. Obes Surg. 2015;25(3):523-9. doi: 10.1007/s11695-014-1373-0. [PubMed: 25595382]
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