"When the Honeymoon is Over, the Real Work Begins:" Gastric Bypass Patients' Weight Loss Trajectories and Dietary Change Experiences
Abstract
To understand gastric bypass patients' experiences with managing food and eating for long-term weight management, this study examined patients' self-reported dietary changes and weight loss patterns. Thirteen women and three men between 15 months and 10 years post-gastric bypass surgery were recruited in Upstate New York. They completed two qualitative, in-depth interviews about their weight loss and dietary experiences. Using verbatim transcripts, researchers created timelines for each participant that summarized weight changes and the associated dietary behaviors. Constant comparative analysis of the timelines and transcripts identified a common, initial rapid weight loss period followed by weight stabilization, after which participants' weight loss patterns diverged into three possible long-term trajectories (Maintaining, Regained/Losing, and Regained) and one short-term trajectory (Losing). Dietary management over the periods of weight loss involved six components: physical needs, hunger and fullness, relationship with food, strategy use, habit formation, and awareness of eating. In the "honeymoon period" weight loss was "easy" because "surgery does the work" in limiting appetite, portion sizes, and interest in foods. As weight stabilized, "the work begins" as participants became capable of eating a greater quantity and a wider variety of foods. Differences in weight loss trajectories were associated with participants' abilities to maintain changes in relationship with food, dietary strategies and habits, and awareness of eating behaviors. Viewing weight loss outcomes of gastric bypass surgery as trajectories that develop as the result of dietary transitions and changes in dietary management suggests that patients need to be counseled on a variety of cognitive and behavioral strategies.
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As negative emotional states return and the honeymoon period after bariatric surgery ends, patients may find themselves craving food to manage negative emotions.
“Over time, as negative emotional states may return and the “honeymoon period” after having bariatric surgery ends, patients may find themselves craving food to manage negative emotions (43, 44).”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [43]
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- Authors
- Lynch, A.
- Affiliations
- Oakland University (US)
- Corresponding author
- Lynch, Amanda
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2016-02
- Volume
- 151
- Pages
- 241-249
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2238652522
- Cited by
- 74
- References
- 37
- Citations by year
- 2026: 4 · 2025: 16 · 2024: 9 · 2023: 8 · 2022: 12 · 2021: 7 · 2020: 3 · 2019: 5 · 2018: 6 · 2017: 4
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Cornell University
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- gastric bypass, weight loss trajectories, dietary change, bariatric surgery, weight regain, relationship with food, dietary habits, hunger and fullness, nutritional strategies, habit formation, eating awareness, long-term weight management, patient experience
- MeSH terms
- Adult, Feeding Behavior, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, New York, Gastric Bypass, Weight Loss, Qualitative Research, Self Report
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