Abstract:
Obesity is a chronic disease that is common all over the world and threatens public health globally. Options for treating obesity include lifestyle changes such as dietary changes and exercise, as well as drugs that cause body weight loss. Recently, surgical intervention options have become more common in the treatment of obesity. This research is planned and conducted in order to determine whether there is food addiction and depression in patients scheduled for bariatric surgery and to examine the effect of this on the nutritional status of the patients. The 127 adult individuals (the mean age of 38.7±11.24 years) living in Ankara, who applied to a private doctor's office for bariatric surgery and had a general health examination by the physician, voluntarily accepted to participate in the study. A questionnaire form including questions about demographic characteristics, health conditions and nutritional habits was applied to the participants by face to face interview method. Three-day food consumption records were taken to determine the nutritional status of individuals. Anthropometric measurements of the participants were calculated. Food addiction of the participants was assessed using the Yale Food Addiction Scale. Depression status of participants was evaluated with Beck Depression Scale. The relationship between individuals' BMI groups and their education level was found to be statistically significant. Energy, carbohydrate,protein, fat and cholestrol percentages as a result of the daily diet of the individuals meet the RDA recommendation. The percentage of men meeting the fiber RDA recommendation was 90.4±29.83%, while it was below the recommended value, while the percentage of women meeting the fiber RDA recommendation was 117.8±45.43% and above the recommended value. According to the RDA recommendations, it has been found that the potassium mineral that individuals take in their daily diet is insufficient in all individuals, and vitamin E, pantothenic acid, calcium and iron are insufficient in women. The average waist circumference of individuals with food addiction (129.8 ± 14.20 cm) was found to be statistically significantly higher than the average of individuals without food addiction (126.4 ± 16.20 cm). A statistically significant positive correlation was found between BMI values ??and carbohydrate percentage values ??of individuals, and a statistically significant negative weak relationship was found between protein percentage values. In conclusion, scientists and clinicians working in nutrition and dietetics, psychology, sociology, medical and surgical sciences should work together in order to solve the complex relationship between obesity and mental health problems, the most common depression and eating disorders to manage the patients who undergo bariatric surgery. Thus, in patients scheduled for bariatric surgery, psychological and sociological support mechanisms can be established with the surgery and professional support can be used if necessary. Practices to be implemented in a wide range of interventions ranging from patient selection to depression treatment, from determining nutritional deficiencies to pre- and postoperative removal of these deficiencies may increase the success of surgical treatment.
