Emotional food cravings predicts poor short-term weight loss following laparoscopic sleeve gastrectomy

Objectives Laparoscopic sleeve gastrectomy (LSG) incidence has increased worldwide. However, a proportion of patients achieve inadequate weight loss and some experience weight regain. Little is known of the influence of eating beliefs and behaviours in response to cravings on early weight loss trajectory. This study aimed to identify the post‐surgery eating cravings that predicted patients not achieving excess weight loss outcome (EWL) at 6–8 months post‐LSG. Design A total of 106 (80.7% female) participants who underwent LSG from four sites completed the questionnaires at 4–6 weeks post‐bariatric surgery and 6 months post‐LSG. Achieving <40% EWL at 6‐month follow‐up was included as the outcome variable, and the nine subscales of the Food Cravings Questionnaire‐Trait version (FCQ‐T) were included as potential predictors of that change. Methods Logistic regression was used to examine the relationship between EWL and the nine subscales of the FCQ‐T (intentions to eat, positive reinforcement, negative reinforcement, lack of control, preoccupation with food, feelings of hunger, negative affect, emotions experienced before or during food cravings or eating, and guilty feelings). Results Participants lost an average 64% EWL (SD = 21% EWL) 6–8 months after LSG surgery. Results indicated the overall model was significant and, of the nine variables, the emotional food craving subscale (adjusted OR = 4.19, p = .018) predicted a failure to achieve EWL. Conclusion Emotional food cravings experienced 4–6 weeks following LSG may predict poor weight loss outcomes at 6 months.