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Prevalence of Alcohol Abuse Before and After Bariatric Surgery Associated With Nutritional and Lifestyle Factors: A Study Involving a Portuguese Population

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Abstract

Background

It has been hypothesized that the metabolism of alcohol is altered following bariatric surgery. However, few studies have evaluated preoperative and postoperative alcohol use. The aims of the study were to characterize alcohol use in the preoperative period and 2 years postoperatively as well as to identify factors associated.

Methods

A study was conducted using data from the electronic charts of patients submitted to laparoscopic adjustable gastric banding (LAGB) and Roux-en-Y gastric bypass (RYGB) surgery in the city of Porto, Portugal. Associations with the following variables were analyzed: age, marital status, schooling, alcohol use, body mass index, binge eating disorder, and lifestyle habits.

Results

Among the 659 patients, 42.0 % completed the 2 years of follow-up. A total of 90.2 % were women; 67.4 % underwent LAGB, and 32.6 % underwent RYGB. The frequency of alcohol use was 24.2 % in the preoperative period and 9.4 % in the postoperative period (p = 0.000). Daily alcohol intake was two drinks in the preoperative period and 1.8 drinks in the postoperative period. Significant associations were found between postoperative alcohol use and the male gender (p = 0.001), age ≥45 years (p = 0.018), and preoperative BMI <40 kg/m2 (p = 0.028). No significant associations were found with the surgical technique. No previous nondrinkers became drinkers, and no patients increased the quantity or frequency of alcohol intake in the postoperative period.

Conclusions

The prevalence of alcohol use in the sample was low. Moreover, a lower prevalence rate was found in the postoperative period, independently of surgical technique, clinical factors, and percentage of weight loss.

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Conflict of Interest

All authors (Maria Goretti Pessoa de Araujo Burgos; Poliana Coelho Cabral; Regiane Maio; Bruno M. P. M. Oliveira; Margarida Sarmento Oliveira Dias; Diva Bizarro de Figueiredo Melim; and Maria Flora Correia) confirm that they have no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

Statement of Human Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the Helsinki Declaration and its later amendments or comparable ethical standards.

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Authors and Affiliations

  1. Department of Nutrition, Federal University of Pernambuco (UFPE), Recife, PE, Brazil

    Maria Goretti Pessoa de Araujo Burgos, Poliana Coelho Cabral & Regiane Maio

  2. School of Nutrition and Food Sciences, University of Porto, LIAAD-INESC, Porto, Portugal

    Bruno M. P. M. Oliveira & Maria Flora Correia

  3. São João Hospital Center, E.P.E., Porto, Portugal

    Margarida Sarmento Oliveira Dias & Diva Bizarro de Figueiredo Melim

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  1. Maria Goretti Pessoa de Araujo Burgos
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  2. Poliana Coelho Cabral
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Correspondence to Maria Goretti Pessoa de Araujo Burgos.

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de Araujo Burgos, M.P., Cabral, P.C., Maio, R. et al. Prevalence of Alcohol Abuse Before and After Bariatric Surgery Associated With Nutritional and Lifestyle Factors: A Study Involving a Portuguese Population. OBES SURG 25, 1716–1722 (2015). https://doi.org/10.1007/s11695-015-1609-7

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  • DOI: https://doi.org/10.1007/s11695-015-1609-7

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