Can Flaxseed Help Satisfy Appetite in Women Subjected to Bariatric Surgery?
DOI:
https://doi.org/10.14306/renhyd.16.2.94Keywords:
Flaxseed, Appetite, Bariatric surgery, FatAbstract
Background: Bariatric surgery is considered the most effective immediate weight loss method for the morbidly obese, despite widely reported weight regain after a few years. Appetite, satiety and satiation control are essential to maintaining a long-term result post-surgery. Dietary fatty acids composition may be implicated in the satiety. As flaxseed is a food high in linolenic acid, we aimed to verify the influence of flaxseed fat on appetite and satiety of women after bariatric surgery.
Material and methods: Six women who underwent bariatric surgery at least 2 years before participated in a single-blind crossover trial that compared the effect of two isocaloric meals on satiety, one containing whole golden flaxseed (high in polyunsaturated fatty acids and fiber) (G1) and another withdefatted flaxseed (high in fiber) (G2), with one week of washout period. This variable was estimated by visual analogue scales in both meals at baseline (T0), immediately after ingestion (T1) and 60, 120, and 180 minutes after the meal (T60, T120 and T180). Fasting anthropometric, body composition, laboratory tests (glucose and lipids) and dietary variables, were evaluated while fasting.
Results: The volunteers were obese and had excess central adiposity, even after two years of surgery and still showed habitual fibre intake below recommended levels. G1 had reduced hunger after 180 minutes compared to G2 (P=.046). Other parameters related to appetite and satiety did not differ between groups.
Conclusions: Less hunger was observed after 180 minutes in whole golden flaxseed meal compared with the defatted flaxseed meal, indicating that the whole golden flaxseed meal, possibly, supports obesity treatment in the long-term after bariatric surgery by controlling appetite and satiety sensations.
References
Faria AM, Mancini MC, De Melo ME, Cercato C, Halpern A. Recent progress and novel perspectives on obesity pharmacotherapy. Arq Bras Endocrinol Metabol. 2010;54:516-29.
World Health Organization. Fact sheet: obesity and overweight [citado 26 May 2009]. Disponible en: http://www.who.int/mediacentre/factsheets/fs311/en/print.html
Low S, Chin MC, Deurenberg-Yap M. Review on Epidemic of Obesity. Ann Acad Med Singapore. 2009;38:57-65.
AACE/TOS/ASMBS Guidelines. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient. Surg Obes Relat Dis. 2008;4:S109-84.
Maggard MA, Shugarman IR, Suttorp M, Maglione M, Sugerman HJ, Livingston EH, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142:547-59.
Moizé VL, Pi-Sunyer X, Mochari H, Vidal J. Nutritional pyramid for post-gastric bypass patients. Obes Surg. 2010;20:1133-41.
Dapri G, Cadière GB, Himpens J. Laparoscopic placement of non-adjustable silicone ring for weight regain after Roux-en-Y gastric bypass. Obes Surg. 2009;19:650-4.
Scopinaro N, Gianetta E, Friedman D. Biliopancreatic diversion for obesity. Probl Gen Surg. 1992;9:362-79.
Blundell J, De Graaf C, Hulshof T, Jebb S, Livingstone B, Lluch A, et al. Appetite control: methodological aspects of the evaluation of foods. Obes Rev. 2010;11:251-70.
Lee YP, Mori TA, Sipsas S, Barden A, Puddey IB, Burke V, et al. Lupin-enriched bread increases satiety and reduces energy intake ocutely. Am J Clin Nutr. 2006;84:975-80.
Lawton CL, Delargy HJ, Brockman J, Smith FC, Blundell JE. The degree of saturation of fatty acids influences post-ingestive satiety. Br J Nutr. 2000;38:477-82.
Dodin S, Lemay A, Jacques H, Légaré F, Foreste JC, Mâsse B. The effects of flaxssed dietary supplement on lipid profile, bone mineral density, and symptoms in menopausal women: a randomized, doubled-blind, wheat germ placebo-controlled clinical trial. J Clin Endocrinol Metab. 2005;90:1390-7.
Stuff JE, Garza C, Smith EO, Nichols BL, Montandon CM. A comparison of dietary methods in nutritional studies. Am J Clin Nutr. 1983;37:300-6.
DIETPRO 5i tecnologia para nutrição. Versão 5i. Viçosa: A.S. Sistemas, 2008. 1 CD-ROM.
Flint A, Raben A, Blundell JE, Astrup A. Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes. 2000;24: 38-48.
FAO (Food and Agriculture Organization) / WHO (World Health Organization) / UNU (United Nations University). Energy and protein requirements. WHO Technical Report Series, n. 724. Geneva: WHO; 1985.
World Health Organization (WHO). Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Technical Report Series, n. 854. Geneva: WHO; 1995.
World Health Organization (WHO). Measuring obesity-classification and description of anthropometric data. Report of a WHO Regional Office Consultation on the Epidemiology of Obesity. Copenhagen, Denmark: WHO Regional Office for Europe, Nutrition Unit. (Document EUR/ICP/NUT 125). Geneva: WHO; 1988.
Lukaski HC, Johnson PE, Bolonchuk WW, Lykken GI. Assement of fat-free mass using bioelectrical impedance measurement of the human body. Am J Clin Nutr. 1985;41:810-7.
Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972;18:499-502.
World Health Organization (WHO). The world health report 1997 - conquering suffering, enriching humanity [citado 11 Ene 2010]. Disponible en: http://www.who.int/whr/1997/en/index.html
Consenso Latino Americano de Obesidade. Arq Bras Endocrinol Metab. 1999;43:21-67.
Diretrizes Brasileiras de Obesidade. 3.a ed. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica (ABESO); 2009-2010.
Magro DO, Gelazone B, Delfini R, Pareja BC, Callejas F, Pareja JC. Long-term weight regain after gastric bypass: a 5-year prospective study. Obes Surg. 2008;18:648-51.
Dapri G, Cadière GB, Himpens J. Laparoscopic placement of non-adjustable silicone ring for weight regain after Roux-en-Y gastric bypass. Obes Surg. 2009;19:650-4.
Faria SL, Kelly EO, Kins RD, Faria OP. Nutritional management of weight regain after bariatric surgery. Obes Surg. 2008;20: 135-9.
Ribeiro AG, Faintuch J, Dias MCG, Cecconello I. Euglycemia and normolipidemia after anti-obesity gastric bypass. Nutr Hosp. 2009;24:32-9.
Silva EN, Sanhes MD. Perfil lipídico de obesos antes e após a derivação gástrica a Fobi-Capella. Rev Col Bras Cir. 2006;33: 91-5.
American Dietetic Association (ADA). Position of the American Dietetic Association: health implications of dietary fiber. J Am Diet Assoc. 1993;93:1446-7.
Little TJ, Horowitz M, Feinle-Bisset C. Modulation by high-fat diets of gastrointestinal function and hormones associated with the regulation of energy intake: implications for the pathophysiology of obesity. Am J Clin Nutr. 2007;86: 531-41.
Essah PA, Levy JR, Sistrun SN, Kelly SM, Nestler JE. Effect of macronutrient composition on postprandial peptide YY levels. J Clin Endocrinol Metab. 2007;92:4052-5.
Sales RL, Costa NMB, Monteiro JBR, Peluzio MCG, Coelho SB, Oliveira CG, et al. Efeito dos óleos de amendoim, açafrão e oliva na composição corporal, metabolismo energético, perfil lipídico e ingestão alimentar de indivíduos eutróficos normolipidêmicos. Rev Nutr. 2005;8:499-511.
Flint A, Helt B, Raben A, Toubro S, Astrup A. Effects of different dietary fat types on posprandial appetite and energy expenditure. Obes Res. 2003;11:1449-55.
Smeets AJPG, Westerterp-Plantega MS. Satiety an substrate mobilization after oral fat stimulation. Br J Nutr. 2006;95:795-801.
Parra D, Ramel A, Bandarra N, Kiely M, Martínez A, Thorsdottir I. A diet rich in long chain omega-3 fatty acids modulates satiety in overweight and obese volunteers during weight loss. Appetite. 2008;51:676-80.