Diet Quality Before and After Metabolic Bariatric Surgery (Eetscore Study)

April 7, 2025 updated by: Rijnstate Hospital

Changes in Diet Quality After Bariatric Surgery Measured With the 'Eetscore' Screener.

The aim of this study was to learn more about the use of a short screener for diet quality (Eetscore FFQ) in bariatric patients and about changes in diet quality before and after the bariatric procedure.

Study Overview

Study Type

Observational

Enrollment (Actual)

140

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Gelderland
      • Elst, Gelderland, Netherlands, 6662 NC
        • Vitalys/Rijnstate

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Patients with severe obesity who were eligible and scheduled for metabolic bariatric surgery at Vitalys Obesity Clinic, part of Rijnstate hospital (Arnhem, the Netherlands), were asked to participate in this prospective cohort study. Participants were included approximately 6 weeks pre-surgery and followed up until 5 years post-surgery.

Description

Inclusion Criteria:

  • Approved for (primary) bariatric surgery
  • Aged 18-65 years
  • Following the standard care pathway

Exclusion Criteria:

  • Previous bariatric procedure other than adjustable gastric banding
  • Non-Dutch eating pattern
  • Active eating disorders
  • Inability to fill in questionnaires or food records

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Dutch Healthy Diet index score
Time Frame: Before surgery and at 6 mo after surgery

The DHD2015-index consists of fifteen components representing the Dutch food-based dietary guidelines of 2015: vegetables, fruit, wholegrain products, legumes, nuts, dairy, fish, tea, fats and oils, coffee, red meat, processed meat, sweetened beverages, alcohol and Na. Additionally, the component 'unhealthy food choices' was added based on the guideline of the Netherlands Nutrition Centre. For every component, the score ranges from 0 (no adherence) to 10 points (complete adherence), resulting in a total score between 0 and 160 points.

Total DHD2015-index score and individual component scores were calculated from the Eetscore FFQ and 3-day food records.

Before surgery and at 6 mo after surgery

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Macro- and micronutrient intake
Time Frame: Before surgery and at 6 mo after surgery
Macronutrient composition of the diet was evaluated by intake of total energy, total carbohydrates and mono- and disaccharides, total protein, plant-based and animal-based protein, total fat, saturated fat, monounsaturated fatty acids and polyunsaturated fatty acids (including alpha-linolenic acid, eicosapentaenoic acid, and docosahexaenoic acid), and dietary fibre. Furthermore, dietary intake of a limited range of micronutrients for which bariatric patients often display low serum levels was assessed: folate, vitamin B12, vitamin D, calcium and iron.
Before surgery and at 6 mo after surgery
Dietary intake at 3 and 5 years post-surgery
Time Frame: 3 y and 5 y after surgery
Dutch Healthy Diet index score + micro- and macronutrient intake.
3 y and 5 y after surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 1, 2018

Primary Completion (Actual)

June 10, 2020

Study Completion (Actual)

October 2, 2024

Study Registration Dates

First Submitted

January 2, 2025

First Submitted That Met QC Criteria

January 2, 2025

First Posted (Actual)

January 8, 2025

Study Record Updates

Last Update Posted (Actual)

April 9, 2025

Last Update Submitted That Met QC Criteria

April 7, 2025

Last Verified

April 1, 2025

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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