ClinicalTrials.gg
Not yet recruitingNCT07636239BCKYL-YDBUpdated Jun 9, 2026

Eating Behavior, Nutritional Status and Appetite Hormones After Bariatric Surgery

An observational study in Obesity, Bariatric Surgery and Laparoscopic Sleeve Gastrectomy, sponsored by Özlem ÖZPAK AKKUŞ. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-06-09.

Sponsored by Özlem ÖZPAK AKKUŞ · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
40
Ages
18 Years to 50 Years
Sex
All
01

Study summary

This study aims to evaluate changes in eating behavior attitudes, nutritional status, and appetite-regulating hormonal parameters in individuals who have undergone Laparoscopic Sleeve Gastrectomy (LSG). The study will be conducted at Bursa Yıldırım Doruk Hospital, Department of General Surgery. A total of 40 volunteer participants who underwent LSG within the last month will be included. Participants will be assessed at baseline (shortly after surgery) and at 6-month follow-up. Assessments will include anthropometric measurements (body weight, height, waist and hip circumference, BMI, waist-to-hip ratio), 3-day dietary intake records analyzed using BeBIS 8.2 software, and the Adult Eating Behavior Scale. Biochemical parameters including fasting blood glucose, total cholesterol, triglycerides, HDL, LDL, VLDL cholesterol, and insulin will be obtained from patient files and analyzed using Advia Chemistry 2400 and Advia XPT devices. Additionally, appetite-regulating hormones (ghrelin, GLP-1, PYY) will be analyzed from residual blood samples using the ELISA method with RelAssay Diagnostics kits by Teknogen Bioengineering Laboratory. All data will be compared between baseline and 6-month follow-up to evaluate the impact of bariatric surgery on nutritional and hormonal outcomes.

Read the detailed description

This observational study will be conducted at Bursa Yıldırım Doruk Hospital, General Surgery Clinic, under the supervision of Assoc. Prof. Dogukan Durak. Forty volunteer participants who underwent Laparoscopic Sleeve Gastrectomy (LSG) within the last month and meet the inclusion and exclusion criteria will be enrolled after signing an informed consent form.

Assessments will be performed at two time points: at baseline (shortly after surgery) and at 6-month follow-up.

Anthropometric Measurements: Body weight, height, waist and hip circumference will be measured. BMI and waist-to-hip ratio will be calculated accordingly. Waist circumference will be evaluated according to WHO criteria.

Dietary Assessment: A 3-day dietary intake record will be collected from each participant at both time points. Food portion sizes will be estimated using the "Food and Nutrient Photo Catalog." Energy and macronutrient intake will be analyzed using BeBIS 8.2 software and evaluated according to the Turkish Dietary Guidelines 2022 (TUBER 2022).

Eating Behavior Assessment: The Adult Eating Behavior Scale (developed by Celik et al.) will be administered at both time points. The scale consists of 18 items and 5 subscales, scored between 0-100. Higher scores indicate more positive attitudes toward eating behavior.

Biochemical and Hormonal Parameters: After 12-hour fasting, the following biochemical parameters will be obtained from patient files: fasting blood glucose (FBG), total cholesterol (TC), triglycerides (TG), high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, very low-density lipoprotein (VLDL) cholesterol, and insulin. Routine biochemical parameters and lipid profile will be analyzed spectrophotometrically using the Advia Chemistry 2400 device, while insulin will be measured by chemiluminescence using the Advia XPT device. Additionally, appetite-regulating hormones including ghrelin, glucagon-like peptide-1 (GLP-1), and peptide YY (PYY) will be analyzed from residual blood samples stored at -20°C by Teknogen Bioengineering Laboratory using the ELISA method with an automated microplate reader (Biotek TS800) and RelAssay Diagnostics commercial kits (Ankara, Turkey).

All data will be compared between baseline and 6-month follow-up using appropriate statistical methods.

02

Conditions studied

  • Obesity
  • Bariatric Surgery
  • Laparoscopic Sleeve Gastrectomy
  • Eating Behavior
  • Nutritional Status

Keywords

  • Obesity
  • Bariatric Surgery
  • Laparoscopic Sleeve Gastrectomy
  • Eating Behavior
  • Nutritional status
  • Ghrelin
  • GLP-1
  • Peptite YY
  • Appetite hormones
  • Body mass index
  • Weight loss
  • Dietary intake
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's planned enrollment of 40 is below the median of 114 across 2,154 observational studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

This is the only study on the registry with Özlem ÖZPAK AKKUŞ as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients who underwent Laparoscopic Sleeve Gastrectomy (LSG) within the last month at Bursa Yıldırım Doruk Hospital, General Surgery Clinic, under the supervision of Assoc. Prof. Dogukan Durak, and who meet the inclusion and exclusion criteria.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Having undergone Laparoscopic Sleeve Gastrectomy (LSG) within the last month
  • Aged between 18-50 years
  • Signing the form
  • Having a (BMI) of 40 kg/m2 or between 35-40 kg/m2 with obesity-related comorbidities
  • No diagnosis of depression
  • No eating behavior disorder
  • No psychiatric disorder

Exclusion criteria

Exclusion Criteria:

  • Not having undergone Laparoscopic Sleeve Gastrectomy (LSG) or not planning to undergo bariatric surgery
  • Not being in the age range of 18-50 years
  • Not signing the form
  • Having a (BMI) greater than 40 kg/m2 or less than 35 kg/m2 without obesity-related comorbidities
  • Having a diagnosis of depression
  • Having an eating behavior disorder
  • Having a psychiatric disorder
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
40 participants (estimated)
Patient registry
No

Groups and cohorts

  • LSG Patients

    Individuals who underwent Laparoscopic Sleeve Gastrectomy (LSG) within the last month at Bursa Yıldırım Doruk Hospital, General Surgery Clinic, and meet the inclusion and exclusion criteria. Participants will be assessed at baseline (shortly after surgery) and at 6-month follow-up.

    Other: Anthropometric Measurements and Dietary Assessment

Interventions

  • OtherAnthropometric Measurements and Dietary Assessment

    Anthropometric measurements (body weight, height, waist and hip circumference, BMI, waist-to-hip ratio), 3-day dietary intake records, Adult Eating Behavior Scale, and biochemical and hormonal parameters (fasting blood glucose, lipid profile, insulin, ghrelin, GLP-1, PYY) will be assessed at baseline and at 6-month follow-up.

    Also known as: Biochemical and Hormonal Parameter Analysis, Adult Eating Behavior Scale, 3-Day Dietary Intake Record

06

What researchers measure

Primary outcomes

  1. Change in Serum Ghrelin Concentration (pg/mL)

    Change in serum ghrelin levels between baseline and 6-month follow-up, assessed by ELISA method.

    Time frame: Baseline and 6 months after surgery

  2. Change in Serum GLP-1 Concentration (pmol/L)

    Change in serum glucagon-like peptide-1 (GLP-1) levels between baseline and 6-month follow-up, assessed by ELISA method.

    Time frame: Baseline and 6 months after surgery

  3. Change in Serum PYY Concentration (pg/mL)

    Change in serum peptide YY (PYY) levels between baseline and 6-month follow-up, assessed by ELISA method.

    Time frame: Baseline and 6 months after surgery

  4. Change in Adult Eating Behavior Scale Total Score (0-100)

    Change in Adult Eating Behavior Scale total score between baseline and 6-month follow-up. Scale is scored between 0-100; higher scores indicate more positive eating behavior attitudes.

    Time frame: Baseline and 6 months after surgery

  5. Change in Daily Energy Intake (kcal/day)

    Change in daily energy intake assessed by 3-day dietary intake records at baseline and 6-month follow-up. Food portions will be estimated using the Food and Nutrient Photo Catalog. Data will be analyzed using BeBIS 8.2 software and evaluated according to Turkish Dietary Guidelines 2022.

    Time frame: Baseline and 6 months after surgery

  6. Change in Daily Protein Intake (g/day)

    Change in daily protein intake assessed by 3-day dietary intake records at baseline and 6-month follow-up. Food portions will be estimated using the Food and Nutrient Photo Catalog. Data will be analyzed using BeBIS 8.2 software and evaluated according to Turkish Dietary Guidelines 2022

    Time frame: Baseline and 6 months after surgery

  7. Change in Daily Carbohydrate Intake (g/day)

    Change in daily carbohydrate intake assessed by 3-day dietary intake records at baseline and 6-month follow-up. Food portions will be estimated using the Food and Nutrient Photo Catalog. Data will be analyzed using BeBIS 8.2 software and evaluated according to Turkish Dietary Guidelines 2022.

    Time frame: Baseline and 6 months after surgery

  8. Change in Daily Fat Intake (g/day)

    Change in daily fat intake assessed by 3-day dietary intake records at baseline and 6-month follow-up. Food portions will be estimated using the Food and Nutrient Photo Catalog. Data will be analyzed using BeBIS 8.2 software and evaluated according to Turkish Dietary Guidelines 2022.

    Time frame: Baseline and 6 months after surgery

Secondary outcomes

  1. Change in Body Weight (kg)

    Change in body weight between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

  2. Change in Body Mass Index (kg/m²)

    Change in BMI between baseline and 6-month follow-up. Weight and height will be combined to report BMI in kg/m².

    Time frame: Baseline and 6 months after surgery

  3. Change in Waist Circumference (cm)

    Change in waist circumference between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

  4. Change in Hip Circumference (cm)

    Change in hip circumference between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

  5. Change in Waist-to-Hip Ratio

    Change in waist-to-hip ratio between baseline and 6-month follow-up. Waist and hip circumference measurements will be combined to calculate the waist-to-hip ratio.

    Time frame: Baseline and 6 months after surgery

  6. Change in Fasting Blood Glucose Concentration (mg/dL)

    Change in fasting blood glucose levels between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

  7. Change in Total Cholesterol Concentration (mg/dL)

    Change in total cholesterol levels between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

  8. Change in Triglyceride Concentration (mg/dL)

    Change in triglyceride levels between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

  9. Change in HDL Cholesterol Concentration (mg/dL)

    Change in high-density lipoprotein (HDL) cholesterol levels between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

  10. Change in LDL Cholesterol Concentration (mg/dL)

    Change in low-density lipoprotein (LDL) cholesterol levels between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

  11. Change in VLDL Cholesterol Concentration (mg/dL)

    Change in very low-density lipoprotein (VLDL) cholesterol levels between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

  12. Change in Fasting Insulin Concentration (µIU/mL)

    Change in fasting insulin levels between baseline and 6-month follow-up.

    Time frame: Baseline and 6 months after surgery

07

Study locations

1 site
  • Bursa Yıldırım Doruk Hastanesi, General Surgery Clinic
    Bursa, Bursa 16130, Turkey (Türkiye)
    • Özlem ÖZPAK AKKUŞ, Assoc. Prof. · Contactdytozlemozpak@hotmail.com · +903246253300
    • Doğukan DURAK, Assoc. Prof. · Contactdogukandurak404@hotmail.com · +905327243733
    • Özlem ÖZPAK AKKUŞ, Assoc. Prof. · Principal investigator
    • Doğukan DURAK, Assoc. Prof. · Sub investigator
    • Seher ŞEN, Asst. Prof. · Sub investigator
    • Tuğçe Nur DOĞANAY YILDIRIM, MSc, RD · Sub investigator
08

References and documents

Publications

  • Celik E, Karabulut E, Bilgic P. Bariatrik Cerrahi Hastalarinda Beslenme ve Davranis Tutumu Olcegi. Bes Diy Derg. 2017;45(2):107-15.
  • Pekcan G, Sanlier N, Bas M, Acar Tek N, Gokmen Ozel H. Turkiye Beslenme Rehberi (TUBER) 2022. Ankara: Hazar Reklamcilik; 2022.
  • Beslenme Bilgi Sistemleri Paket Programi (BeBIS 8.2). Istanbul: Software NDB; 2015.
  • Merdol TK. Toplu Beslenme Yapilan Kurumlar icin Standard Yemek Tarifleri. Hatipoglu Yayinlari; 2003.
  • Rakicioglu N, Tek NA, Ayaz A, Pekcan G. Yemek ve Besin Fotograf Katalogu Olcu ve Miktarlar. Nadir Kitap; 2012.
  • Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995;854:1-452. PubMed 8594834 ↗
  • Pekcan G. Beslenme Durumunun Saptanmasi. Diyet El Kitabi. Ankara: Hatipoglu Yayinevi; 2013:67-142.
  • Baltaci G. Obezite ve egzersiz. Saglik Bakanligi Yayinlari, Ankara; 2008.
  • World Health Organization. Prevention and management of the global epidemic of obesity. Report of the WHO Consultation on Obesity. Geneva: WHO; 1997.
  • Rigamonti AE, Bini S, Rocco MC, Giardini V, Massimini D, Crippa MG, Saluzzi A, Casati M, Marazzi N, Perotti M, Cimino V, Grassi G, Sartorio A, Pincelli AI. Post-prandial anorexigenic gut peptide, appetite and glucometabolic responses at different eating rates in obese patients undergoing laparoscopic sleeve gastrectomy. Endocrine. 2017 Jan;55(1):113-123. doi: 10.1007/s12020-016-0933-6. Epub 2016 Mar 29. PubMed 27022941 ↗
  • Devlin MJ, Goldfein JA, Flancbaum L, Bessler M, Eisenstadt R. Surgical management of obese patients with eating disorders: a survey of current practice. Obes Surg. 2004 Oct;14(9):1252-7. doi: 10.1381/0960892042386940. PubMed 15527644 ↗
  • Brown W, Dixon JB, Brien PO. Management of obesity--the role of surgery. Aust Fam Physician. 2006 Aug;35(8):584-6. PubMed 16894430 ↗
  • Katsanos CS, Madura JA 2nd, Roust LR. Essential amino acid ingestion as an efficient nutritional strategy for the preservation of muscle mass following gastric bypass surgery. Nutrition. 2016 Jan;32(1):9-13. doi: 10.1016/j.nut.2015.07.005. Epub 2015 Aug 5. PubMed 26456190 ↗
  • Sherf Dagan S, Goldenshluger A, Globus I, Schweiger C, Kessler Y, Kowen Sandbank G, Ben-Porat T, Sinai T. Nutritional Recommendations for Adult Bariatric Surgery Patients: Clinical Practice. Adv Nutr. 2017 Mar 15;8(2):382-394. doi: 10.3945/an.116.014258. Print 2017 Mar. PubMed 28298280 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared due to patient privacy and confidentiality concerns in accordance with Turkish Personal Data Protection Law (KVKK). Aggregate study results will be made available through peer-reviewed publication.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jul 2026; primary completion for Jan 2027, 6 months later.

Of 791 non-industry observational studies under Obesity, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 106. This study's planned 6 months is below that.

Counting every sponsor, half of 836 studies reached it within 39 months; a quarter within 17 and three quarters within 96.

How these figures are worked out, and which studies are left out of them.

Registered
May 20, 2026
First posted
Jun 9, 2026
StartEst.
Jul 1, 2026
Primary completionEst.
Jan 1, 2027
CompletionEst.
Feb 1, 2027
Last update
Jun 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07636239
Lead sponsor
Özlem ÖZPAK AKKUŞ
Responsible party
Özlem ÖZPAK AKKUŞ (Assoc. Prof., Toros University) — Sponsor-investigator
First posted
Jun 9, 2026
Start date
Jul 1, 2026 (estimated)
Primary completion
Jan 1, 2027 (estimated)
Completion
Feb 1, 2027 (estimated)
Last update
Jun 9, 2026

Study contacts

Özlem ÖZPAK AKKUŞ, Assoc. Prof.
Contact
dytozlemozpak@hotmail.com
+903246253300
Doğukan DURAK, Assoc. Prof.
Contact
dogukandurak404@hotmail.com
+905327243733
Özlem ÖZPAK AKKUŞ, Assoc. Prof.
principal investigator · Toros University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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