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ObesityBCKYL-YDBNCT07636239

Eating Behavior, Nutritional Status and Appetite Hormones After Bariatric Surgery

An observational study of Obesity and Bariatric Surgery, run by Özlem ÖZPAK AKKUŞ at 1 site in Turkey (Türkiye).

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial 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. Read more about this study

Who is it for?
Ages 18 to 50 years
What is being tested?
Anthropometric Measurements and Dietary Assessment
How many people
40 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Jul 2026to 1 Feb 2027
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

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.

Who may be able to join

  • Having undergone Laparoscopic Sleeve Gastrectomy (LSG) within the last month
  • Aged between 18-50 years
  • Signing the informed consent form
  • Having a Body Mass Index (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

Who cannot join

  • 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 informed consent form
  • Having a Body Mass Index (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

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Özlem ÖZPAK AKKUŞ, Assoc. Prof. contact

+903246253300

dytozlemozpak@hotmail.com

Doğukan DURAK, Assoc. Prof. contact

+905327243733

dogukandurak404@hotmail.com

Turkey (Türkiye)1 site
  • Bursa Yıldırım Doruk Hastanesi, General Surgery Clinic

    Bursa, Bursa, 16130

    Özlem ÖZPAK AKKUŞ, Assoc. Prof., +903246253300, dytozlemozpak@hotmail.com

    Doğukan DURAK, Assoc. Prof., +905327243733, dogukandurak404@hotmail.com

Other trials in Turkey (Türkiye)

About this study

Official title: Evaluation of Changes in Postoperative Eating Behavior Attitudes, Nutritional Status, and Some Hormonal Parameters Regulating Appetite in Surgical Weight Management

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.

Being tested
Anthropometric Measurements and Dietary Assessment
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
Medical subject headings
Obesity, Feeding Behavior, Weight Loss

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Anthropometric Measurements and Dietary AssessmentOther

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

    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.

Study groups in NCT07636239
Study groupRoleWhat they receive
LSG PatientsIndividuals 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.
Receives: Other: Anthropometric Measurements and Dietary Assessment

What is being measured

The primary outcome is the main question the study is designed to answer.

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

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

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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

    Measured: 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.

    Measured: 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.

    Measured: Baseline and 6 months after surgery

Secondary outcomes (12)
  1. Change in Body Weight (kg)

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

    Measured: 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.

    Measured: Baseline and 6 months after surgery

  3. Change in Waist Circumference (cm)

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

    Measured: Baseline and 6 months after surgery

  4. Change in Hip Circumference (cm)

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

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: Baseline and 6 months after surgery

  8. Change in Triglyceride Concentration (mg/dL)

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

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: Baseline and 6 months after surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jun 2026
  2. Study start1 Jul 2026 (estimated)
  3. Primary completion1 Jan 2027 (estimated)
  4. Study completion1 Feb 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07636239
Sponsor's protocol ID
BCKLY-YDB-2026
Acronym
BCKYL-YDB
Status last verified
Jun 2026
First submitted
20 May 2026
Last updated
9 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
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.

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

Questions about this trial

What is this clinical trial studying?

An observational study of Obesity and Bariatric Surgery, run by Özlem ÖZPAK AKKUŞ at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 9 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Özlem ÖZPAK AKKUŞ, Assoc. Prof. (+903246253300, dytozlemozpak@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Serum Ghrelin Concentration (pg/mL) (time frame: Baseline and 6 months after surgery). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07636239, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jun 2026.

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