Do Bariatric Patients Follow Dietary and Lifestyle Recommendations during the First Postoperative Year?

Sherf-Dagan, Shiri; Keidar, Andrei; Raziel, Asnat; Sakran, Nasser; Goitein, David; Shibolet, Oren; Zelber‐Sagi, Shira

doi:10.1007/s11695-017-2633-6

Cited by 50 publications

(30 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a previous study, we observed associations between some bacterial changes and improvements in corpulence, metabolic or inflammatory markers, yet half of these associations are strongly dependent on food intake 49 . Dietary patterns also differ from one individual to another post-BS 25,26,46 and dietary recommendations between clinical centers may differ as well 51 . It is thus necessary to better examine the link between post-BS dietary intake and lifestyle changes (such as physical activity) and gut microbiota modulation to explain the reported variability in GM composition.…”

Section: Discussionmentioning

confidence: 99%

“…Some bacterial genus changes such as Eubacterium spp, Ruminococcaceae spp and Faecalibaceterium spp, are associated with the amelioration of metabolic factors, including HbA1c. Moreover, the healthy diet recommended post-BS 24,46 might also play a role in increasing MGR, as proposed by Griffin et al, 16 .…”

Section: Bariatric Surgery and Gut Microbiota Modulation Microbial Rimentioning

confidence: 97%

See 1 more Smart Citation

Gut Microbiota Dysbiosis in Human Obesity: Impact of Bariatric Surgery

2019

View full text Add to dashboard Cite

Purpose of the review: We herein summarize what is currently described in terms of Gut microbiota (GM) dysbiosis modification post-Bariatric surgery (BS) and their link with BSinduced clinical improvement. Noteworthy, we discuss how the major inter-individual variability in terms of GM changes could impact the variable clinical improvements seen in patients. Recent findings: The persisting increase in severe obesity prevalence has led to the subsequent burst in BS number. Indeed, it is to date the best treatment option to induce major and sustainable weight loss and metabolic improvement in these patients. During obesity, the gut microbiota (GM) displays distinctive features such as low microbial gene richness and compositional and functional alterations (termed dysbiosis) which have been associated with low-grade inflammation, increased body weight and fat mass, as well as type-2 diabetes. Interestingly, GM changes post-BS is currently being proposed as one the many mechanism explaining BS beneficial clinical outcomes. Summary: BS enables partial rescue of GM dysbiosis observed during obesity. Some of the GM characteristics modified post-BS (composition in terms of bacteria or functions) are linked to BS beneficial outcomes such as weight loss or metabolic improvements. Nevertheless the changes in GM post-BS display major variability from one patient to the other. Thus further large sample size studies associated with GM transfer studies in animals are still needed to completely decipher the role of GM in the clinical improvements observed post-surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Bariatric Surgery and Gut Microbiota Modulation Microbial Rimentioning

confidence: 97%

Gut Microbiota Dysbiosis in Human Obesity: Impact of Bariatric Surgery

2019

View full text Add to dashboard Cite

show abstract

“…Therefore, bariatric patients are advised to engage in regular physical activity [8][9][10][11]. Previous studies indicate that low physical activity after bariatric surgery is related to less weight loss and more weight regain [12][13][14], though more recent studies question whether weight loss is positively influenced by adherence to a healthy lifestyle with regular physical activity [15,16].…”

Section: Introductionmentioning

confidence: 99%

Weight Change After Roux-en Y Gastric Bypass, Physical Activity and Eating Style: Is There a Relationship?

et al. 2018

View full text Add to dashboard Cite

Background Insufficient weight loss and weight regain is seen in 20-30% of the post-bariatric population. More knowledge about the effect of physical activity and eating style on weight change after Roux-en-Y gastric bypass is essential since behaviour can be modified and thereby results improved. The goal of this study is to determine the relationship between weight change, selfreported physical activity and eating style. Methods Weight, physical activity (PA) and eating style (ES) were assessed before surgery and 15, 24, 36 and 48 months after surgery. A linear mixed model was performed to assess the association between the change in PA and ES and percentage total weight loss (% TWL). Results There were 4569 patients included. Preoperative PA and ES were not related to weight change. Change in PA was positively associated with % TWL at 15, 36 and 48 months follow-up. Change in emotional eating was negatively related to % TWL at all follow-up moments. Change in external eating was only negatively related to weight loss at 24 months follow-up. Change in restrained eating was negatively associated with weight loss up to 36 months follow-up. More restrained eating at 36 months follow-up was related to higher weight regain, and more emotional eating at 48 months to 48-month weight regain. Conclusion Preoperative self-reported PA and ES did not predict weight change after RYGB. Being are more physically active and showing less emotional and restrained eating was related to a higher weight loss. Emotional and restrained eating were related to higher weight regain.

show abstract

“…However, psychosocial variables were not associated with the rate of weight loss in that study and other studies of one-year post-bariatric surgery patients (Fox et al, 2015). Adherence to dietary recommendations was not associated with weight loss during a short-term assessment of successful post-bariatric surgeries (Sherf-Dagan et al, 2017). There is thus a need to investigate the medium-term success of weight loss post-bariatric surgery, with special emphasis on dietary adherence and psychosocial variables.…”

Section: Introductionmentioning

confidence: 58%

A retrospective study of weight-loss predictors following bariatric surgery in Malaysian patients with obesity

et al. 2020

View full text Add to dashboard Cite

Introduction: A retrospective study was conducted with the aim of determining the factors that affect weight loss among post-bariatric surgery patients. Methods: A successful weight loss outcome in this study was defined as achieving at least 50% excess weight loss (EWL). Eligible participants were those who had undergone bariatric surgery at least two years prior to the study. Adherence to lifestyle recommendations post-bariatric surgery, binge eating, depression, and social support were assessed. Results: A total of 51 post-bariatric surgery patients were recruited with a mean post-operative period of 3.2±0.7 years. The mean preoperative weight of 116.6±28.8 kg and body mass index (BMI) 45.2±8.8 kg/m 2 were significantly reduced to 86.6±21.0 kg and 33.6±6.7 kg/m 2 , respectively, during follow-up (p<0.001). A total of 66.7% of participants achieved successful weight loss following bariatric surgery, with a mean EWL of 73.6±21.9% and total weight loss (TWL) of 29.4±8.7%. According to multivariate regression analysis adjusted for age and gender, pre-operative weight (β=-1.580, p<0.05) and BMI (β=-1.398, p<0.05), rate of weight loss (β=1.045, p<0.01), and adherence to eating behaviour recommendations (β=0.177, p<0.05) were significant predictors of weight loss outcomes post-bariatric surgery. Conclusion: The lower pre-operative weight and BMI, the faster rate of weight loss and higher adherence towards eating behaviour advice were potential predictors of greater EWL and thus could increase the chance of successful weight loss maintenance post-bariatric surgery.

show abstract

Do Bariatric Patients Follow Dietary and Lifestyle Recommendations during the First Postoperative Year?

Cited by 50 publications

References 57 publications

Gut Microbiota Dysbiosis in Human Obesity: Impact of Bariatric Surgery

Gut Microbiota Dysbiosis in Human Obesity: Impact of Bariatric Surgery

Weight Change After Roux-en Y Gastric Bypass, Physical Activity and Eating Style: Is There a Relationship?

A retrospective study of weight-loss predictors following bariatric surgery in Malaysian patients with obesity

Contact Info

Product

Resources

About