Halo or horn? A qualitative study of mothers’ experiences with feeding children during the first year following bariatric surgery

Zeller, Meg H.; Robson, Shannon M.; Reiter‐Purtill, Jennifer; Kidwell, Katherine M.; Kharofa, Roohi Y.; McCullough, Mary Beth; Crosby, Lori E.; Howarth, Taylor; Comstock, Sara; Ley, Sanita; Courcoulas, Anita P.; West‐Smith, Lisa

doi:10.1016/j.appet.2019.104366

Cited by 5 publications

(2 citation statements)

References 46 publications

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“…Some participants in the present study expressed feeling helpless to deal with their children's obesity. Some might have hoped that their MBS would also benefit their children by making the whole family's diet healthier, but previous research has shown that family eating patterns continue relatively unchanged in parallel to the eating habits of the parent who has undergone MBS [37]. Therefore, family-based interventions might be necessary to reach the children of MBS patients.…”

Section: Continued Strugglesmentioning

confidence: 99%

Patients’ views of long-term results of bariatric surgery for super-obesity: sustained effects, but continuing struggles

Järvholm

Olbers

Engström

2021

Surgery for Obesity and Related Diseases

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Background: Bariatric surgery is a standard treatment for severe obesity, but little is known about patients' perceptions about the long-term impact of such surgery. Objective: The aim of this study was to explore patients' experiences of living with a bariatric procedure for more than a decade. Setting: University hospital. Methods: At the 10-year follow-up after undergoing Roux-en-Y gastric bypass (RYGB) or biliopancreatic diversion with duodenal switch (BPD/DS), 18 consecutive patients from a previous randomized controlled trial were assessed with a semi-structured interview. Data were analyzed using thematic analysis. Results: When asked to reflect broadly on their experiences of living with bariatric surgery for over a decade, the participants rarely mentioned procedure-specific issues and complications. Instead, their accounts revealed 2 broad themes: sustained effects after surgery, incorporating subthemes of better health, brighter futures, and better eating and weight regulation, and continuing struggles, including difficulties with physical activity, finding support, helping their children with overweight, and self-criticism. Many positive changes were sustained, but continuing personal struggles were similar to those presurgery. Conclusions: Participants expressed overall satisfaction with their bariatric surgery and related outcomes. Most participants acknowledged a continued effect on their appetite, which could be important information for patients who worry about a diminished effect after the first year postsurgery. Participants were prone to self-blame when things did not turn out the way they wanted. Therefore, healthcare providers must build a trustful relationship with their patients, so they will not hesitate to return when they face problems such as weight gain.

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Section: Continued Strugglesmentioning

confidence: 99%

Patients’ views of long-term results of bariatric surgery for super-obesity: sustained effects, but continuing struggles

Järvholm

Olbers

Engström

2021

Surgery for Obesity and Related Diseases

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“…Since the mother's healthy lifestyle usually does not apply to the family, they consider it as individual change. Therefore, the majority of the children of this study were overweight and do not meet the recommended dietary and activity pediatric guidelines [83].…”

Section: Postpartummentioning

confidence: 99%

Maternal Nutritional Status and Pregnancy Outcomes Post-bariatric Surgery

Alamri

Abdeen

2022

OBES SURG

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Obesity in childbearing women leads to pregnancy-related complications such as gestational diabetes mellitus, pregnancy-associated hypertensive disorders, and macrosomia. Weight loss helps reduce these complications. Studies show bariatric surgery reduces obesity-related complications during and after pregnancy. However, bariatric surgery might be associated with adverse outcomes, such as low birth weight and small-for-gestational-age infants. In addition, several studies suggest pregnancy occurring less than a year post-bariatric surgery adversely affects pregnancy outcomes and causes micronutrients deficiency since the dramatic weight loss occurs in the first year. These adverse outcomes may lead to nutritional malabsorption, such as anemia and low vitamin B12 and folic acid levels. The review aims to overview obesity-related complications during pregnancy and the benefits and risks of bariatric surgery on pregnancy outcomes and maternal nutrition status. Graphical abstract

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The impact of parental bariatric surgery and patient age on laparoscopic sleeve gastrectomy outcomes in adolescents

et al. 2022

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Halo or horn? A qualitative study of mothers’ experiences with feeding children during the first year following bariatric surgery

Cited by 5 publications

References 46 publications

Patients’ views of long-term results of bariatric surgery for super-obesity: sustained effects, but continuing struggles

Patients’ views of long-term results of bariatric surgery for super-obesity: sustained effects, but continuing struggles

Maternal Nutritional Status and Pregnancy Outcomes Post-bariatric Surgery

The impact of parental bariatric surgery and patient age on laparoscopic sleeve gastrectomy outcomes in adolescents

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