Abstract:The nonadherence rate to follow-up visits after bariatric surgery was 17.5%, mainly associated with work-related problems. Nonadherence was greater in patients aged ≤45 years and in those with poor weight loss.
“…Lost to follow-up data provide an insight into the potential utility of apps and the challenges faced by dietitians providing nutritional support to bariatric patients. When examining the reasons for attrition, our findings were similar to other studies, with the most common reasons being lack of weight loss and cost; however, the third most common reason given was the poor understanding by patients of the need for nutrition support (7,23) . Patients who do not recognise the need for lifelong dietary support from a dietitian often seek advice from elsewhere such as online.…”
The present study provides the first insight into the use of mobile devices and apps by post-bariatric patients and the dietitians who support them. A mixture of traditional methods and smartphone technology is desirable to both dietitians and patients. The utility and effectiveness of such technologies should be confirmed in future intervention studies.
“…Lost to follow-up data provide an insight into the potential utility of apps and the challenges faced by dietitians providing nutritional support to bariatric patients. When examining the reasons for attrition, our findings were similar to other studies, with the most common reasons being lack of weight loss and cost; however, the third most common reason given was the poor understanding by patients of the need for nutrition support (7,23) . Patients who do not recognise the need for lifelong dietary support from a dietitian often seek advice from elsewhere such as online.…”
The present study provides the first insight into the use of mobile devices and apps by post-bariatric patients and the dietitians who support them. A mixture of traditional methods and smartphone technology is desirable to both dietitians and patients. The utility and effectiveness of such technologies should be confirmed in future intervention studies.
“…Vidal et al [20] showed that nonadherence after surgery was associated with poor surgical results, especially in the first year. Furthermore, irregular life and diet style may also be important reasons for long-term surgical failure [20]. We emphasize the importance of improving follow-up rates and postoperative education to reduce the incidence of unsuccessful diabetes control.…”
RYGB effectively treated T2D patients in our study, even in low-BMI patients, and resulted in diabetes remission and metabolic disorder control, reducing cardiovascular risk.
“…Therefore, a structured postoperative follow-up, including frequent clinical examination and investigation of the vitamin serum levels is very important. Several published studies confirmed, that many patients are not adherent to a follow-up program [4]. As described, a structured follow-up program after bariatric surgery is crucial to improve and sustain weight loss [5].…”
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