Long-term weight loss maintenance for obesity: a multidisciplinary approach

Montesi, Luca; Ghoch, Marwan El; Brodosi, Lucia; Calugi, Simona; Marchesini, Giulio; Grave, Riccardo Dalle

doi:10.2147/dmso.s89836

Cited by 170 publications

(111 citation statements)

References 61 publications

(75 reference statements)

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“…56 A similar approach is recommended in pregnancy with nutritional advice offered to all women and additional counseling provided when GWG is low or excessive, where these resources are available.…”

Section: Practical Approaches To Assist Providers and Patients In Meementioning

confidence: 99%

Gestational weight gain

Kominiarek

Peaceman

2017

American Journal of Obstetrics and Gynecology

288

233

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Prenatal care providers are advised to evaluate maternal weight at each regularly scheduled prenatal visit, monitor progress toward meeting weight gain goals, and provide individualized counseling if significant deviations from a woman’s goals occur. Today, nearly 50% of women exceed their weight gain goals with overweight and obese women having the highest prevalence of excessive weight gain. Risks of inadequate weight gain include low birth weight and failure to initiate breastfeeding whereas the risks of excessive weight gain include cesarean deliveries and post-partum weight retention for the mother and large for gestational age infants, macrosomia, and childhood overweight or obesity for the offspring. Prenatal care providers have many resources and tools they can use to incorporate weight and other health behavior counseling into their routine prenatal practices. Because many women are motivated to improve their health behaviors, pregnancy is often considered the optimal time to intervene for issues related to eating habits and physical activity so as to prevent excessive weight gain. Gestational weight gain is a potentially modifiable risk factor for a number of adverse maternal and neonatal outcomes and meta-analyses of randomized controlled trials report that diet or exercise interventions during pregnancy can help reduce excessive weight gain. However, health behavior interventions for gestational weight gain have not significantly improved other maternal and neonatal outcomes and have limited effectiveness in overweight and obese women.

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Section: Practical Approaches To Assist Providers and Patients In Meementioning

confidence: 99%

Gestational weight gain

Kominiarek

Peaceman

2017

American Journal of Obstetrics and Gynecology

288

233

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“…Aproximadamente 50% dos pacientes irão retornar ao seu peso inicial após cinco anos do procedimento cirúrgico [11]. Esses resultados demonstram que o principal desafio do tratamento da obesidade não é a perda de peso, mas a sua manutenção em longo prazo, o que aumenta os riscos à saúde dos indivíduos, principalmente no âmbito emocional, e os custos em saúde [12][13][14].…”

Section: Introductionunclassified

“…Fatores comportamentais, como altos níveis de atividade física, baixo consumo calórico e lipídico, baixo índice glicêmico dos alimentos consumidos e automonitorização frequente do peso; fatores emocionais como redução da desinibição e satisfação com os resultados alcançados; alguns traços de personalidade, como a baixa procura por novidades e a interação paciente-terapeuta; intervenções farmacológicas; e fatores hormonais e moleculares, têm sido associados com a manutenção do peso em longo prazo [11,14,15].…”

Section: Introductionunclassified

Fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica

Bardal

Ceccatto

Mezzomo

2016

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ) e Alimentação Emocional associada à Restrição Cognitiva em 4 (8,69%) dos entrevistados. A recidiva de peso ocorreu em 18 (39%) dos indivíduos, a partir principalmente dos 12 meses após a cirurgia. Observou-se que a renda familiar mensal superior a 4000 reais e a frequência a consultas com nutricionista inferior a três vezes no pré-operatório estiveram associadas a maior chance de recidiva de peso. Conclusões: Nessa amostra, a baixa assiduidade às consultas nutricionais no pré-operatório, bem como a renda familiar elevada foram fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica. DESCRITORES: cirurgia bariátrica; obesidade; programas de nutrição. ABSTRACT Aims:To evaluate risk factors for weight regain in patients undergoing bariatric surgery. Methods: Cross-sectional study using self-administered online questionnaire. The questionnaire asked about factors that can be associated with weight regain after bariatric surgery. Weight, height, sex, age, education, income, and nutrition appointment attendance before and after surgery were registered. Body mass index, weight loss, and loss of excess weight in the immediate postoperative period and at 6, 12, and 24 months postoperatively, as well as at the time of completing the questionnaire, were evaluated. Weight regain was evaluated according to the lowest weight achieved since surgery. The Three Factor Eating Questionnaire-21 was used to classify eating behavior into Emotional Eating, Cognitive Dietary Restraint, or Uncontrolled Eating. Results: The questionnaire was answered by 46 individuals who underwent bariatric surgery, with a mean age of 38±8.78 years and a median of three postoperative years. Forty-three (93.5%) patients were female. The mean loss of excess weight and current weight loss were 78.56±16.12% and 35.24±8.19%, respectively. The current body mass index was 27.35±3.98 kg/m 2 . Emotional eating was observed in 18 (39.13%), cognitive restraint in 24 (52.17%), and emotional eating associated with cognitive restraint in 4 (8.69%) of the respondents. Eighteen individuals (39%) regained weight, especially after 12 months. A monthly family income greater than 4000 Brazilian Reals and nutrition appointments fewer than three in the preoperative period were associated with a larger probability of weight regain. Conclusions: In this sample, low nutrition appointment attendance in the preoperative period and a high family income were risk factors for weight regain in the late postoperative period of bariatric surgery.

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“…(18) Physical activity is essential to achieving long-term weight loss, and as a rule patients should perform moderate intensity physical activity for at least 200-300 min/week and weigh themselves regularly (daily) [30] . …”

Section: Methodsmentioning

confidence: 99%

Clinical Practice Recommendations for the Management of Obesity in the United Arab Emirates

et al. 2018

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With rapid urbanisation and improved living conditions as a result of rising incomes in Gulf Cooperation Council (GCC) countries, obesity has become a major and growing health problem for the region. The United Arab Emirates (UAE) has a resident population of 9.3 million (in 2016), many of whom (85.5%) lived in urban areas and led sedentary lifestyles. Based on the World Health Organisation (WHO) estimates for 2010, 25% of Emirati men and 40% of the women were obese. Obesity rates in this country has doubled from 16 to 34% compared to the year 2000, and severe obesity (BMI > 40 kg/m²) has risen dramatically from 2 to 11%. While a number of international guidelines for the management of obesity are already available in public domain, local guidelines for the UAE and the region, which are structured and individualized for the management of obesity, are sorely needed to help the family physician to provide affordable treatment for the patient at the point-of-care and to reduce the burden on the local healthcare system. A multi-disciplinary panel of international and regional experts who treat patients with overweight and obesity was convened with the aim of developing consensus recommendations for the UAE. The objective is to have a simple and easy-to-refer set of recommendations for busy clinicians as there were already many comprehensive international guidelines available. The panel reviewed and streamlined these recommendations in its entirety for relevance, coherence and usability in the local context. These recommendations for overweight and obesity management were circulated and endorsed by the local practising family medicine community, namely, the Emirates Medical Association and Family Medicine Society. We believe these recommendations would also be of interest to clinicians in other GCC countries. A summary and algorithm of these recommendations are provided.

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Long-term weight loss maintenance for obesity: a multidisciplinary approach

Cited by 170 publications

References 61 publications

Gestational weight gain

Gestational weight gain

Fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica

Clinical Practice Recommendations for the Management of Obesity in the United Arab Emirates

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