Low Educational Status and Childhood Obesity Associated with Insufficient Mid-Term Weight Loss After Sleeve Gastrectomy: a Retrospective Observational Cohort Study

Dilektaşlı, Evren; Erol, Mehmet Fatih; Çaycı, Hacı Murat; Özkaya, Güven; Bayam, Mehmet Emrah; Duman, Uğur; Tihan, Necdet Deniz; Erdoğdu, Umut Eren; Kısakol, Gürcan

doi:10.1007/s11695-016-2273-2

Cited by 15 publications

(4 citation statements)

References 28 publications

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“…Psychological and socioeconomic behaviour has been already welldiscussed in literature [6,16,24,25]. To our knowledge, no data were available about grazing as predictor of IWL but consistent literature identified this disorder as a predictor of weight regains [20].…”

Section: Discussionmentioning

confidence: 94%

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Preoperative Dietary Behaviour as Predictive Factor for Inadequate Weight Loss after Sleeve Gastrectomy

Fantola¹,

Porcu²,

Pinuts³

et al. 2017

J Obes Weight Loss Ther

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Laparoscopic sleeve gastrectomy was the most common procedure performed worldwide. It was feasible and associated with fewer complications and metabolic deficiencies compared than other procedures. Inadequate weight loss (IWL) was a critical issue of this procedure and it could depend on technical fault or on preoperative patient factors. The aim of this study was to identify predictive factors of inadequate weight loss investigating on preoperative psychological and dietary behaviour.Method: A retrospective analysis of patients undergoing sleeve gastrectomy was acquired. Patients with inadequate weight loss (excess weight loss (EWL) <50% at 1 years after procedure) and patients with EWL>50% were compared. Bivariate analysis and multivariate model was performed in order to study preoperative factors focused on psychological (binge eating disorder (BED) and grazing) and dietary (compliance to preoperative diet) behaviour.Result: 20/85 (23.5%) patients were included in IWL group. In bivariate analysis, predictive factors for IWL were diabetes (p=0.034), insulin-treatment (p=0.037) and patient misbehaviour to preoperative diet (p=0.042). In multivariate model including BMI, BED, grazing and compliance to preoperative diet, misbehaviour to preoperative diet was the predictive factor for IWL (p=0.046). Conclusion:Patient misbehaviour to preoperative diet was a predictive factor for IWL. Preoperative patients could be based on compliance to preoperative diet.

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Section: Discussionmentioning

confidence: 94%

“…Several authors considered excess weight loss percentage (EWL%) the most practice parameter to evaluate IWL [3,5,6]. Although patients presented a great EWL heterogeneity, Reynaud criteria defined unsatisfactory results as EWL lower than 50% [7], and literature defined IWL as EWL<50% [8].…”

Section: Introductionmentioning

confidence: 99%

Preoperative Dietary Behaviour as Predictive Factor for Inadequate Weight Loss after Sleeve Gastrectomy

Fantola¹,

Porcu²,

Pinuts³

et al. 2017

J Obes Weight Loss Ther

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“…In individuals with obesity surgery, it is important to maintain an ideal weight for a long time after surgery. It has been found that postoperative feeding behavior and psychological and sociocultural characteristics have an effect on achieving ideal weight loss or maintaining body weight after surgery (1)(2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

Psychopathological factors affecting weight loss after bariatric surgery: One year follow-up study

Taymur¹

2021

ejhh

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Aim: Determination of psychopathological factors before bariatric surgery has an important role in successful weight loss and in maintaining this weight loss after surgery. The purpose of this study was to evaluate depression, anxiety, temperament and sociodemographic characteristics that may affect weight loss after bariatric surgery. Methods: A total of 94 patients with morbid obesity who underwent bariatric surgery between 2013 and 2016 were followed-up for one year. Pre-operative sociodemographic characteristics, binge eating and family history of obesity were determined. In addition, the Memphis, Pisa, Paris and San-Diego Autoquestionnaire (TEMPS-A) for temperament characteristics, the Beck Depression inventory and the Beck Anxiety Inventory were applied. Results: 94 morbidly obese patients were included in the study. 23(22.8%) of the patients had failed to lose weight (Excess weight loss (EWL) <50%) after 12 months. Participants who had obese siblings (X2 = 4.145, p = 0.042) and clinically significant depressive symptoms (X2 = 4.446, p = 0.035) showed failure to lose weight. According to BDI, it was found that the depressive, cyclothymic, irritable and anxious temperament characteristics of the participants with depression differed significantly compared to those without (respectively; t = 6.46, p = <0.001; t = 5.59, p = <0.001; t = 4.83, p = 0.001, respectively; t = 5.06, p = <0.001). Conclusions: It may be important to determine the individuals who have depressive disorder before bariatric surgery and to include practices related to temperament characteristics in their follow-up and treatment. It may be useful to train eating habits and to follow diet programs more closely for those who have obesity among their siblings.

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“…) (+ 21,25) ) Gender (• 15,21,28,31,33,[35][36][37]41,42) ) Female(+ 11,[38][39][40]50) ) Male (+ 14,26,29) ) Education (• 11,15,21,25,26,33,35,38,40) ) (+ 8,31,42) ) Employment (• 15,26,31,35,38) ) (+ 8,21) ) Marital status (• 21,31,33,35,38,42) ) (-24) ) Ethnicity (• 31,35) ) Black ethnicity (- ) Eating disorder (- 8,19,30,32,43) ) (• 9,15,34,35,40) ) Hunger (+ 20,45) ) ( 35) ) Restrained eating (- 34,45) ) S...…”

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Review on Predictors of Weight Loss in Obesity Treatment

Nam¹,

Kim²,

Lim³

et al. 2018

JKOMOR

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Objectives: People often fail to reduce or maintain their weight despite trying to lose weight. The purpose of this study was to review previously published study results of the predictive factors associated with weight loss in obesity treatment. Methods: Authors searched for the articles related to weight loss, published from 2007 to 2017 found on PubMed, Scopus, Research Information Sharing Service (RISS), and Koreanstudies Information Service System (KISS). A total of 43 articles were finally selected. From the study results, unchangeable and changeable predictors were extracted, and these predictors were examined according to detailed categories. Results: Predictors of weight loss in obesity treatment included genetic and physiological factors, demographic factors, history of treatment on obesity related factors, behavioral factors, psychological factors and treatment process related factors. The main factors of weight loss were unchangeable predictors such as high initial degree of obesity and younger age, and changeable predictors such as dietary restraint, regular exercise, self-efficacy, initial weight loss and attendance. Especially dietary restraint, regular exercise, successful initial weight loss and high attendance were considered to be dominant factors for weight loss treatments. Conclusions: Our review results suggest that unchangeable and changeable predictors of weight loss should be carefully examined during treatments of obesity.

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Low Educational Status and Childhood Obesity Associated with Insufficient Mid-Term Weight Loss After Sleeve Gastrectomy: a Retrospective Observational Cohort Study

Abstract: Childhood obesity and a lower level of education are associated with insufficient weight loss 6 months after SG. However, prospective external validation is warranted, with a long-term follow-up of a large bariatric surgery population.

Cited by 15 publications

References 28 publications

Preoperative Dietary Behaviour as Predictive Factor for Inadequate Weight Loss after Sleeve Gastrectomy

Preoperative Dietary Behaviour as Predictive Factor for Inadequate Weight Loss after Sleeve Gastrectomy

Psychopathological factors affecting weight loss after bariatric surgery: One year follow-up study

Review on Predictors of Weight Loss in Obesity Treatment

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