Physical Activity, Decision-Making Abilities, and Eating Disturbances in Pre- and Postbariatric Surgery Patients

Bartsch, Merle; Langenberg, Svenja; Gruner-Labitzke, Kerstin; Schulze, Mareike; Köhler, Hinrich; Crosby, Ross D.; Marschollek, Michael; Zwaan, Martina de; Müller, Astrid

doi:10.1007/s11695-016-2208-y

Cited by 7 publications

(12 citation statements)

References 73 publications

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“…Against our hypotheses, we did not find meaningful between‐group differences in PA (Bartsch et al , ). Both the preoperative and the post‐operative group showed low levels of PA and exhibited a sedentary lifestyle, which was not related to cognitive functioning, eating disorder symptoms or depression (Bartsch et al , ; Langenberg et al , ). Besides the cross‐sectional design, there were many other potential reasons for the lack of group differences in PA. For example, the relatively brief average length of follow‐up in the post‐operative group (months post‐operative M = 8.2, SD = 3.5) maintained physical strain, emerging excess skin, concerns about physical appearance and/or low self‐efficacy.…”

Section: Introductioncontrasting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

“…In a recent cross‐sectional study, we compared the level of PA between a group of obese bariatric surgery candidates and a group of patients with a mean total weight loss of 33.2% ( SD = 8.9) following bariatric surgery using objective PA monitors (Bartsch et al , ). Against our hypotheses, we did not find meaningful between‐group differences in PA (Bartsch et al , ). Both the preoperative and the post‐operative group showed low levels of PA and exhibited a sedentary lifestyle, which was not related to cognitive functioning, eating disorder symptoms or depression (Bartsch et al , ; Langenberg et al , ).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, some patients may have experienced substantial benefits from weight loss early after surgery such as improvement in physical health. This might have contributed to an unchanged sedentary lifestyle (Bartsch et al , ).…”

Section: Introductionmentioning

confidence: 99%

“…To understand if individual differences in temperament may affect PA in bariatric surgery patients, we conducted a secondary analysis of our data from the aforementioned study (Bartsch et al , ) and analysed the relationship between the level of PA and temperament in the preoperative and post‐operative group. Given that punishment sensitivity (BIS) triggers avoidance behaviour and reward sensitivity (BAS) stimulates approach behaviour, we hypothesized that in both groups higher levels of PA will be related to lower BIS and higher BAS levels.…”

Section: Introductionmentioning

confidence: 99%

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Physical Activity in Bariatric Surgery Patients: Does Temperament Matter?

Gruner-Labitzke¹,

Claes

Bartsch

et al. 2017

Euro Eating Disorders Rev

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Questionnaire-Short Form, and the Patient Health Questionnaire-depression scale were 5 administered to 70 pre-and 73 postoperative patients. They were categorized as being 6 physically "active" if they accumulated ≥8000 steps/day based on objective monitoring. 7Results: Regressions adjusted for gender, age, BMI, and depression suggested an association 8 between lower BMI and more PA in both groups. In postoperative patients, lower age and 9higher BIS -but not BAS -reactivity were related to PA. There was a significant interaction 10 between BMI and BIS suggesting that low BMI was only associated with more PA in patients 11 with high BIS compared to low BIS sensitivity. Discussion: The results indicate that in 12 postoperative patients with anxious temperament lower BMI is associated with more PA. This 13 finding needs further investigation within longitudinal studies. 14 15

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Section: Introductioncontrasting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Physical Activity in Bariatric Surgery Patients: Does Temperament Matter?

Gruner-Labitzke¹,

Claes

Bartsch

et al. 2017

Euro Eating Disorders Rev

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Meeting physical activity recommendations is associated with health-related quality of life in women before and after Roux-en-Y gastric bypass surgery

et al. 2019

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Purpose Meeting physical activity (PA) recommendations is positively associated with health-related quality of life (HRQoL), but it is still unclear whether PA (specifically objectively measured) is associated with HRQoL in bariatric surgery candidates, both before and after surgery. Thus, the aim of this study was to examine the cross-sectional association between meeting objectively measured PA recommendations and HRQoL before and after Roux-en-Y gastric bypass (RYGB) surgery. Methods Sixty-six women undergoing RYGB with pre-surgery and 62 women with post-surgery valid PA and HRQoL data were included from the control group of a RCT study aiming at improving HRQoL and PA post-RYGB surgery. Measures before and 12 months after RYGB included the Short Form Health Survey (SF-36) and objectively measured PA, sedentary time (ST), and step counts with GT3X+ accelerometers. Multiple linear regression models were used to analyze the associations between PA and HRQoL. Results Participants who engaged in more than 150 min of moderate to vigorous PA (MVPA)/week (PA recommendations) had considerably higher SF-36 scores (HRQoL) than those who did not, both pre and 12-month post-surgery, with greatest difference in the subscale bodily pain, 15.5 ( p = 0.021) higher score (higher scores means less pain) pre-surgery and a 19.7 ( p = 0.004) higher score post-surgery. Higher LPA and step counts and lower ST also showed positive associations in some of the subscales of SF-36. Conclusions Meeting the PA recommendations and overall engaging in more PA was associated with higher HRQoL, pre-, and post-RYGB surgery, highlighting the importance of PA both pre- and post-surgery. Electronic supplementary material The online version of this article (10.1007/s11136-019-02120-0) contains supplementary material, which is available to authorized users.

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Predictors of a Healthy Eating Disorder Examination-Questionnaire (EDE-Q) Score 1 Year After Bariatric Surgery

et al. 2019

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BACKGROUND: Bariatric surgery (BS) has been shown to ameliorate health-related quality of life and eating disorder symptoms. However, the correlation of these changes with weight loss is not uniform, suggesting that additional factors have an impact on postoperative outcomes. OBJECTIVE: To assess the impact of BS on eating disorder symptoms at 1 year postoperatively and to generate predictive models for the achievement of optimal eating behavior. METHODS: Retrospective cohort study on a prospectively collected database of all consecutive patients who underwent primary BS in our academic center between January 2015 and March 2017. Eating Disorder Examination-Questionnaire (EDE-Q) was used to measure eating psychopathology. Logistic regression was used to estimate the odds ratio of achieving "healthy" EDE-Q at 1 year. Missing data was handled by multiple imputations for the regression model. RESULTS: Two-hundred thirty-four patients were included. A complete-case analysis in 135 cases showed a "healthy" EDE-Q in 27.4% at baseline and in 83.7% at 1 year (difference = 56.3%, P = 0.018). Only the baseline EDE-Q "healthy" status influenced significantly the odds of achieving "healthy" EDE-Q at 1 year (OR 6.7, 95% CI 1.18-38.14, P = 0.04). CONCLUSION: BS seems to promote successful treatment of self-reported eating disorder symptoms during the first postoperative year. The achievement of optimal results is independent of age, sex, weight loss, obesity-related comorbidity status, surgical technique, or 30-day surgical complications. Future studies, using validated questionnaires specifically designed to investigate eating behavior after BS and/or direct measurements of the eating behavior are needed to clarify the underlying neuropsychologic mechanisms that drive the observed postoperative changes.

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Physical Activity, Decision-Making Abilities, and Eating Disturbances in Pre- and Postbariatric Surgery Patients

Cited by 7 publications

References 73 publications

Physical Activity in Bariatric Surgery Patients: Does Temperament Matter?

Physical Activity in Bariatric Surgery Patients: Does Temperament Matter?

Meeting physical activity recommendations is associated with health-related quality of life in women before and after Roux-en-Y gastric bypass surgery

Predictors of a Healthy Eating Disorder Examination-Questionnaire (EDE-Q) Score 1 Year After Bariatric Surgery

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