Recent trends in intensive treatments of obesity: Is academic research matching public interest?

Sui, Zhixian; Raman, Jayanthi; Han, Bo; Burchell, Tim; Coogan, Sean C. P.; Brennan, Beatrice; Sartoretto, Adrian

doi:10.1016/j.soard.2019.01.009

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…This study confirms the discrepancy identified in previous research between health professionals' and patients' expectations of bariatric surgery outcomes . Whereas professionals have been found to focus on medical complications, absolute weight loss, and reduction of comorbidities, patients also prioritize quality of life outcomes relating to the ability to live a normal life and feeling in control of their health and total well‐being .…”

Section: Discussionsupporting

confidence: 85%

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Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review

2019

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Bariatric surgery is the most effective treatment for weight loss in individuals with severe and complex obesity. While the extant literature has mostly explored clinical outcomes of surgery, recent research has also examined patients' experiences prior to treatment. This systematic review synthesized findings from qualitative studies investigating patients' motives and expectations prior to undergoing bariatric surgery for weight loss. Twenty-eight studies published in English involving 580 participants were identified for inclusion. Data extraction and thematic synthesis yielded four global themes: physiological, emotional, cognitive, and interpersonal/environmental. These represented seven subthemes describing patients' presurgery experiences: relationship with food, physical health, activities of living, personal identity, social relations, presurgery information, and beliefs about surgery. In addition to improving physical and medical comorbidities associated with obesity, participants believed that postsurgery weight loss would produce positive psychosocial impacts by strengthening their personal identities, their relationships, and improving their engagement in public and professional life. The complex and widespread nature of the changes patients expected would result from bariatric surgery highlights the importance of providing pretreatment education focused on psychosocial well-being, as well as concurrent psychological support alongside surgery, to best inform individual treatment selection and clinical practice.

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Section: Discussionsupporting

confidence: 85%

“…The provision of bariatric surgery has been on the increase worldwide with a variety of options, to name a few common procedures, Roux‐en‐Y gastric bypass, sleeve gastrectomy, and laparoscopic adjustable gastric banding (LAGB) …”

Section: Introductionmentioning

confidence: 99%

Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review

2019

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“…8 Given that EBTs are likely to become much more widespread due to the current obesity epidemic, we highlight the urgent need to study the implications of repeating EBTs, including anatomy change and relevant clinical outcomes. 9…”

Section: Discussionmentioning

confidence: 99%

Concurrent Placements of a Duodenal-Jejunal Bypass Liner and an Intragastric Balloon Among Severely Obese Patients: A Case Series

Sartoretto

Marinos²,

Sui

2019

ACG Case Rep J

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The duodenal-jejunal bypass liner and the intragastric balloon are endoscopically deployed devices used in the treatment of obesity and diabetes. These devices use differing mechanisms of action, and concurrent use may lead to improved efficacy. Three obese patients who suffered from weight loss plateau with the liner had the intragastric balloon inserted concurrently. All 3 patients reported subsequent significant weight loss. None of the patients reported any symptom that indicate the interference between the devices. This is the first case series in humans of successfully combining 2 independent endoscopic bariatric therapies to overcome weight loss plateau in the primary treatment of obesity.

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“…Weight loss continues to be a priority for the general public (Sui et al, 2019). As such, nutrigenomics and lifestyle genomics testing for weight management are attractive tools, as they promote more personalized strategies for individuals to optimize their weight loss response to particular dietary plans.…”

Section: Introductionmentioning

confidence: 99%

Assessing the effectiveness of actionable nutrigenomics and lifestyle genomics interventions for weight management in clinical practice: A critical, scoping review with directions for future research

2020

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Background: The use of nutrigenomics and lifestyle genomics in clinical practice has the potential to optimize weight-related outcomes for patients. Aim: A scoping review was conducted to summarize and evaluate the current body of knowledge related to the effectiveness of providing DNA-based lifestyle advice on weight-related outcomes, with the aim of providing direction for future research. Method: Primary studies were included if they were written in English, evaluated weight-related and/or body mass index and/or body composition outcomes, and provided participants with an actionable genetic-based lifestyle intervention; interventions that only provided information on genetic risk for diseases/conditions were excluded. Data was extracted from each article meeting inclusion criteria ( N=3) and the studies were critically appraised for methodological limitations. Results: Research in this area is promising, but limited. Specific limitations relate to study designs, the nature of the recommendations provided to participants, small (underpowered) sample sizes, the use of self-reported weight/BMI data and lack of consideration of important confounding factors. Conclusions: Therefore, the effectiveness of nutrigenomics and lifestyle genomics interventions for weight management in clinical practice cannot yet be conclusively determined. Recommendations for future research are detailed in the present manuscript.

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Recent trends in intensive treatments of obesity: Is academic research matching public interest?

Cited by 8 publications

References 23 publications

Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review

Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review

Concurrent Placements of a Duodenal-Jejunal Bypass Liner and an Intragastric Balloon Among Severely Obese Patients: A Case Series

Assessing the effectiveness of actionable nutrigenomics and lifestyle genomics interventions for weight management in clinical practice: A critical, scoping review with directions for future research

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