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November 1, 2021Open Access

Factors associated with different patterns of weight change after bariatric surgery: A longitudinal study

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Key result

Continued nutritionist follow-up after bariatric surgery was associated with an average 2.39% greater increase in total weight loss compared to no follow-up.

Why the study?

During long-term follow-up after bariatric surgery, weight loss varies between subjects, prompting this assessment of weight loss patterns and associated factors over time.

What factors are associated with different patterns of weight change after bariatric surgery in adult patients with obesity?

Population

196 patients undergoing laparoscopic RYGB or LSG at a hospital in Bogotá, Colombia

Comparison

Laparoscopic Roux-en-Y gastric bypass vs sleeve gastrectomy and clinical factors associated with weight loss

Design

Longitudinal study

Follow-up

Up to 36 months

Authors

DCDiana Cristina Henao CarrilloAGAna María GómezÓMÓscar Múñoz

Discussion

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Member takes

Overview

May support nutritionist follow-up after bariatric surgery; hypothesis-generating and requires randomized confirmation.

Study Design

Type

Cohort (n=196)

Multicenter

No

Structured PICO

What factors are associated with different patterns of weight change after bariatric surgery in adult patients with obesity?

P
Population
196 adult patients with obesity who underwent bariatric surgery (RYGB or LSG) and were followed for up to 36 months to assess weight loss patterns.
E
Exposure
Bariatric surgery (Roux-en-Y gastric bypass or sleeve gastrectomy) with multidisciplinary follow-up including a bariatric surgeon, nutritionist, and endocrinologist.
O
Outcome
Change in percentage of total weight loss (%TWL) and percentage of excess weight loss (%EWL) over timesurrogate

Main Result

Mean Difference: 2.39 (95% CI 0.62–4.17)

p-value: p=0.014

Modifiable factors such as nutritional follow-up, pre-surgical weight loss, and physical activity are associated with significant changes in total and excess weight loss after bariatric surgery.

Limitations

  • Body composition data was not available for this study.
  • Eating behavior such as binge eating or uncontrolled eating was not evaluated during follow-up.
  • Body composition data was not available
  • Eating behavior such as binge eating or uncontrolled eating was not evaluated during follow-up

Cite This Study

Carrillo et al. (2021) conducted a cohort in Obesity (n=196). Nutritionist follow-up vs. No continued nutritionist follow-up was evaluated on Change in percentage of total weight loss (%TWL) (Coefficient 2.39, 95% CI 0.62-4.17, p=0.014). Continued nutritionist follow-up after bariatric surgery was associated with an average 2.39% greater increase in total weight loss compared to no follow-up.

synapsesocial.com/papers/6a8823fe4c82be800eeb47d7https://doi.org/10.21203/rs.3.rs-960456/v1
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predictors of Risk and Success of Obesity Surgery2019 · 89 citations
  2. 2A role for exercise after bariatric surgery?2015 · 75 citations
  3. 3Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions2015 · 147 citations
  4. 4Becoming Physically Active After Bariatric Surgery is Associated With Improved Weight Loss and Health‐related Quality of Life2008 · 187 citations