A Six-Session Mindfulness-Based Training to Support Weight Management After Bariatric Surgery in Clients of Hispanic Origin

Abstract Objectives Objective: To understand more about the impact of mindfulness training on perceived stress levels, dispositional mindfulness, intuitive eating, and psychological flexibility.in bariatric patients of Hispanic origin, 12–36 months post-bariatric surgery. Background: Mindfulness meditation has been proposed as an approach to reduce stress and increase awareness of physical sensations. The purpose of this study was to evaluate the impact of a six-session mindfulness-based training on dispositional mindfulness, perceived stress levels, intuitive eating, and psychological flexibility in bariatric patients of Hispanic origin 12–36 months post surgery. Methods The mindfulness group training was based on The Mindfulness Meditation/Acceptance Commitment Approach (MMACT) and focused on the following topics: mind body connection, stress management, intuitive eating, self-compassion, and acceptance & commitment. Participants were recruited from flyers posted in a private dietitian's practice and snowball sampling. Results For the first group, sixty potential participants were screened and seven (12%, 3 males and 4 females, mean age 50.6 ± 6, mean BMI 34.7 ± 6) agreed to participate. The mean scores at baseline, six, and ten weeks were: Five Factor Mindfulness Questionnaire (80.1 ± 8, 84 ± 11, 83 ± 14), Acceptance and Action Questionnaire-II (18 ± 8, 17 ± 10, 17 ± 11), Perceived Stress Questionnaire (0.4 ± 0.2, 0.4 ± 0.2, 0.3 ± 0.2), and Intuitive Eating Scale-2 (2.7 ± 0.3, 2.9 ± 0.4, 3.1 ± 0.5), this last one with significant difference (P < 0.01) between baseline and week ten. Conclusions This research provides preliminary data on how mindfulness training may affect factors that influence weight stability post bariatric surgery in clients of Hispanic origin. Funding Sources None.

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Protocol for Research on a Model Focused on Mindfulness Training to Support Weight Management after Bariatric Surgery

Current Developments in Nutrition ◽

10.1093/cdn/nzaa065_004 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1739-1739

Author(s):

Preciosa Martinez-Motta ◽

Adriana Campa ◽

Valerie George ◽

Agustin Castellanos

Keyword(s):

Bariatric Surgery ◽

Weight Management ◽

Perceived Stress ◽

Mindfulness Meditation ◽

Psychological Flexibility ◽

Mindfulness Training ◽

Intuitive Eating ◽

Acceptance And Commitment ◽

Bariatric Patients ◽

The Impact

Abstract Objectives Bariatric surgery has been proposed as a potential treatment for individuals who are severely obese. However, the literature indicates that 20–50% of bariatric patients, experience weight regain 18–24 months after surgery. In addition, some studies suggest that a large percentage of bariatric patients present with inability to respond appropriately to hunger and satiety cues and have difficulty dealing with stress. These factors might ultimately impact successful long-term weight management. Mindfulness meditation has been proposed as an approach that can reduce stress and increase awareness of physical sensations, such as hunger and satiety, while promoting increases in psychological flexibility. Based on these factors and research on the Acceptance and Commitment Therapy (ACT), we developed a model: The Mindfulness Meditation/Acceptance and Commitment Approach (MMACT), to support successful weight management in bariatric patients. This study will evaluate the impact of a mindfulness training, based on the MMACT model, on the constructs of mindfulness, psychological flexibility, perceived stress, and intuitive eating in adults post-bariatric surgery. We hypothesized that such intervention will increase mindfulness and psychological flexibility, which will lead to a decrease in perceived stress and an increase in intuitive eating. Methods Individuals 12 to 36 months post-bariatric surgery will be recruited to participate in a 6-session mindfulness training program. The training will take place in group settings of 8–10 participants (final n = 45) and outcome measurements will be assessed at three time points, baseline, six and ten weeks. Results The impact of the training on outcome measurements (i.e., mindfulness, psychological flexibility, perceived stress, and intuitive eating) will be evaluated through four validated questionnaires, the Short Form Five Facet Mindfulness Questionnaire, the Acceptance and Action Questionnaire II, the Perceived Stress Questionnaire, and the Intuitive Eating Scale – 2. Conclusions Evaluation of the MMACT will provide further insight into what factors may impact perceived stress and intuitive eating in bariatric patients and determine the feasibility of mindfulness-based trainings in this population. Funding Sources C.V. Starr Scholarship.

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Impact of the COVID-19 Pandemic on the Patient’s Decision about Bariatric Surgery: Results of a National Survey

Medicina ◽

10.3390/medicina57080756 ◽

2021 ◽

Vol 57 (8) ◽

pp. 756

Author(s):

Maciej Walędziak ◽

Anna Różańska-Walędziak ◽

Paweł Bartnik ◽

Joanna Kacperczyk-Bartnik ◽

Andrzej Kwiatkowski ◽

...

Keyword(s):

Bariatric Surgery ◽

Online Survey ◽

Negative Impact ◽

Weight Loss Surgery ◽

General Information ◽

Open Questions ◽

Increased Risk ◽

Bariatric Patients ◽

The Moment ◽

The Impact

Background: the COVID-19 pandemic and the implemented restrictions have changed the functioning of healthcare systems worldwide. The purpose of the study was to evaluate the impact of the present epidemiological situation on patients’ decisions about undergoing weight loss surgery. Methods: data were collected from 906 bariatric patients by the means of a national online survey, the majority of whom were women (87.9%). The survey started on 9 April 2020 and was open until 28 April 2020. The questionnaire included multiple choice and open questions, divided into three chapters: general information about the patient, life during the COVID-19 pandemic, and bariatric care during the COVID-19 pandemic. Results: despite the pandemic and the associated risk of COVID-19 infection, 443 responders (48.9%) would have decided to undergo bariatric surgery. Awareness of the negative impact of obesity on the course of COVID-19 illness had only marginable impact on patients’ decision-making (76.6% vs. 75.3%; p < 0.80). Contact with COVID-19 prior to the survey had a negative impact on the willingness to undergo bariatric surgery (3.0% vs. 4.4%; p < 0.55). There was a positive correlation between the BMI and preference for bariatric surgery in the time of the pandemic (37.4 ± 9.0 vs. 34.9 ± 8.7; p < 0.001). Conclusions: the level of awareness about the advantages of operative treatment of obesity is high among bariatric patients. The majority of patients awaiting bariatric surgery at the moment of the survey were positive about undergoing bariatric surgery despite the increased risk of a serious course of COVID-19 infection. Therefore, a large proportion of patients was determined to have bariatric treatment even during the pandemic, being aware of the increased risk of worse pace of COVID-19 disease in case of obesity and related diseases.

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Prevalence of All-Cause Mortality and Suicide among Bariatric Surgery Cohorts: A Meta-Analysis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15071519 ◽

2018 ◽

Vol 15 (7) ◽

pp. 1519 ◽

Cited By ~ 12

Author(s):

Russell Lim ◽

Melvyn Zhang ◽

Roger Ho

Keyword(s):

Bariatric Surgery ◽

Analytical Study ◽

Meta Analysis ◽

Well Being ◽

Mortality Rates ◽

Pooled Prevalence ◽

All Cause Mortality ◽

Bariatric Patients ◽

Post Bariatric Surgery

Introduction: Prior meta-analysis has reported mortality rates among post-operative bariatric patients, but they have not considered psychiatric factors like suicide contributing to mortality. Objectives: The current meta-analysis aims to determine the pooled prevalence for mortality and suicide amongst cohorts using reported suicides post bariatric surgery. It is also the aim of the current meta-analytical study to determine moderators that could account for the heterogeneity found. Results: In our study, the pooled prevalence of mortality in the studies which reported suicidal mortality was 1.8% and the prevalence of suicide was 0.3%. Mean body mass index (BMI) and the duration of follow-up appear to be significant moderators. Conclusions: Given the prevalence of suicide post bariatric surgery, it is highly important for bariatric teams to consider both the medical and psychiatric well-being of individuals pre- and post-operatively.

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Interfaces between bariatric surgery and oral health: a longitudinal survey

Acta Cirurgica Brasileira ◽

10.1590/s0102-86502011000800015 ◽

2011 ◽

Vol 26 (suppl 2) ◽

pp. 79-83 ◽

Cited By ~ 20

Author(s):

Juliane Avansini Marsicano ◽

Patrícia Garcia de Moura Grec ◽

Lídia Barbieri Belarmino ◽

Reginaldo Ceneviva ◽

Sílvia Helena de Carvalho Sales Peres

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Oral Health ◽

Tooth Wear ◽

Salivary Flow ◽

Lifestyle Changes ◽

Dental Wear ◽

Bariatric Patients ◽

The Impact

PURPOSE: To evaluate oral changes, such as dental caries, periodontal disease, dental wear and salivary flow in bariatric patients. Fifty four obese patients who underwent bariatric surgery were studied before (n=54), up after 3 months (n=24) and 6 months (n=16). METHODS: Indices for evaluating oral conditions were: DMFT, CPI, DWI and salivary flow. OIDP questionnaire was used to assess the impact of oral health on quality of life. ANOVA and Spearman correlation were used (p<0.05). RESULTS: DMFT was 17.6±5.7, 18.4±4.1 and 18.3±5.5 (P>0.05), presence of periodontal pockets in 50%, 58% and 50% of patients (p>0.05), tooth wear in dentin present in 81.5%, 87.5% and 87.5% before, 3 and 6 months after surgical treatment respectively. There were differences between the three periods for prevalence and severity of dental wear (p = 0.012). Salivary flow was 0.8±0.5 ml/min before surgery, 0.9±0.5 ml/min for 3 months and 1.1±0.5m/min for 6 months (p>0.05). The impact of oral health on quality of life decreased with time after bariatric surgery (p= 0.029). CONCLUSION: The lifestyle changes after bariatric surgery and these changes may increase the severity of pre-existing dental problems. However, these alterations in oral health did not influence the quality of life.

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The Rural Clinical School of Western Australia Mindfulness Project

International Journal of Whole Person Care ◽

10.26443/ijwpc.v7i1.237 ◽

2020 ◽

Vol 7 (1) ◽

pp. 51

Author(s):

Sarah Moore ◽

Rita Barbour ◽

Hanh Ngo ◽

Craig Sinclair ◽

Richard Chambers ◽

...

Keyword(s):

Medical Students ◽

Training Program ◽

Perceived Stress ◽

Western Australia ◽

Mindfulness Meditation ◽

Mindfulness Training ◽

Face To Face ◽

Self Compassion ◽

Professional Impact

Background: Medical students experience high levels of stress during their training. Literature suggests that mindfulness can reduce stress and increase self-compassion levels in medical students. Most mindfulness training programs are delivered face-to-face and require significant time commitments, which can be difficult to achieve for rurally-based students with heavy academic workloads.Aim: We sought to determine the feasibility and effectiveness of a mindfulness training program delivered online to medical students at a Rural Clinical School.Methods: An 8-week online training program was delivered to third year medical students at the Rural Clinical School of Western Australia in 2016.Using quantitative-qualitative mixed-methods approach, we measured the frequency and duration of the participants’ mindfulness meditation practice, and assessed changes in their perceived stress, self-compassion and compassion levels, as well as personal and professional attitudes and behaviours.Results: 47 students were recruited to the study. 50% of participants were practising at least weekly by the end of the 8-week program, and 32% of responding students reported practising at least weekly 6 months following the intervention. There was a statistically significant reduction in participants’ perceived stress levels and a significant increase in self-compassion at 6 month follow up. Participants reported qualitative insights about the personal and professional impact of mindfulness meditation training as well as barriers to practice.

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Do Mindfulness Meditation Apps Decrease Stress in College Students? (Preprint)

10.2196/preprints.11197 ◽

2018 ◽

Author(s):

Kaitana, M. Dahle ◽

Audrey Hooper ◽

Aaron, J Cheung ◽

Ashley Young ◽

AliceAnn Crandall

Keyword(s):

College Students ◽

Undergraduate Students ◽

Perceived Stress ◽

Stress Reduction ◽

Mindfulness Meditation ◽

Mobile App ◽

Stress Change ◽

Stress Levels ◽

Study Interval ◽

The Impact

BACKGROUND Mindfulness meditation apps have become popular self-help technology tools to manage stress and improve mental health. Mindfulness meditation classes have been associated with decreased stress levels, but the impact of mindfulness meditation apps at reducing stress levels among college students has not been thoroughly examined. OBJECTIVE The objective of this study was to assess how the frequency and duration of mindfulness meditation app use during a two-week interval affected self-reported stress levels. The study analyzed how minutes and days of app use during a 14-day period impacted change in self-reported stress compared to baseline. METHODS A longitudinal sample of 85 undergraduate students were recruited to the study through fliers and in-class announcements. Eligibility requirements ensured that participants had no prior or limited (< 2 hours) experience with mindfulness meditation. Pre- and post-assessment survey questions included perceived stress levels and the frequency and duration of meditation app use during the two-week study interval. Multiple linear regression analyses were used to assess whether there was a relationship between app use and change in stress. RESULTS The mean Perceived Stress Scale scores at time 1 and time 2 significantly differed (P < .001; t = 3.47), such that there was a significant decrease in self-reported stress over the study interval. The number of minutes of mindfulness mobile app use over the 14 days of the study was not predictive of stress change (P = .14), but the number of days practicing mindfulness was a significant predictor of stress change (P = .03). CONCLUSIONS Consistently practicing mindfulness may be more predictive of stress reduction than length of practice, as evidenced by a significant relationship between change in stress and number of days practicing mindfulness meditation, but not number of minutes practiced.

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Early life adversity, dispositional mindfulness, and longitudinal stress experience during the COVID-19 pandemic

10.31234/osf.io/5kt6z ◽

2020 ◽

Author(s):

Annika Benz ◽

Maria Meier ◽

Ulrike U. Bentele ◽

Stephanie J. Dimitroff ◽

Bernadette Denk ◽

...

Keyword(s):

Perceived Stress ◽

Life Stress ◽

Early Life ◽

Early Life Stress ◽

Dispositional Mindfulness ◽

Early Life Adversity ◽

Stress Buffering ◽

Psychopathological Symptoms ◽

Increased Risk ◽

The Impact

Experiencing severe or prolonged stressors in early life is associated with increased risk for mental and physical disorders in adulthood. Further, individuals who experienced early life stress (ELS) may use dysfunctional coping strategies like stress-related eating, in contrast to more beneficial stress buffering mechanisms e.g. based on mindfulness. Whether these mechanisms contribute to increased levels of perceived stress and symptoms of mental disorders in individuals with ELS in times of crisis is yet unclear. As part of a larger project, we assessed changes in perceived stress and psychopathological symptoms in a sample of N=102 participants (81% female; meanage=23.49, SDage= 7.11, range 18–62) from October/December 2019 (prior to the Covid-19 pandemic) to April/June 2020 (after the German government introduced Covid-19 related restrictions). Additionally, we assessed ELS and dispositional mindfulness.Perceived stress and depression significantly increased while anxiety levels decreased. No significant change was observed for somatization. ELS and dispositional mindfulness were not associated with change scores, but with perceived stress and psychopathological symptoms at both assessments. The increase in perceived stress during the pandemic in a majority of participants demonstrates the impact of the pandemic in the general population.

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The Influence of Body Contouring Surgery on Weight Control and Comorbidities in Patients After Bariatric Surgery

Obesity Surgery ◽

10.1007/s11695-019-04298-1 ◽

2019 ◽

Vol 30 (3) ◽

pp. 924-930 ◽

Cited By ~ 3

Author(s):

C. E. E. de Vries ◽

M. C. Kalff ◽

E. M. van Praag ◽

J. M. G. Florisson ◽

M. J. P. F. Ritt ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Weight Control ◽

Body Contouring ◽

Mixed Effect ◽

Body Contouring Surgery ◽

Number Of Patients ◽

Post Bariatric Surgery ◽

The Impact

Abstract Introduction A considerable number of patients experience some long-term weight regain after bariatric surgery. Body contouring surgery (BCS) is thought to strengthen post-bariatric surgery patients in their weight control and maintenance of achieved improvements in comorbidities. Objectives To examine the impact of BCS on long-term weight control and comorbidities after bariatric surgery. Methods We performed a retrospective study in a prospective database. All patients who underwent primary Roux-en-Y gastric bypass (RYGB) and presented for preoperative consultation of BCS in the same hospital were included in the study. Linear and logistic mixed-effect model analyses were used to evaluate the longitudinal relationships between patients who were accepted or rejected for BCS and their weight loss outcomes or changes in comorbidities. Results Of the 1150 patients who underwent primary RYGB between January 2010 and December 2014, 258 patients (22.4%) presented for preoperative consultation of BCS. Of these patients, 126 patients eventually underwent BCS (48.8%). Patients who were accepted for BCS demonstrated significant better ∆body mass index (BMI) on average over time (− 1.31 kg/m2/year, 95% confidence interval (CI) −2.52 − −0.10, p = 0.034) and percent total weight loss (%TWL) was significantly different at 36 months (5.79, 95%CI 1.22 – 10.37, p = 0.013) and 48 months (6.78, 95%CI 0.93 – 12.63, p = 0.023) after body contouring consultation. Patients who were accepted or rejected did not differ significantly in the maintenance of achieved improvements in comorbidities. Conclusion BCS could not be associated with the maintenance of achieved improvements in comorbidities after bariatric surgery, whereas it could be associated with improved weight loss maintenance at 36 and 48 months after body contouring consultation. This association should be further explored in a large longitudinal study.

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Effects of Mindfulness Training on School Teachers’ Self-Reported Personality Traits As Well As Stress and Burnout Levels

Perceptual and Motor Skills ◽

10.1177/0031512520908708 ◽

2020 ◽

Vol 127 (3) ◽

pp. 515-532 ◽

Cited By ~ 1

Author(s):

Anastasia Fabbro ◽

Franco Fabbro ◽

Viviana Capurso ◽

Fabio D’Antoni ◽

Cristiano Crescentini

Keyword(s):

Mindfulness Meditation ◽

Maslach Burnout Inventory ◽

Training Group ◽

Mindfulness Training ◽

Waiting List ◽

Control Group ◽

Big Five Personality ◽

Five Facet Mindfulness Questionnaire ◽

Dispositional Mindfulness ◽

School Teachers

Among a sample of only female school teachers, we compared a mindfulness meditation (MM) training group ( n = 19) with a waiting-list control group ( n = 20) on several participant-completed questionnaires: the Five Facet Mindfulness Questionnaire, the Big Five Personality Inventory, the Teacher Stress Inventory, and the Maslach Burnout Inventory. With these measures, we assessed the participants’ dispositional mindfulness, personality styles, and their stress and burnout. Following mindfulness training, teachers in the MM group showed higher trait mindfulness and conscientiousness and lower neuroticism and stress and burnout levels than teachers in the waiting-list control group. These results support the beneficial role of MM in individuals’ effective management of stressful conditions in the workplace.

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Micronutrient screening, monitoring, and supplementation in pregnancy after bariatric surgery

Obstetric Medicine ◽

10.1177/1753495x211013624 ◽

2021 ◽

pp. 1753495X2110136

Author(s):

Bonnie Huang ◽

Jennifer H Yo ◽

Shital Gandhi ◽

Cynthia Maxwell

Keyword(s):

Bariatric Surgery ◽

Pregnancy Outcomes ◽

Reproductive Age ◽

Nutrition Status ◽

Nutrient Deficiencies ◽

Published Evidence ◽

Altered Glucose ◽

Obstetric Medicine ◽

Post Bariatric Surgery ◽

The Impact

We present the case of a woman with a history of biliopancreatic diversion and duodenal switch procedure who developed severe malnourishment requiring total parenteral nutrition during three pregnancies. The widespread use of bariatric surgery, particularly among those of reproductive age, has led to an increase in the number of women who become pregnant following bariatric surgery. There is a paucity of evidence to guide nutritional recommendations for women during pregnancy post bariatric surgery. We review this literature and summarize key published evidence and provide comprehensive recommendations concerning the common challenges in the management of nutrition status during pregnancy. The focus is on the impact of malabsorptive bariatric surgeries on pregnancy outcomes, nutrient deficiencies, recommendations for micro- and macronutrient monitoring and supplementation, and altered glucose metabolism and implications for diabetes screening. Optimizing pregnancy outcomes for individuals following bariatric surgery requires multidisciplinary team management including obstetrical providers, obstetric medicine specialists, and dietitians.

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