scholarly journals Receptivity to Bariatric Surgery in Qualified Patients

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Michael Fung ◽  
Sean Wharton ◽  
Alison Macpherson ◽  
Jennifer L. Kuk

Objectives. Bariatric surgery has been shown to be an effective intervention for weight loss and diabetes management. Despite this, many patients qualified for bariatric surgery are not interested in undergoing the procedure. The objective of this study is to determine the factors influencing receptivity to bariatric surgery among those who qualify for the procedure.Methods. Patients attending a publicly funded weight management clinic who qualified for bariatric surgery were asked to complete an elective questionnaire between February 2013 and April 2014.Results. A total of 371 patients (72% female) completed the questionnaire. Only 87 of 371 (23%) participants were interested in bariatric surgery. Individuals interested in bariatric surgery had a higher BMI (48.0 versus 46.2 kg/m2,P=0.03) and believed that they would lose more weight with surgery (51 versus 44 kg,P=0.0069). Those who scored highly on past weight loss success and financial concerns were less likely to be interested in bariatric surgery, whereas those who scored highly on high receptivity to surgery and positive social support were more likely to be interested in bariatric surgery.Conclusion. Although participants overestimated the effect of bariatric surgery on weight loss, most were still not interested in bariatric surgery.

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Karissa L. Canning ◽  
Ruth E. Brown ◽  
Sean Wharton ◽  
Arya M. Sharma ◽  
Jennifer L. Kuk

Objectives. To determine the distribution of EOSS stages and differences in weight loss achieved according to EOSS stage, in patients attending a referral-based publically funded multisite weight management clinic.Subjects/Methods. 5,787 obese patients were categorized using EOSS staging using metabolic risk factors, medication use, and severity of doctor diagnosis of obesity-related physiological, functional, and psychological comorbidities from electronic patient files.Results. The prevalence of EOSS stages 0 (no risk factors or comorbidities), 1 (mild conditions), 2 (moderate conditions), and 3 (severe conditions) was 1.7%, 10.4%, 84.0%, and 3.9%, respectively. Prehypertension (63%), hypertension (76%), and knee replacement (33%) were the most common obesity-related comorbidities for stages 1, 2, and 3, respectively. In the models including age, sex, initial BMI, EOSS stage, and treatment time, lower EOSS stage and longer treatment times were independently associated with greater absolute (kg) and percentage of weight loss relative to initial body weightP<0.05.Conclusions. Patients attending this publicly funded, referral-based weight management clinic were more likely to be classified in the higher stages of EOSS. Patients in higher EOSS stages required longer treatment times to achieve similar weight outcomes as those in lower EOSS stages.


2022 ◽  
Vol 37 (1) ◽  
pp. 55-68
Author(s):  
Jane Sylvestre ◽  
Anna Parker ◽  
Rena Zelig ◽  
Diane Rigassio Radler

2019 ◽  
Vol 15 (10) ◽  
pp. S162-S163
Author(s):  
Jamil Samaan ◽  
Emily S. Chang ◽  
Omar Toubat ◽  
Yana Pashyan ◽  
Adrian Dobrowolsky ◽  
...  

2021 ◽  
Author(s):  
Lun Li ◽  
Qiuju Yin ◽  
Zhijun Yan

BACKGROUND Online weight-loss communities (OWCs) have been becoming increasingly popular for weight management, which enable individuals to monitor (i.e. self-monitoring) and discuss (i.e. social interaction) their weight-loss experiences. However, there has been limited understanding of the role of individuals’ prior weight-loss experiences in subsequent weight-loss success, especially in online settings. OBJECTIVE To address the significant literature gap, this study investigates the relationship between prior weight-loss experiences (success or failure), online social support and subsequent weight-loss success in the contexts of OWCs based on self-determination theory. METHODS The data of 1650 users from one popular OWC is collected using a python crawler procedure, including individuals’ characteristics (e.g. gender, age, friends, posts, membership duration) and weight-loss diary information. Two logit regression models are deployed to estimate the effects of prior weight-loss experiences and social support on subsequent weight-loss success, as well as the moderation effect of social support. RESULTS The results reveal that prior successful weight-loss experiences are positively related to subsequent weight-loss success (β=0.376,p<0.01) while the relationship between prior failed weight-loss experiences and subsequent weight-loss success is negative (β=-0.225,p<0.05). Meanwhile, online social support can not only influence positively subsequent weight-loss success directly (β=0.441,p<0.01) but also undermine the negative effect of prior failed weight-loss experiences (β=0.025,p<). Nevertheless, social support has no significant moderating effect on the relationship between prior successful weight-loss experiences and subsequent weight-loss success (β=0.104,p>0.1). CONCLUSIONS This study contributes to literature on prior experiences and online social support in the context of OWCs, and provides valuable insights for OWCs’ designs to improve users’ engagement and their weight-loss success.


2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
S. D. Pedersen

Substantial heterogeneity exists in weight loss trajectories amongst patients following bariatric surgery. Hormonal factors are postulated to be amongst the contributors to the variation seen. Several hormones involved in hunger, satiety, and energy balance are affected by bariatric surgery, with the alteration in hormonal milieu varying by procedure. Limited research has been conducted to examine potential hormonal mediators of weight loss failure or recidivism following bariatric surgery. While hormonal factors that influence weight loss success following gastric banding have not been identified, data suggest that hormonal factors may be involved in modulating weight loss success following gastric bypass. There may be hormonal mediators involved in determining the weight trajectory following sleeve gastrectomy, though the extremely limited data currently available prohibits definitive conclusions from being drawn. There is great need for future research studies to explore this knowledge gap, as improving this knowledge base could be of benefit to guide clinicians toward understanding the hormonal contributors to a patient’s postoperative weight loss failure or recidivism or perhaps be of value in selecting the most appropriate bariatric procedure based on the preoperative hormone milieu. Integrative interdisciplinary approaches exploring these complex interrelationships could potentially increase the explanatory power of such investigations.


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