scholarly journals Association Between Weight Gain, Psychological, Sociodemographic Factors, and Physical Activity in Bariatric Patients: A Complex System

2021 ◽  
Author(s):  
Nélio Barreto Vieira ◽  
Paulo Felipe R. Bandeira ◽  
Gyllyandeson Delmondes ◽  
Rafaela Bertoldi ◽  
Glacithane Cunha ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Weight Gain ◽  
Weight Regain ◽  
Negative Affectivity ◽  
Sociodemographic Factors ◽  
Stress Scale ◽  
Voluntary Consent ◽  
Bariatric Patients ◽  
Etiological Heterogeneity

Weight gain affects about 10-20% of patients after bariatric surgery. It is a phenomenon that is difficult to understand and to intervene due to its complexity and etiological heterogeneity. In the present study, we investigated, from a network analysis perspective, the associations between weight regain, psychological, sociodemographic factors and physical activity in patients undergoing bariatric surgery. The sample consisted of 124 patients, of both sexes, aged 39 ± 9.1 years, who had undergone surgical intervention for more than 18 months. After voluntary consent, respondents answered questionnaires and instruments directly on the Google Forms platform. The results indicated that weight gain was negatively associated with the items of depression, anxiety and stress, binge eating and with the dimensions of the personality questionnaire (negative affectivity -0.182; detachment -0.078; antagonism -0.107; disinterest - 0.198 and psychoticism -0.158). The centrality indicators revealed that the characteristics of disinterest and negative affectivity and most of the items on the depression, anxiety and stress scale had a greater expected influence (values ​​from 1,043 to 1,502), indicating that these are the most sensitive variables to intervention and who need more attention from health professionals.

scholarly journals Association Between Weight Gain, Psychological, Sociodemographic Factors, and Physical Activity in Bariatric Patients: A Network Perspective

2021 ◽  
Author(s):  
Nélio Barreto Vieira ◽  
Paulo Felipe Ribeiro Bandeira ◽  
Gyllyandeson Delmondes ◽  
Rafaela Bertoldi ◽  
Glacithane Lins da Cunha ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Weight Regain ◽  
Negative Affectivity ◽  
Sociodemographic Factors ◽  
Level Of Evidence ◽  
Stress Scale ◽  
Voluntary Consent ◽  
Bariatric Patients ◽  
Etiological Heterogeneity

Abstract Background Weight gain affects about 10-20% of patients after bariatric surgery (BS). It’s a phenomenon that’s difficult to understand and to intervene due to its complexity and etiological heterogeneity. In the present study, we investigated, from a network analysis perspective, the associations between weight regain, psychological, sociodemographic factors and physical activity in patients undergoing BS. Methods The sample consisted of 124 patients, of both sexes, aged 39 ± 9.1 years, who had undergone surgical intervention for more than 18 months. After voluntary consent, respondents answered questionnaires and instruments directly on the Google Forms platform. Results The weight gain was negatively associated with the items of depression, anxiety and stress, binge eating and with the dimensions of the personality questionnaire (negative affectivity -0.182; detachment -0.078; antagonism -0.107; disinterest - 0.198 and psychoticism -0.158). Conclusion Characteristics of disinterest and negative affectivity and most of the items on the depression, anxiety and stress scale had a greater expected influence, indicating that these are the most sensitive variables to intervention and who need more attention from health professionals.Level of evidence: Level III, evidence obtained from well-designed case-control analytic studies.

scholarly journals Endoscopic plasma argon coagulation in treatment of weight regain after bariatric surgery: what does the patient think about this?

2014 ◽  
Vol 27 (suppl 1) ◽  
pp. 47-50 ◽  
Author(s):  
Simone Dallegrave MARCHESINI ◽  
Giorgio Alfredo Pedroso BARETTA ◽  
Maria Paula Carlini CAMBI ◽  
João Batista MARCHESINI
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Multidisciplinary Team ◽  
Weight Regain ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
The Internet ◽  
Bariatric Patients ◽  
Second Chance

BACKGROUND: Bariatric surgery, especially Roux-en-Y gastric bypass is an effective treatment for refractory morbid obesity, causing the loss of 75% of initial excess weight. After the surgery, however, weight regain can occur in 10-20% of cases. To help, endoscopic argon plasma coagulation (APC) is used to reduce the anastomotic diameter. Many patients who undergo this treatment, are not always familiar with this procedure and its respective precautions. AIM: The aim of this study was to determine how well the candidate for APC understands the procedure and absorbs the information provided by the multidisciplinary team. METHOD: We prepared a questionnaire with 12 true/false questions to evaluate the knowledge of the patients about the procedure they were to undergo. The questionnaire was administered by the surgeon during consultation in the preoperative period. The patients were invited to fill out the questionnaire. RESULTS: We found out that the majority learned about the procedure through the internet. They knew it was an outpatient treatment, where the anesthesia was similar to that for endoscopy, and that they would have to follow a liquid diet. But none of them knew that the purpose of this diet was to improve local wound healing. CONCLUSION: Bariatric patients who have a second chance to resume weight loss, need continuous guidance. The internet should be used by the multidisciplinary team to promote awareness that APC will not be sufficient for weight loss and weight-loss maintenance in the long term. Furthermore, there is a need to clarify again the harm of drinking alcohol in the process of weight loss, making its curse widely known.

scholarly journals A Retrospective Study about the Differences in Cardiometabolic Risk Indicators and Level of Physical Activity in Bariatric Surgery Patients from Private vs. Public Units

2019 ◽  
Vol 16 (23) ◽  
pp. 4751 ◽  
Author(s):  
Rebeca Rocha de Almeida ◽  
Márcia Cândido de Souza ◽  
Dihogo Gama de Matos ◽  
Larissa Monteiro Costa Pereira ◽  
Victor Batista Oliveira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Retrospective Study ◽  
Healthcare System ◽  
Cardiometabolic Risk ◽  
Risk Indicators ◽  
Public Healthcare ◽  
Post Surgery ◽  
Bariatric Patients ◽  
One Year

Background: Obesity is a pathology with a growing incidence in developing countries. Objective: To evaluate the evolution of cardiometabolic, anthropometrics, and physical activity parameters in individuals undergoing bariatric surgery (BS) in the public healthcare system (PUS) and private healthcare system (PHS). Methods: A longitudinal, observational, and retrospective study was conducted with 111 bariatric patients on two different health systems, with 60 patients from the PUS and 51 from the PHS. Cardiometabolic risk (CR) was analyzed by the assessment of obesity-related comorbidities (AORC) on admission and 3, 6, and 12 months after BS, and the International Physical Activity Questionnaire (IPAQ) was surveyed before and 12 months after BS. In addition, cardiometabolic risk was also assessed by biochemical (fasting glucose and complete lipidogram) and anthropometric (weight, weight loss, waist circumference, and waist-to-height ratio) parameters. Results: On admission, the parameters of severe obesity, systemic arterial hypertension (SAH), Diabetes mellitus (DM), and waiting time to BS were higher in the PUS. Additionally, in the PUS, AORC was reduced only in the SAH parameter. However, in the post-surgery moment, AORC reduced, and there was no difference between the two groups after BS. Regarding physical activity, the IPAQ showed a higher level of activity in the PHS before and one year after BS. Conclusion: At the PUS, BS is performed in patients with a higher degree of comorbidities, but BS improved the reduction of the CR at a similar level to those observed in the PHS.

The Correlation Between Weight Regain and Postoperative Time Depends on the Food Restriction Behavior and Physical Activity After Bariatric Surgery

2021 ◽  
Author(s):  
Daniela Lopes Gomes ◽  
Isabela Silva de Sousa ◽  
Jeane Lorena Lima Dias ◽  
Manuela Maria de Lima Carvalhal ◽  
Aline Leão Reis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Food Restriction ◽  
Weight Regain ◽  
Postoperative Time

A quality-improvement optimization pilot of BariFit, a mobile health intervention to promote physical activity after bariatric surgery

2020 ◽  
Author(s):  
Predrag Klasnja ◽  
Dori E Rosenberg ◽  
Jing Zhou ◽  
Jane Anau ◽  
Anirban Gupta ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Quality Improvement ◽  
Mobile Health ◽  
Text Messages ◽  
First Year ◽  
Mhealth Intervention ◽  
Steps Per Day ◽  
Bariatric Patients

Abstract Bariatric surgery is the most effective treatment for severe obesity (body mass index >40), helping individuals lose, on average, 25%–29% of their body weight over the first year. However, many patients begin to plateau and regain weight within 12–24 months, and 20% of patients begin to regain weight within 6 months postsurgery. As physical activity (PA) is an important predictor of weight loss and maintenance postsurgery, there is a need for scalable, effective lifestyle interventions to help bariatric patients increase PA in order to maximize their weight loss and maintenance. To assess feasibility of using mobile health (mHealth) tools to support PA postsurgery, we conducted a quality-improvement optimization pilot of BariFit, an mHealth intervention that combines commercial devices and custom text messages. Fifty-one bariatric patients enrolled in a 16-week optimization pilot of BariFit. To assess feasibility, pre–post changes in PA were assessed using activPAL. In addition, the pilot randomized, using a 2 × 2 factorial design, two adaptive approaches to daily step goals (variable and 60th percentile goals) and provision of rest days (yes/no), and microrandomized provision of SMS-delivered activity suggestions five times a day for each participant. Adherence to using study equipment was over 95% at 16 weeks. Participants increased PA by 1,866 steps from baseline to end-of-study (p < .007). Participants who received variable step goals averaged 1,141 more steps per day (p = .096) than those who received 60th percentile goals. Activity suggestions had no effect. mHealth interventions are feasible for supporting PA postbariatric surgery.

scholarly journals Changes in Physical Activity in Relation to Body Composition, Fitness and Quality of Life after Primary Bariatric Surgery: a Two-Year Follow-Up Study

2020 ◽  
Author(s):  
Malou A. H. Nuijten ◽  
Onno M. Tettero ◽  
Rens J. Wolf ◽  
Esmée A. Bakker ◽  
Thijs M. H. Eijsvogels ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Bariatric Surgery ◽  
Body Composition ◽  
Fat Free Mass ◽  
Post Surgery ◽  
Related Quality ◽  
Health Related ◽  
Bariatric Patients

Abstract Purpose The success of bariatric surgery varies largely, which may relate to variance in adopting a physically active lifestyle. This study aimed to determine whether two-year changes in physical activity (PA) were associated with weight loss, fat-free mass, cardiorespiratory fitness and quality of life up to two years after bariatric surgery. Materials and Methods In this retrospective study, 3879 post-bariatric patients were divided into three groups: 1) decreased PA (n = 388), 2) maintained PA (n = 2002) or 3) increased PA (n = 1498). Measurements regarding PA (Baecke questionnaire), body composition (bioelectrical impedance analysis), estimated cardiorespiratory fitness (Åstrand test) and health-related quality of life (RAND-36) were performed preoperatively and two years post-surgery. Results Bariatric patients with increased PA had greater excess weight loss (76.3% vs. 73.2% vs. 72.9%, P < 0.001), greater increases in %fat-free mass (Δ14.0% vs. 13.0% vs. 12.8%; P < 0.001), larger improvements in VO2max (Δ11.8 vs. 10.2 vs. 8.0 ml/kg/min, P < 0.001), and larger increases in health related quality of life subscale scores (P < 0.05) compared to patients with maintained- and decreased PA. Conclusions Bariatric patients who managed to induce improvements in habitual physical activity had better body composition, fitness and quality of life at 2 years post-surgery, compared to patients who maintained or even reduced their PA levels. These findings underscore the importance of perioperative-bariatric care programs to change lifestyle and achieve sustainable improvements in PA levels.

scholarly journals Influence of COVID-19 Pandemic Lockdown on Patients from the Bariatric Surgery Waiting List

Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 505
Author(s):  
Maciej Walędziak ◽  
Anna Różańska-Walędziak ◽  
Paweł Bartnik ◽  
Joanna Kacperczyk-Bartnik ◽  
Michał Janik ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Weight Gain ◽  
Significant Influence ◽  
Dietary Habits ◽  
Care Center ◽  
Waiting List ◽  
Bariatric Surgeon ◽  
Obese Population ◽  
Gain Material

Background and Objectives: Social isolation and lockdown due to the COVID-19 pandemic have influenced dietary habits and physical activity of all the population, but the obese population is the most vulnerable to weight gain. Material and Methods: A group of 189 patients (166 female and 23 male) from the bariatric surgery waiting list filled in a survey about the influence of COVID-19 pandemic lockdown on their dietary habits, physical activity, and the possibility of contact with their bariatric care center. Results: The majority of patients with weight gain declared a decrease in physical activity, compared to half of the patients without weight gain (50.5% vs. 74.5%, p < 0.05). The continuation of bariatric care and the possibility of contact with a bariatric surgeon, dietician, and psychologist had each significant influence on reducing the risk of patients’ weight gain (p < 0.05). Conclusions: Maintaining physical activity and contact with bariatric care specialists are important factors in allowing to avoid weight gain in patients waiting for bariatric surgery.

Physical activity and its association with psychosocial health following bariatric surgery

2019 ◽  
Vol 44 (12) ◽  
pp. 1379-1382
Author(s):  
Melinda Maggisano ◽  
Azusa Maeda ◽  
Allan Okrainec ◽  
Susan Wnuk ◽  
Sanjeev Sockalingam ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Behavioural Change ◽  
Psychosocial Health ◽  
Psychological Benefits ◽  
Related Quality ◽  
Health Related ◽  
Bariatric Patients

Physical activity (PA) helps sustain weight loss and may also provide psychological benefits in patients undergoing bariatric surgery. Using a set of questionnaires, we demonstrated that bariatric patients with increased level of PA at 1-year follow-up had better psychosocial outcomes including depressive symptoms and mental health-related quality of life compared with those who had reduced or unchanged level of PA. Our findings indicate the benefit of incorporating PA in the postoperative care for bariatric patients. Novelty Postoperative behavioural change in terms of physical activity improves psychosocial health in patients undergoing bariatric surgery.

Management of Obesity

2016 ◽  
Vol 34 (35) ◽  
pp. 4295-4305 ◽  
Author(s):  
Naji Alamuddin ◽  
Zayna Bakizada ◽  
Thomas A. Wadden
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Lifestyle Intervention ◽  
Weight Regain ◽  
Initial Weight ◽  
The Us ◽  
And Behavior

This review examines weight loss and accompanying improvements in obesity-related comorbidities produced by intensive lifestyle intervention, pharmacotherapy, and bariatric surgery. Obese individuals lose approximately 6 to 8 kg (approximately 6% to 8% of initial weight) with 6 months of participation in a high-intensity lifestyle intervention (≥ 14 treatment visits) consisting of diet, physical activity, and behavior therapy. Such losses reduce progression to type 2 diabetes in at-risk people and decrease blood pressure and triglyceride levels. All diets, regardless of macronutrient composition, can produce clinically meaningful weight loss (> 5%) if they induce a deficit ≥ 500 kcal/d. Physical activity of 150 to 180 min/wk yields modest short-term weight loss compared with diet but contributes to improvements in obesity-related conditions. Gradual weight regain is common after lifestyle intervention but can be prevented by continued participation in monthly weight loss maintenance sessions, as well as by high levels of physical activity (ie, 200 to 300 min/wk). Patients unable to reduce satisfactorily with lifestyle intervention may be candidates for pharmacotherapy, recommended as an adjunct. Five medications have been approved by the US Food and Drug Administration for chronic weight management, and each has its own risk/benefit profile. The addition of these medications to lifestyle intervention increases mean weight loss by 2.5 to 8.9 kg compared with placebo. Patients with severe obesity who are unable to reduce successfully with lifestyle intervention and pharmacotherapy are eligible for bariatric surgery, including Roux-en-Y gastric bypass, sleeve gastrectomy, or adjustable gastric banding. The first two procedures yield long-term (≥ 3 years) reductions of ≥ 20% of initial weight that are associated with decreases in morbidity and potentially mortality. Greater resources and dissemination efforts are needed to increase the availability of these three approaches for the millions of Americans who would benefit from them.

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