Bariatric Surgery Regain and Long-Term Weight Loss among Women: Self-Efficacy, Social Support and Health Promotion Lifestyle Behaviors

Introduction: An estimated 3.6 million Arab Americans live in the United States. Limited studies have addressed Arab American women’s health needs. The purpose of this study was to explore the relationships between personal factors (sociodemographic factors, degree of acculturation, psychological stress), health self-efficacy, social support, and health-promoting lifestyle behaviors among Arab American women in California. Method: A cross-sectional, correlational survey study involved 267 women. The survey assessed women’s personal factors, health self-efficacy, social support, and health promotion behaviors. Results: Age, education, orientation to American culture, psychological stress, health self-efficacy, and social support were strongly correlated with health promotion behaviors and explained 46% of its variance among participants, F(18, 248) = 10.657, p = .000, R2 = .46. Discussion: Participants scored low on both the physical activity and stress management of the health promotion subscales. Culturally sensitive interventions are needed to improve engagement in health promotion behaviors among these women.

Download Full-text

Abstract #240 Weight Loss Trajectory Following Randomization to Bariatric Surgery on Long-Term Diabetes Outcomes

Endocrine Practice ◽

10.1016/s1530-891x(20)47086-7 ◽

2018 ◽

Vol 24 ◽

pp. 49

Author(s):

Keren Zhou ◽

Kathy Wolski ◽

Ali Aminian ◽

Steven Malin ◽

Philip Schauer ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Diabetes Outcomes ◽

Trajectory Following

Download Full-text

Long-Term Weight Loss and Psychological Functioning in Bariatric Surgery Patients

PsycEXTRA Dataset ◽

10.1037/e659392012-001 ◽

2012 ◽

Author(s):

Leslie M. Schuh ◽

David B. Creel ◽

Joseph Stote ◽

Katharine Hudson ◽

Karen K. Saules ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Psychological Functioning

Download Full-text

Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, Despite the Widespread Use of Supplements

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094541 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4541

Author(s):

Mauro Lombardo ◽

Arianna Franchi ◽

Roberto Biolcati Rinaldi ◽

Gianluca Rizzo ◽

Monica D’Adamo ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Vitamin B12 ◽

Vitamin B12 Deficiency ◽

Ideal Body Weight ◽

Excess Weight ◽

Nutritional Deficiencies ◽

Average Percentage ◽

Nutritional Studies

There are few long-term nutritional studies in subjects undergoing bariatric surgery that have assessed weight regain and nutritional deficiencies. In this study, we report data 8 years after surgery on weight loss, use of dietary supplements and deficit of micronutrients in a cohort of patients from five centres in central and northern Italy. The study group consisted of 52 subjects (age: 38.1 ± 10.6 y, 42 females): 16 patients had Roux-en-Y gastric bypass (RYGB), 25 patients had sleeve gastrectomy (SG) and 11 subjects had adjustable gastric banding (AGB). All three bariatric procedures led to sustained weight loss: the average percentage excess weight loss, defined as weight loss divided by excess weight based on ideal body weight, was 60.6% ± 32.3. Despite good adherence to prescribed supplements, 80.7% of subjects (72.7%, AGB; 76.7%, SG; 93.8 %, RYGB) reported at least one nutritional deficiency: iron (F 64.3% vs. M 30%), vitamin B12 (F 16.6% vs. M 10%), calcium (F 33.3% vs. M 0%) and vitamin D (F 38.1% vs. M 60%). Long-term nutritional deficiencies were greater than the general population among men for iron and among women for vitamin B12.

Download Full-text

Theoretical Mediators of Diabetes Risk and Quality of Life Following a Diabetes Prevention Program for Latino Youth With Obesity

American Journal of Health Promotion ◽

10.1177/08901171211012951 ◽

2021 ◽

pp. 089011712110129

Author(s):

Erica G. Soltero ◽

Stephanie L. Ayers ◽

Marvyn A. Avalos ◽

Armando Peña ◽

Allison N. Williams ◽

...

Keyword(s):

Quality Of Life ◽

Social Support ◽

Health Behaviors ◽

Self Efficacy ◽

Diabetes Prevention ◽

Latino Youth ◽

Diabetes Prevention Program ◽

Family Social Support

Purpose: This study tested self-efficacy and social support for activity and dietary changes as mediators of changes in type 2 diabetes related outcomes following a lifestyle intervention among Latino youth. Setting and Intervention: Latino adolescents (14-16 years) with obesity (BMI% = 98.1 ± 1.4) were randomized to a 3-month intervention (n = 67) that fostered self-efficacy and social support through weekly, family-centered sessions or a comparison condition (n = 69). Measures: Primary outcomes included insulin sensitivity and weight specific quality of life. Mediators included self-efficacy, friend, and family social support for health behaviors. Data was collected at baseline, 3-months, 6-months, and 12-months. Analysis: Sequential path analysis was used to examine mediators as mechanisms by which the intervention influenced primary outcomes. Results: The intervention had a direct effect on family (β = 0.33, P < .01) and friend social support (β = 0.22, P < .001) immediately following the intervention (3-months). Increased family social support mediated the intervention’s effect on self-efficacy at 6-months (β = 0.09, P < .01). However, social support and self-efficacy did not mediate long-term changes in primary outcomes ( P > .05) at 12-months. Conclusions: Family social support may improve self-efficacy for health behaviors in high-risk Latino youth, highlighting the important role of family diabetes prevention. Fostering family social support is a critical intervention target and more research is needed to understand family-level factors that have the potential to lead to long-term metabolic and psychosocial outcome in vulnerable youth.

Download Full-text

Grazing Behavior Hinders Weight Loss in Long-Term Post Bariatric Surgery: a Cross-Sectional Study

Obesity Surgery ◽

10.1007/s11695-021-05533-4 ◽

2021 ◽

Author(s):

Larissa Cristina Lins Berber ◽

Mariana Silva Melendez-Araújo ◽

Eduardo Yoshio Nakano ◽

Kênia Mara Baiocchi de Carvalho ◽

Eliane Said Dutra

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Grazing Behavior ◽

Post Bariatric Surgery

Download Full-text

Endoscopic Evaluation of Symptomatic Patients following Bariatric Surgery: A Literature Review

Diagnostic and Therapeutic Endoscopy ◽

10.1155/2012/753472 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Miral Subhani ◽

Kaleem Rizvon ◽

Paul Mustacchia

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Abdominal Pain ◽

Drug Therapy ◽

Upper Gastrointestinal Bleeding ◽

Comorbid Conditions ◽

Endoscopic Evaluation ◽

Number Of Patients ◽

Upper Gastrointestinal

Obesity is an epidemic in our society, and rates continue to rise, along with comorbid conditions associated with obesity. Unfortunately, obesity remains refractory to behavioral and drug therapy but has shown response to bariatric surgery. Not only can long-term weight loss be achieved, but a majority of patients have also shown improvement of the comorbid conditions associated with obesity. A rise in the use of surgical therapy for management of obesity presents a challenge with an increased number of patients with problems after bariatric surgery. It is important to be familiar with symptoms following bariatric surgery, such as nausea/vomiting, abdominal pain, dysphagia, and upper gastrointestinal bleeding and to utilize appropriate available tests for upper gastrointestinal tract pathology in the postoperative period.

Download Full-text

Abstract P161: Variation in Five-Year Weight Loss Patterns Following Bariatric Surgery by Insurance Status

Circulation ◽

10.1161/circ.135.suppl_1.p161 ◽

2017 ◽

Vol 135 (suppl_1) ◽

Author(s):

Erin Takemoto ◽

Bruce Wolfe ◽

Corey Nagel ◽

Janne Boone-Heinonen

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Parameter Estimates ◽

Similar Amount ◽

Group Model ◽

Specific Patient ◽

Group 6 ◽

Medicaid Beneficiaries ◽

Trajectory Models

In the general population, bariatric surgery facilitates sustained weight loss and remission of comorbidities (e.g., CVD). The effectiveness among Medicaid beneficiaries, a population with a disproportionately high burden of obesity, remains unclear. We sought to determine if patterns of weight change following bariatric surgery differed in patients with Medicaid compared to commercial insurance. Data were obtained from the Longitudinal Assessment of Bariatric Surgery, an observational cohort study of adults undergoing bariatric surgery (2006-2009) at one of 6 geographically diverse centers. We used group-based trajectory models (PROC TRAJ, SAS) to identify discrete groups of individuals with similar weight trajectories over 5-years; we considered cubic trajectory models with between 1 and 6 groups. We selected the 6-group model based on Bayesian Information Criteria, visual fit and statistical significance of parameter estimates. We tested demographic predictors against trajectory group membership; Medicaid (n=174) vs. Commercial (n=991) was our primary predictor of interest. Medicaid participants had higher mean weight at baseline compared to the commercially insured (307.9 vs. 291.2 lbs), but lost a similar amount of weight over time (74.8 vs 85.0 lbs). All groups experienced the most weight loss in year 1 (Figure). Group 6 was the heaviest at baseline and began to regain weight after year 1; groups 1-5 continued to lose weight through year 2. Group’s 1 & 2 weight remained stable over 5 years while groups 3-6 began to slowly regain weight. Medicaid beneficiaries were more likely to be in group 4 (OR 3.2, 95% CI: 1.2, 8.6), group 5 (OR 5.7, 95% CI: 2.0, 16.1) and group 6 (OR 7.9, 95% CI: 2.5, 25.1) compared to group 1. Medicaid beneficiaries experience substantial long term weight loss. However, they had higher baseline weight and tended to be in groups with less long-term weight loss compared to the commercially insured. Focusing on tailored interventions to specific patient groups could help maintain weight loss.

Download Full-text

Evaluation of the Effects of Bariatric Surgery in Terms of Weight Loss and Diabetes Remission in the Indian Population

Dubai Diabetes and Endocrinology Journal ◽

10.1159/000518856 ◽

2021 ◽

pp. 1-7

Author(s):

Manish Khaitan ◽

Riddhish Gadani ◽

Koshish Nandan Pokharel

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Gastric Bypass ◽

Complete Remission ◽

Predictive Factors ◽

Indian Population ◽

Diabetes Remission ◽

Obese Patients ◽

Sustained Weight Loss

Objectives: The growing prevalence of obesity rates worldwide is associated with an upsurge in its comorbidities, particularly type 2 diabetes mellitus (T2DM). Bariatric surgery is a proven treatment modality for producing sustained weight loss and resolution of associated T2DM providing marked improvement in quality of life with rapid recovery. This study aims to investigate the effects of laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB), and mini-gastric bypass (MGB) on obese patients suffering from T2DM in the Indian population and their long-term association with regard to diabetes remission, resolution of comorbidities, and percentage EWL. Methods: Retrospective data of obese patients with T2DM (preoperative BMI 45.37 ± 8.1) who underwent bariatric surgery (RYGB, LSG, and MGB) were analyzed in this study over a period of 9 years. The mean follow-up period was 2.2 years. Following surgery, the clinical outcome on BMI, resolution of percentage weight loss, and T2DM were studied. The predictive factors of diabetic remission after surgery were determined. Student’s t test and ANOVA and McNemar’s test were applied. Results: Out of a total of 274 patients, complete remission of T2DM was achieved in 52.9% (n = 145) with mean fasting blood glucose and glycated hemoglobin values being 6.1 ± 0.769 (p = 0.00) at 1 year after surgery. The independent predictive factors of remission were age, gender, BMI, preoperative comorbidities, and % EWL. Gender had no correlation with the chance of achieving disease remission. Conclusion: Based on our results, bariatric surgery proves to be a successful treatment option resulting in sustained weight loss in obese patients suffering from T2DM. It is found to be beneficial for the long-term resolution of T2DM and improving comorbidities such as hypertension and dyslipidemia. The outcome of the different surgical methods is found to be similar for all patients irrespective of the independent predictors of complete remission.

Download Full-text