Self-Regulation of Weight After Sleeve Gastrectomy

Bariatric surgery is recognized as the most effective method for achieving relevant weight loss in subjects with severe obesity. However, there is insufficient knowledge about weight self-regulation and quality of motivation in these patients. The main goal of this study was to characterize the association between the percentage of excess weight loss (%EWL) and the motivation to manage weight, at least 1 year after sleeve gastrectomy (SG). This is an observational longitudinal retrospective study. All patients corresponding to predefined inclusion criteria who underwent SG from January 2008 to July 2010 at a main general hospital were invited. A version of the Treatment Self-Regulation Questionnaire (TSRQ) was used to assess patients’ quality of motivation: TSRQ concerning continuing the weight self-management program. Clinical data were collected from patients’ records. Overall, 81 patients participated (16 men and 65 women, 25-64 years old). The average body mass index was significantly reduced from 45.3 ± 7.0 kg/m2 preoperatively to 32.7 ± 6.9 kg/m2 postoperatively. Autonomous self-regulation was higher than externally controlled self-regulation, regarding motives to keep managing weight after SG. Postoperatively, %EWL correlated negatively with external self-regulation. SG was found to be associated with the quality of motivation for losing weight. External motivations were associated with worse results. These findings support the importance of multiprofessional teams in the assessment and treatment of patients, aiming for the promotion of weight self-regulation after bariatric surgery.

A Comparison of High-Performance Football Coaches Experiencing High- Versus Low-Burnout Symptoms Across a Season of Play: Quality of Motivation and Recovery Matters

The purpose of the current study was to provide insights in how and why four head coaches in elite football experienced being either high or low in burnout symptoms (BS) during a competitive season. A longitudinal sequential quantitative-qualitative mixed method approach was used to enhance the understanding of coaches’ experiences. First, data were collected using online questionnaires at the start and at the end of the competitive season with all coaches working at the Norwegian Elite Football League level. Second, in-depth interviews were conducted with four head coaches who were purposefully selected based on having the two highest and the two lowest burnout scores across the season compared with the overall sample. A quantitative approach was used to explore whether these four coaches differed when compared with the overall population on the associated variables: performance, budget, quality of motivation, perceived workload, work-home-interference (WHI), and recovery. A qualitative approach helped gain more insight in the experiences these four coaches had with possible onset variables. Analyses comparing the two sets of coaches, indicated no difference related to performance, budget and workload. However, the motivational profile, WHI, and ability to meet recovery demands were variables that contributed to explain differences in coaches’ BS.