Journal ArticleDOI
Depression score predicts weight loss following Roux-en-Y gastric bypass.
Yelena Averbukh,Stanley Heshka,Hazem El-Shoreya,Louis Flancbaum,Allan Geliebter,Sherif Kamel,F. Xavier Pi-Sunyer,Blandine Laferrère +7 more
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TLDR
A positive correlation between pre-surgical severity of depression as measured by BDI score and the 1-year success at weight loss following Roux-en-Y gastric bypass after RYGBP is shown.Abstract:
Background: The prevalence of obesity is increasing in the United States. Bariatric surgery is the only intervention that can reliably induce and maintain significant weight loss in obese patients. The association between pre-surgical severity of depression and success at weight loss following Roux-en-Y gastric bypass (RYGBP) has not yet been fully elucidated. Methods: 145 charts of patients who underwent RYGBP for morbid obesity were reviewed. 47 patients who filled out the Beck Depression Inventory (BDI) before surgery and completed 1 year of follow-up were studied. The relationship between pre-surgical severity of depression and success at weight loss was examined through multivariate regression analysis using percent excess weight loss (%EWL) as a dependent variable and BDI score as one of the predictors. Results: Weight loss at 1 year was significantly related to the BDI score before surgery (P =0.014). BDI score was also found to be a significant predictor of the amount of weight lost (kg) 1 year after surgery (P =0.027). Age (P =0.03) and initial body mass index (BMI) (P =0.011) were the only other variables with significant independent relations to %EWL. Conclusions: Our data show a positive correlation between pre-surgical severity of depression as measured by BDI score and the 1-year success at weight loss after RYGBP as measured by %EWL. More depressed individuals tend to lose greater amounts of weight compared with less depressed individuals. Future prospective studies should examine possible mechanisms and effects of depression and other psychiatric disturbances on long-term weight loss after RYGBP.read more
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Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain.
K Elfhag,Stephan Rössner +1 more
TL;DR: Successful weight maintenance is associated with more initial weight loss, reaching a self‐determined goal weight, having a physically active lifestyle, a regular meal rhythm including breakfast and healthier eating, control of over‐eating and self‐monitoring of behaviours.
Journal ArticleDOI
Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery
Martin Fried,Volkan Yumuk,Jean-Michel Oppert,Nicola Scopinaro,Antoni Torres,Rudolf A. Weiner,Yury I Yashkov,Gema Frühbeck +7 more
TL;DR: The 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced was revised and update by focusing in particular on the evidence gathered in relation to the effects on diabetes and the changes in the recommendations of patient eligibility criteria.
Journal ArticleDOI
Preoperative Predictors of Weight Loss Following Bariatric Surgery: Systematic Review
Masha J. Livhits,Cheryl Mercado,Irina Yermilov,Janak A. Parikh,Erik Dutson,Amir Mehran,Clifford Y. Ko,Melinda Maggard Gibbons +7 more
TL;DR: The identification of predictive factors may improve patient selection and help develop interventions targeting specific needs of patients as well as investigate whether preoperative factors can predict a clinically meaningful difference in weight loss after bariatric surgery.
Journal ArticleDOI
Obesity surgery: evidence-based guidelines of the European Association for Endoscopic Surgery (EAES).
Stefan Sauerland,Luigi Angrisani,M. Belachew,Jean Marc Chevallier,Franco Favretti,Nick Finer,Abe Fingerhut,M. Garcia Caballero,J. A. Guisado Macias,R. Mittermair,Mario Morino,Simon Msika,F. Rubino,R. Tacchino,Rudolf A. Weiner,Edmund Neugebauer +15 more
TL;DR: These guidelines intend to define the comparative effectivness and surrounding circumstances of the various types of obesity surgery, which are all effective in the treatment of morbid obesity, but differ in degree of weight loss and range of complications.
Journal ArticleDOI
Psychosocial Predictors of Success following Bariatric Surgery
TL;DR: Greater success following bariatric surgery appears to occur in patients who are young and female, and have a high self-esteem, good mental health, a satisfactory marriage, and high socio-economic status.
References
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Handbook of Psychiatric Measures
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Journal ArticleDOI
Association of binge eating disorder and psychiatric comorbidity in obese subjects
TL;DR: Among both moderately and severely obese subjects, binge eating disorder is associated with higher rates of axis I and axis II psychiatric disorders.
Journal ArticleDOI
Binge eating among gastric bypass patients at long-term follow-up.
Melissa A. Kalarchian,Marsha D. Marcus,G. Terence Wilson,Erich Labouvie,Robert E. Brolin,Lisa B LaMarca +5 more
TL;DR: Self-reported loss of control over eating was related to weight regain after GBP and may be an important target for clinical intervention.
Journal ArticleDOI
Medical and psychiatric morbidity in obese women with and without binge eating
TL;DR: Binge eating was associated with higher lifetime prevalence of major depression, panic disorder, phobias, and alcohol dependence and the presence of binge eating in obese women is a marker for greater medical and psychiatric morbidity.
Journal ArticleDOI
Prevalence of mental disorder in 88 morbidly obese bariatric clinic patients.
TL;DR: Substantial psychopathology exists in morbidly obese individuals requesting gastroplasty, a finding that has important clinical implications.