Journal ArticleDOI
Weight Recidivism Post-Bariatric Surgery: A Systematic Review
Shahzeer Karmali,Balpreet Brar,Xinzhe Shi,Arya M. Sharma,Christopher de Gara,Daniel W. Birch +5 more
TLDR
Assessment of the incidence and causative factors associated with weight regain following bariatric surgery and a systematic approach to patient assessment focusing on contributory dietary, psychologic, medical and surgical factors are conducted.Abstract:
Obesity is considered a worldwide health problem of epidemic proportions. Bariatric surgery remains the most effective treatment for patients with severe obesity, resulting in improved obesity-related co-morbidities and increased overall life expectancy. However, weight recidivism has been observed in a subset of patients post-bariatric surgery. Weight recidivism has significant medical, societal and economic ramifications. Unfortunately, there is a very limited understanding of how to predict which bariatric surgical patients are more likely to regain weight following surgery and how to appropriately treat patients who have regained weight. The objective of this paper is to systematically review the existing literature to assess the incidence and causative factors associated with weight regain following bariatric surgery. An electronic literature search was performed of the Medline, Embase and Cochrane library databases along with the PubMed US national library from January 1950 to December 2012 to identify relevant articles. Following an initial screen of 2,204 titles, 1,437 abstracts were reviewed and 1,421 met exclusion criteria. Sixteen studies were included in this analysis: seven case series, five surveys and four non-randomized controlled trials, with a total of 4,864 patients for analysis. Weight regain in these patients appeared to be multi-factorial and overlapping. Aetiologies were categorized as patient specific (psychiatric, physical inactivity, endocrinopathies/metabolic and dietary non-compliance) and operation specific. Weight regain following bariatric surgery varies according to duration of follow-up and the bariatric surgical procedure performed. The underlying causes leading to weight regain are multi-factorial and related to patient- and procedure-specific factors. Addressing post-surgical weight regain requires a systematic approach to patient assessment focusing on contributory dietary, psychologic, medical and surgical factors.read more
Citations
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Journal ArticleDOI
Physical training following gastric bypass: effects on physical activity and quality of life-a randomized controlled trial.
Charlotte Røn Stolberg,Charlotte Røn Stolberg,Lene Hymøller Mundbjerg,Lene Hymøller Mundbjerg,Else-Marie Bladbjerg,Peter Funch-Jensen,Bibi Gram,Claus B. Juhl +7 more
TL;DR: Supervised physical training intervention improves general health 24 months after RYGB and tends to improve certain domains of PA right after the intervention period, but fails to increase the patients’ overall PA level over time.
Journal ArticleDOI
Current concepts in management of weight regain following bariatric surgery.
TL;DR: Data is critically reviewed from retrospective and prospective studies pertaining to prevalence and predictors of weight regain following bariatric surgery, as well as the utility of behavioral and pharmacotherapeutic interventions to address post-surgical weight regain.
Journal ArticleDOI
Predictive Factors for Insufficient Weight Loss After Bariatric Surgery: Does Obstructive Sleep Apnea Influence Weight Loss?
Christel A.L. de Raaff,Usha K. Coblijn,Nico de Vries,Martijn W. Heymans,Bob T. J. van den Berg,Willem F. van Tets,Bart A. van Wagensveld +6 more
TL;DR: The presence of OSA does not individually impair weight loss after bariatric surgery and predictive factors for insufficient weight loss at 1 year follow-up were provided.
Journal ArticleDOI
Modifications of Resting Energy Expenditure After Sleeve Gastrectomy
Silvia Bettini,Emanuel Bordigato,Roberto Fabris,Roberto M. Serra,Chiara Dal Pra,Anna Belligoli,Marta Sanna,Chiara Compagnin,Mirto Foletto,Luca Prevedello,Paola Fioretto,Roberto Vettor,Luca Busetto +12 more
TL;DR: A significant reduction of resting energy expenditure and a significant degree of metabolic adaptation both occur after sleeve gastrectomy, suggesting a greater metabolic adaptation could be partly responsible for a lower weight loss after surgery.
Journal ArticleDOI
Who is the Treatment-Seeking Young Adult with Severe Obesity: A Comprehensive Characterization with Emphasis on Mental Health
TL;DR: A wide range of health issues, including quite severe mental health problems, was prevalent in treatment-seeking young adults with severe obesity, likely to constitute a major treatment challenge.
References
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Journal ArticleDOI
Bariatric surgery: a systematic review and meta-analysis.
Henry Buchwald,Yoav Avidor,Eugene Braunwald,Michael D. Jensen,Walter J. Pories,Kyle Fahrbach,Karen Schoelles +6 more
TL;DR: Effective weight loss was achieved in morbidly obese patients after undergoing bariatric surgery, and a substantial majority of patients with diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea experienced complete resolution or improvement.
Journal ArticleDOI
Lifestyle, Diabetes, and Cardiovascular Risk Factors 10 Years after Bariatric Surgery
TL;DR: A prospective, controlled Swedish Obese Subjects Study involved obese subjects who underwent gastric surgery and contemporaneously matched, conventionally treated obese control subjects, which reported follow-up data for subjects who had been enrolled for at least 2 years or 10 years before the analysis.
Journal ArticleDOI
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Gary Whitlock,Sarah Lewington,Paul Sherliker,Robert Clarke,Jonathan Emberson,Jim Halsey,Nawab Qizilbash,Rory Collins,Richard Peto +8 more
TL;DR: Below the range 22.5-25 kg/m(2), BMI was associated inversely with overall mortality, mainly because of strong inverse associations with respiratory disease and lung cancer, despite cigarette consumption per smoker varying little with BMI.
Journal ArticleDOI
National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants
Mariel M. Finucane,Gretchen A Stevens,Melanie J. Cowan,Goodarz Danaei,John K Lin,Christopher J. Paciorek,Gitanjali M Singh,Hialy R. Gutierrez,Yuan Lu,Adil N. Bahalim,Farshad Farzadfar,Leanne M Riley,Majid Ezzati +12 more
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A Systematic Review and Meta-analysis
TL;DR: A systematic review of studies published from January 1, 1950, through November 31, 2008 using PubMed, EMBASE, Web of Knowledge, CINAHL, and all Evidence-Based Medicine Reviews found that randomized clinical trials and prospective studies of RRTs that reported data on changes in the primary outcome of hospital mortality or the secondary outcome of cardiopulmonary arrest cases were included.