Influence of Weight Loss Attempts on Bariatric Surgery Outcomes

被引：0

作者：

Deb, Sayantan ^{[1
]}

Voller, Lindsey ^{[1
]}

Palisch, Chase ^{[1
]}

Ceja, Omar ^{[1
]}

Turner, Wes ^{[1
]}

Rivas, Homero ^{[1
]}

Morton, John M. ^{[1
]}

机构：

[1] Stanford Sch Med, Sect Bariatr & Minimally Invas Surg, 300 Pasteur Dr,H3680, Stanford, CA 94304 USA

来源：

AMERICAN SURGEON | 2016年 / 82卷 / 10期

关键词：

OBESITY;

D O I：

暂无

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Many payors require an additional attempt at nonsurgical weight loss before approval of bariatric procedures. This study evaluates this requirement by characterizing the prior weight loss attempts (WLAs) undergone by bariatric surgery patients and correlating those attempts to postoperative weight loss outcomes. Number and duration of WLAs were obtained from a preoperative clinic assessment. Body mass index (BMI) and percentage of excess weight loss (%EWL) were used to assess weight loss. Kruskal-Wallis and Spearman Correlation tests were performed to analyze data using GraphPad Prism 6. Mean number of WLAs before surgery was 3.5 +/- 0.2 attempts, with an average duration of 15.2 +/- 1.1 years. There was a significant negative correlation between duration of WLAs and preoperative BMI (r = -0.2637, P = 0.0025). No significant difference was found for preoperative BMI or mean 12-month %EWL among any WLA groups. The number and duration of dietary attempts before surgery do not significantly affect long-term weight loss outcomes after bariatric surgery. Given these data, an additional preoperative WLA may not be efficacious in improving patients' chances at weight loss.

引用

页码：916 / 920

页数：5

共 21 条

[1]

[Anonymous], 2014, NAT C STAT LEG HLTH

[2]

[Anonymous], 2015, Obesity and overweight fact sheet

[3] Weight Science: Evaluating the Evidence for a Paradigm Shift [J].

Bacon, Linda ;

Aphramor, Lucy .

NUTRITION JOURNAL, 2011, 10

[4] ASMBS Position Statement on Preoperative Supervised Weight Loss Requirements [J].

Brethauer, Stacy .

SURGERY FOR OBESITY AND RELATED DISEASES, 2011, 7 (03) :257-260

[5] MEDICAL, METABOLIC, AND PSYCHOLOGICAL EFFECTS OF WEIGHT CYCLING [J].

BROWNELL, KD ;

RODIN, J .

ARCHIVES OF INTERNAL MEDICINE, 1994, 154 (12) :1325-1330

[6] Weight variability and incident disease in older women: The Iowa Women's Health Study [J].

French, SA ;

Folsom, AR ;

Jeffery, RW ;

Zheng, W ;

Mink, PJ ;

Baxter, JE .

INTERNATIONAL JOURNAL OF OBESITY, 1997, 21 (03) :217-223

[7] LARGE FLUCTUATIONS IN BODY-WEIGHT DURING YOUNG ADULTHOOD AND 25-YEAR RISK OF CORONARY DEATH IN MEN [J].

HAMM, P ;

SHEKELLE, RB ;

STAMLER, J .

AMERICAN JOURNAL OF EPIDEMIOLOGY, 1989, 129 (02) :312-318

[8] First Report from the American College of Surgeons Bariatric Surgery Center Network Laparoscopic Sleeve Gastrectomy has Morbidity and Effectiveness Positioned Between the Band and the Bypass [J].

Hutter, Matthew M. ;

Schirmer, Bruce D. ;

Jones, Daniel B. ;

Ko, Clifford Y. ;

Cohen, Mark E. ;

Merkow, Ryan P. ;

Nguyen, Ninh T. .

ANNALS OF SURGERY, 2011, 254 (03) :410-422

[9]

Jamal Mohammad K, 2006, Surg Obes Relat Dis, V2, P122, DOI 10.1016/j.soard.2006.01.009

[10] Insurance-mandated medical programs before bariatric surgery: do good things come to those who wait? [J].

Kuwada, Timothy S. ;

Richardson, Sarah ;

El Chaar, Maher ;

Norton, H. James ;

Cleek, John ;

Tomcho, John ;

Stefanidis, Dimitrios .

SURGERY FOR OBESITY AND RELATED DISEASES, 2011, 7 (04) :526-530

← 1 2 3 →