The Long-Term Impact of Postoperative Educational Programs on Weight Loss After Roux-en-Y Gastric Bypass

被引：6

作者：

Bjerkan, Kirsti K. ^{[1
,2
]}

Sandvik, Jorunn ^{[2
,3
]}

Nymo, Siren ^{[3
,4
]}

Graeslie, Hallvard ^{[5
]}

Johnsen, Gjermund ^{[4
]}

Marvik, Ronald ^{[4
,6
]}

Hyldmo, Asne A. ^{[3
]}

Kulseng, Bard Eirik ^{[4
]}

Hoydal, Kjetil Laurits ^{[7
]}

Hoff, Dag Arne L. ^{[8
,9
]}

机构：

[1] Volda Univ Coll, Fac Social Sci & Hist, Joplassvegen 1, N-6103 Volda, Norway

[2] Alesund Hosp, More & Romsdal Hosp Trust, Dept Surg, Alesund, Norway

[3] St Olavs Univ Hosp, Ctr Obes & Innovat ObeCe, Surg Clin, Trondheim, Norway

[4] Norwegian Univ Sci & Technol NTNU, Dept Clin & Mol Med, Obes Res Grp, Fac Med & Hlth Sci, Trondheim, Norway

[5] Namsos Hosp, Nord Trondelag Hosp Trust, Surg Clin, Namsos, Norway

[6] St Olavs Univ Hosp, Norwegian Natl Advisory Unit Adv Laparoscop Surg, Surg Clin, Trondheim, Norway

[7] Volda Univ Coll, Dept Phys Educ, Volda, Norway

[8] More & Romsdal Hosp Trust, Dept Res & Innovat, Alesund, Norway

[9] NTNU, Dept Clin & Mol Med, Fac Med & Hlth Sci, Trondheim, Norway

来源：

OBESITY SURGERY | 2022年 / 32卷 / 09期

关键词：

Gastric bypass; Educational program; Group session; Weight regain; BARIATRIC SURGERY; PHYSICAL-ACTIVITY; REGAIN; ASSOCIATION;

D O I：

10.1007/s11695-022-06187-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose Roux-en-Y gastric bypass (RYGB) is a well-documented treatment of severe obesity. Attending postoperative educational programs may improve the outcome. The aim of this study was to evaluate whether participation in educational programs lasting 2-3 years after RYGB influences long-term weight loss, weight regain, physical activity, and compliance to multivitamin supplements. Materials and Methods The Bariatric Surgery Observation Study (BAROBS) is a multicenter retrospective, cross-sectional study 10-15 years after primary RYGB. Four hundred and ninety-seven participants answered questions regarding participation in postoperative educational programs. Participants were divided into frequent attendees (FA) and infrequent attendees (IFA) at the educational programs. Results Ten to 15 years after surgery, a total weight loss (TWL) of 23.2 +/- 11.6% were seen in the FA group vs 19.5 +/- 12.6% in the IFA group, p < 0.001. Percent excess weight loss (%EWL) was 55.7 +/- 28.9% vs 46.0 +/- 31.1%, p < 0.001. Weight regain in percent of maximal weight loss for the FA was 32.1 +/- 32.8% vs IFA 38.4 +/- 40.0%, p = 0.052. No difference between the groups in compliance to multivitamin and physical activity. Conclusion Participants with frequent participation in group-based educational programs had better weight loss outcomes 10-15 years after RYGB and tended to have less weight regain. There was no difference between the two groups in participants compliance to recommended multivitamin supplements and physical activity.

引用

页码：3005 / 3012

页数：8