Managing severe obesity: understanding and improving treatment adherence in bariatric surgery
Abstract
Severe obesity (body mass index ≥40 kg/m 2 ) is a chronic disease that is associated with significantly increased risk of serious and chronic health problems as well as impaired quality of life. For those with severe obesity, bariatric surgery is the most effective treatment for significant and long-term weight loss and resolution of comorbid medical conditions, particularly diabetes. Long-term success is thought to depend to some degree on the patient's ability to adhere to a complex set of behaviors, including regular attendance at follow up appointments and following stringent dietary, exercise, and vitamin recommendations. Here, we summarize the current research on behavioral adherence in patients with severe obesity presenting for bariatric surgery and we highlight challenges and make recommendations for improved self-management before and after surgery.
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Post-operative adherence to lifestyle changes after bariatric surgery is associated with better health outcomes, including weight loss, weight-loss maintenance, mental health, and quality of life.
“Adherence to lifestyle changes after bariatric surgery is associated with better health outcomes; however, research suggests that patients struggle to follow post‐operative recommendations.”
From Psychological predictors of adherence to lifestyle changes after bariatric surgery: A systematic review (2024) · cites this paper as [5]
The review by Hood and colleagues included psychological factors.
“The review by Hood and colleagues included psychological factors 5 ;”
From Psychological predictors of adherence to lifestyle changes after bariatric surgery: A systematic review (2024) · cites this paper as [5]
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“5,9 While knowledge of these factors is valuable in identifying individuals at greater risk of poor post ‐ operative adherence, they are not modifiable and, thus, can be of limited clinical utility.”
Background
- Authors
- Hood, M. M., Corsica, J., Bradley, L., Wilson, R., Chirinos, D. A., & Vivo, A.
- Affiliations
- Rush University Medical Center (US)
- Corresponding author
- Hood, Megan M.
- Venue
- Journal of Behavioral Medicine
- Published
- 2016-07-21
- Volume
- 39
- Issue
- 6
- Pages
- 1092-1103
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2477011268
- Cited by
- 85
- References
- 8
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 12 · 2023: 5 · 2022: 8 · 2021: 17 · 2020: 9 · 2019: 6 · 2018: 9 · 2017: 1 · 2016: 1
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- morbid obesity, bariatric surgery, medication adherence, behavioral adherence, self-management, weight loss, diabetes resolution, postoperative follow-up, vitamin supplementation
- MeSH terms
- Diet, Humans, Obesity, Morbid, Patient Compliance, Health Behavior, Exercise, Bariatric Surgery
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