Determinants of Dietary Adherence Among Chinese Patients After Bariatric Surgery Based on the Attitude-Social Influence-Efficacy Model
Abstract
Purpose To explore main determinants of dietary adherence among Chinese patients after bariatric surgery based on the Attitude-Social influence-Efficacy (ASE) model. Methods A cross-sectional survey was conducted by using convenience sampling method to select 288 participants in a tertiary hospital in Jiangsu, China. General information and disease-related information were collected as well as applying the Dietary Adherence Scale after Bariatric Surgery (DASBS) and Attitude-Social influence-Efficacy Questionnaire after Bariatric Surgery (ASEQBS). Univariate analysis, correlation analysis, and multivariate analysis were used to identify determinants of dietary adherence among patients after bariatric surgery. Results A total of 288 questionnaires were effectively collected. The mean DASBS score was 54.90 ± 10.08 among post-bariatric patients. Univariate analysis results showed that education level, time since surgery, smoking, exercise, participation in peer support groups, and participation in nutrition counseling had significant effects on postoperative diet adherence level of patients (P Conclusion The dietary adherence of Chinese post-bariatric patients is at an upper-middle level, which needs to be further improved. Time since surgery, exercise, intention, attitude, social influence, and self-efficacy had significant effects on patients' dietary adherence. Attitude had the greatest effect on dietary adherence, followed by intention. The results shed light on that these fa…
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Post-operatively, a stronger intention to adhere, a more positive attitude toward adherence, and higher self-efficacy regarding adherence were associated with better dietary adherence.
“Another study found that, post‐operatively, a stronger intention to adhere, a more positive attitude toward adherence, and higher self‐efficacy regarding adherence were associated with better dietary adherence. 36”
From Psychological predictors of adherence to lifestyle changes after bariatric surgery: A systematic review (2024) · cites this paper as [36]
Cites
King, W. C., Belle, S. H., Hinerman, A. S., Mitchell, J. E., Steffen, K. J., & Courcoulas, A. P. (2020) · Annals of Surgery · doi:10.1097/sla.0000000000003281 · Cited by 93 · see citing works
Bergh, I., Lundin Kvalem, I., Risstad, H., & Sniehotta, F. F. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2015.11.009 · Cited by 46 · see citing works
Aarts, F., Geenen, R., Gerdes, V. E. A., van de Laar, A., Brandjes, D. P. M., & Hinnen, C. (2015) · Obesity Surgery · doi:10.1007/s11695-014-1423-7 · Cited by 37 · see citing works
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Chan, J. K. Y., & Vartanian, L. R. (2024) · Obesity Science & Practice · doi:10.1002/osp4.741 · Cited by 22 · see citing works
“36 3 .6 | Physical activity”
Background
- Authors
- Zhu, H., Zhao, K., Ren, Z., Hua, H., Zhang, T., Ding, L., Jiang, X., Yang, N., Liang, H., Zhu, S., & Xu, Q.
- Affiliations
- Nanjing Medical University (CN)
- Fudan University (CN)
- Jiangsu Province Hospital (CN)
- Jiangsu College of Nursing (CN)
- Corresponding author
- Xu, Qin
- ORCID
- Venue
- Obesity Surgery
- Published
- 2022-07-20
- Volume
- 32
- Issue
- 9
- Pages
- 3064-3073
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W4286008025
- Cited by
- 12
- References
- 3
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 1 · 2022: 1
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (82073407)
- Government of Jiangsu Province (2018, No.87)
- Department of Science and Technology for Social Development (BE2021722)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- dietary adherence, bariatric surgery
- MeSH terms
- Cross-Sectional Studies, Diet, Humans, Obesity, Morbid, Surveys and Questionnaires, Self Efficacy, Bariatric Surgery
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