What variables are associated with successful weight loss outcomes for bariatric surgery after 1 year?
Open accessAbstract
Background Prior evidence indicates that predictors of weight loss outcomes after gastric bypass surgery fall within 5 domains: 1) presurgical factors, 2) postsurgical psychosocial variables (e.g., support group attendance), 3) postsurgical eating patterns, 4) postsurgical physical activity, and 5) follow-up at postsurgical clinic. However, little data exist on which specific behavioral predictors are most associated with successful outcomes (e.g.,≥ 50% excess weight loss) when considering the 5 domains simultaneously. The objective of this study was to specify the behavioral variables, and their respective cutoff points, most associated with successful weight loss outcomes.Methods Signal detection analysis evaluated associations between 84 pre- and postsurgical behavioral variables (within the 5 domains) and successful weight loss at ≥ 1 year in 274 postgastric bypass surgery patients.Results Successful weight loss was highest (92.6%) among those reporting dietary adherence of>3 on a 9-point scale (median = 5) who grazed no more than once-per-day. Among participants reporting dietary adherence<3 and grazing daily or less, success rates more than doubled when highest lifetime body mass index was<53.7 kg/m(2). Success rates also doubled for participants with dietary adherence = 3 if attending support groups. No variables from the physical activity or postsurgical follow-up domains were significant, nor were years since surgery. The overall model's sensitivity = .62, specificity = .92.Conclusions To our knowledge, this is the first study to simultaneously consider the relative contribution of behavioral variables within 5 domains and offer clinicians an assessment algorithm identifying cut-off points for behaviors most associated with successful postsurgical weight loss. Such data may inform prospective study designs and postsurgical interventions.
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Adherence to dietary and physical activity guidelines is associated with greater weight loss after surgery.
“Adherence to dietary and physical activity guidelines is associated with greater weight loss after surgery [9], but little is known about factors facilitating adherence [10].”
From Preoperative predictors of adherence to dietary and physical activity recommendations and weight loss one year after surgery (2016) · cites this paper as [9]
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- Authors
- Robinson, A. H., Adler, S., Stevens, H. B., Darcy, A. M., Morton, J. M., & Safer, D. L.
- Affiliations
- Stanford Medicine (US)
- Stanford University (US)
- Venue
- Surgery for Obesity and Related Diseases
- Publisher
- Elsevier BV
- Published
- 2014-07
- Volume
- 10
- Issue
- 4
- Pages
- 697-704
- ISSN
- 1550-7289 (ISSN-L)
- PMC
- PMC4125556
- OpenAlex
- W2076362540
- Cited by
- 102
- References
- 32
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 10 · 2020: 15 · 2019: 9 · 2018: 10 · 2017: 17 · 2016: 10 · 2015: 6 · 2014: 1
- FWCI
- 11.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Surgery for Obesity and Related Diseases (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (K23MH085732)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- bariatric surgery, gastric bypass
- MeSH terms
- Aged, Decision Trees, Feeding Behavior, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obesity, Morbid, Sensitivity and Specificity, Social Support, Time Factors, Gastric Bypass, Weight Loss, Exercise, Body Mass Index, Treatment Outcome
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