Lifestyle Intervention Favorably Affects Weight Loss and Maintenance Following Obesity Surgery
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The present study was designed to evaluate the 3 year effects of a lifestyle intervention on weight loss and maintenance, dietary, and physical activity habits and eating behavior of patients following vertical banded gastroplasty (VBG). Thirty severely obese female volunteers were included in the study and they were randomly assigned to one of two intervention groups: usual care (UC) or lifestyle intervention (LS) group. Patients were followed for 3 years postoperatively. Outcome measures included weight loss, dietary habits, physical activity level (PAL), and eating behavior changes. Weight was significantly lower in the LS group after 12 months (84.4 +/- 3.9 kg vs. 98.4 +/- 4.4 kg, P < 0.05), 24 months (83.0 +/- 3.3 vs. 101.9 +/- 5.3 kg, P < 0.05), and 36 months following surgery (84.2 +/- 3.3 vs. 102.5 +/- 3.5 kg, P < 0.05). Repeated measures ANOVA revealed significant differences between the two groups overall and at specific time points for the PAL and TV viewing. With regard to eating behavior, the LS group scored significantly better in total Dutch Eating Behavior Questionnaire (DEBQ), Restraint Eating and External Eating scales at all postoperative time points. Similarly, significant differences were found between the two groups in dietary intake. These findings outline the importance of lifestyle intervention on weight loss and maintenance following bariatric surgery. The favorable effects of lifestyle intervention may be through adoption of healthier eating behaviors and increased physical activity.
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Beyond 18 months after bariatric surgery, results on emotion-based eating are mixed, with some studies suggesting attenuation through 36 months and others finding reoccurrence between 12 and 36 months.
“Results beyond the 18-month timeframe are mixed, with some studies suggesting attenuation of emotion-based eating through 36 months after having bariatric surgery and other studies finding reoccurrence between 12 and 36 months after having bariatric surgery (33–39).”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [37]
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- Authors
- Papalazarou, A., Yannakoulia, M., Kavouras, S. A., Komesidou, V., Dimitriadis, G., Papakonstantinou, A., & Sidossis, L. S.
- Affiliations
- Harokopio University of Athens (GR)
- Evangelismos Hospital (GR)
- National and Kapodistrian University of Athens (GR)
- Corresponding author
- Sidossis, Labros S.
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2010-07
- Volume
- 18
- Issue
- 7
- Pages
- 1348-1353
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W2088164003
- Cited by
- 96
- References
- 45
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 10 · 2020: 10 · 2019: 6 · 2018: 1 · 2017: 4 · 2016: 4 · 2015: 9 · 2014: 8 · 2013: 9 · 2012: 8
- FWCI
- 6.74
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- lifestyle intervention, bariatric surgery, vertical banded gastroplasty, weight loss, weight maintenance, morbid obesity, dietary habits, physical activity, television viewing, female patients, Dutch Eating Behavior Questionnaire
- MeSH terms
- Adult, Diet, Reducing, Feeding Behavior, Female, Humans, Life Style, Middle Aged, Motor Activity, Obesity, Morbid, Patient Care Team, Patient Education as Topic, Surveys and Questionnaires, Television, Gastroplasty, Weight Loss, Treatment Outcome, Young Adult
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