Patient Behaviors and Characteristics Related to Weight Regain After Roux-en-Y Gastric Bypass: A Multicenter Prospective Cohort Study
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OBJECTIVE: To identify patient behaviors and characteristics related to weight regain after Roux-en-Y gastric bypass surgery (RYGB). BACKGROUND: There is considerable variation in the magnitude of weight regain after RYGB, highlighting the importance of patient-level factors. METHODS: A prospective cohort study of adults who underwent bariatric surgery in 6 US cities between 2006 and 2009 included presurgery, and 6-month and annual assessments for up to 7 years. Of 1573 eligible participants, 1278 (81%) with adequate follow-up were included (80% female, median age 46 years, median body mass index 46 kg/m). Percentage of maximum weight lost was calculated each year after weight nadir. RESULTS: Weight was measured a median of 8 (25th-75th percentile, 7-8) times over a median of 6.6 (25th-75th percentile, 5.9-7.0) years. β coefficients, that is, the mean weight regain, compared with the reference, and 95% confidence interval, are reported. Postsurgery behaviors independently associated with weight regain were: sedentary time [2.9% (1.2-4.7), for highest vs lowest quartile], eating fast food [0.5% (0.2-0.7) per meal/wk], eating when feeling full [2.9% (1.2-4.5)], eating continuously [1.6% (0.1-3.1)], binge eating and loss-of-control eating [8.0% (5.1-11.0) for binge eating; 1.6 (-0.1 to 3.3) for loss of control, vs neither], and weighing oneself
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Weight regain after bariatric surgery is associated with problematic eating behaviors that have either recurred after a period of improvement or are new-onset behaviors.
“Weight regain after bariatric surgery is associated with problematic eating behaviors that have either recurred after a period of improvement or are new-onset behaviors.”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [9]
The Results (Post-surgery behaviors; page unavailable) associate binge eating, loss-of-control eating, eating when full, and continuous eating with greater weight regain after Roux-en-Y gastric bypass. The passages do not establish whether these behaviors recurred after improvement or first arose after surgery, and the study is specific to Roux-en-Y gastric bypass rather than bariatric surgery generally. (LLM, conf=0.86)
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- Authors
- King, W. C., Belle, S. H., Hinerman, A. S., Mitchell, J. E., Steffen, K. J., & Courcoulas, A. P.
- Affiliations
- University of Pittsburgh (US)
- Neuropsychiatric Research Institute (US)
- North Dakota State University (US)
- University of Pittsburgh Medical Center (US)
- Corresponding author
- King, Wendy C.
- Belle, Steven H.
- Hinerman, Amanda S.
- Venue
- Annals of Surgery
- Published
- 2019-04-03
- Volume
- 272
- Issue
- 6
- Pages
- 1044-1052
- ISSN
- 0003-4932 (ISSN-L)
- 1528-1140
- PMC
- PMC8725202
- OpenAlex
- W2940045418
- Cited by
- 93
- References
- 42
- Citations by year
- 2026: 14 · 2025: 12 · 2024: 11 · 2023: 12 · 2022: 11 · 2021: 13 · 2020: 17 · 2019: 3
- FWCI
- 10.50
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annals of Surgery (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (U01DK066471, U01DK066557, U01DK066526, U01DK066568, U01DK066555, U01DK066667, U01DK066585)
- National Center for Research Resources (UL1RR024153, M01RR000037, UL1RR024996)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- Roux-en-Y gastric bypass, weight regain, bariatric surgery, binge eating, loss of control eating, sedentary behavior, fast food consumption, dietary habits, weight loss maintenance, patient characteristics
- MeSH terms
- Adult, Aged, Female, Humans, Male, Middle Aged, Prospective Studies, Time Factors, Cohort Studies, Gastric Bypass, Weight Gain, Health Behavior, Young Adult
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