Prediction of Long-term Outcome after Gastric Bypass Surgery

Background To investigate the predictability and sustainability of weight loss in gastric bypass (GBP) surgery after the first year, we conducted a 3-year follow-up of patients who had already been comprehensively studied preoperatively and after 1 year. Methods Preoperative data had been obtained f...

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Published inObesity surgery Vol. 19; no. 4; pp. 439 - 445
Main Authors Lanyon, Richard I., Maxwell, Barbara M., Kraft, Amy J.
Format Journal Article
LanguageEnglish
Published New York Springer New York 01.04.2009
Springer Nature B.V
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Abstract Background To investigate the predictability and sustainability of weight loss in gastric bypass (GBP) surgery after the first year, we conducted a 3-year follow-up of patients who had already been comprehensively studied preoperatively and after 1 year. Methods Preoperative data had been obtained for 131 morbidly obese patients on a 273-item interview and five psychological assessment instruments, and some of these data had been obtained again after a mean of 12.8 months. For this study, weight data were obtained on 79 patients at a mean of 3.2 years postoperatively. Results Over the 1–3 year interval, mean simple weight loss and simple BMI decrease were essentially zero, compared with 45.61 kg and 16.52 respectively over the 0–1 year interval. Further, the 0–1 year and 1–3 year losses were uncorrelated. Optimal predictor variables for 1–3 year loss included three preoperative measures (expectation of increased self-confidence, amount of informational support, and total coping skills) plus functional eating behaviors after 1 year. Together they showed a multiple correlation of .55 with weight loss and .55 with BMI change. These predictors differed from the predictors of change over 0–1 year, and they continued to be significant after controlling for several preoperative characteristics. Conclusions The factors influencing long-term continuing weight loss after GBP are different from those influencing initial loss, and involve positive characteristics such as skills, information, and expectations. The results suggest the importance of actively teaching such skills during the first postoperative year.
AbstractList BACKGROUNDTo investigate the predictability and sustainability of weight loss in gastric bypass (GBP) surgery after the first year, we conducted a 3-year follow-up of patients who had already been comprehensively studied preoperatively and after 1 year.METHODSPreoperative data had been obtained for 131 morbidly obese patients on a 273-item interview and five psychological assessment instruments, and some of these data had been obtained again after a mean of 12.8 months. For this study, weight data were obtained on 79 patients at a mean of 3.2 years postoperatively.RESULTSOver the 1-3 year interval, mean simple weight loss and simple BMI decrease were essentially zero, compared with 45.61 kg and 16.52 respectively over the 0-1 year interval. Further, the 0-1 year and 1-3 year losses were uncorrelated. Optimal predictor variables for 1-3 year loss included three preoperative measures (expectation of increased self-confidence, amount of informational support, and total coping skills) plus functional eating behaviors after 1 year. Together they showed a multiple correlation of .55 with weight loss and .55 with BMI change. These predictors differed from the predictors of change over 0-1 year, and they continued to be significant after controlling for several preoperative characteristics.CONCLUSIONSThe factors influencing long-term continuing weight loss after GBP are different from those influencing initial loss, and involve positive characteristics such as skills, information, and expectations. The results suggest the importance of actively teaching such skills during the first postoperative year.
To investigate the predictability and sustainability of weight loss in gastric bypass (GBP) surgery after the first year, we conducted a 3-year follow-up of patients who had already been comprehensively studied preoperatively and after 1 year. Preoperative data had been obtained for 131 morbidly obese patients on a 273-item interview and five psychological assessment instruments, and some of these data had been obtained again after a mean of 12.8 months. For this study, weight data were obtained on 79 patients at a mean of 3.2 years postoperatively. Over the 1-3 year interval, mean simple weight loss and simple BMI decrease were essentially zero, compared with 45.61 kg and 16.52 respectively over the 0-1 year interval. Further, the 0-1 year and 1-3 year losses were uncorrelated. Optimal predictor variables for 1-3 year loss included three preoperative measures (expectation of increased self-confidence, amount of informational support, and total coping skills) plus functional eating behaviors after 1 year. Together they showed a multiple correlation of .55 with weight loss and .55 with BMI change. These predictors differed from the predictors of change over 0-1 year, and they continued to be significant after controlling for several preoperative characteristics. The factors influencing long-term continuing weight loss after GBP are different from those influencing initial loss, and involve positive characteristics such as skills, information, and expectations. The results suggest the importance of actively teaching such skills during the first postoperative year. [PUBLICATION ABSTRACT]
To investigate the predictability and sustainability of weight loss in gastric bypass (GBP) surgery after the first year, we conducted a 3-year follow-up of patients who had already been comprehensively studied preoperatively and after 1 year. Preoperative data had been obtained for 131 morbidly obese patients on a 273-item interview and five psychological assessment instruments, and some of these data had been obtained again after a mean of 12.8 months. For this study, weight data were obtained on 79 patients at a mean of 3.2 years postoperatively. Over the 1-3 year interval, mean simple weight loss and simple BMI decrease were essentially zero, compared with 45.61 kg and 16.52 respectively over the 0-1 year interval. Further, the 0-1 year and 1-3 year losses were uncorrelated. Optimal predictor variables for 1-3 year loss included three preoperative measures (expectation of increased self-confidence, amount of informational support, and total coping skills) plus functional eating behaviors after 1 year. Together they showed a multiple correlation of .55 with weight loss and .55 with BMI change. These predictors differed from the predictors of change over 0-1 year, and they continued to be significant after controlling for several preoperative characteristics. The factors influencing long-term continuing weight loss after GBP are different from those influencing initial loss, and involve positive characteristics such as skills, information, and expectations. The results suggest the importance of actively teaching such skills during the first postoperative year.
Background To investigate the predictability and sustainability of weight loss in gastric bypass (GBP) surgery after the first year, we conducted a 3-year follow-up of patients who had already been comprehensively studied preoperatively and after 1 year. Methods Preoperative data had been obtained for 131 morbidly obese patients on a 273-item interview and five psychological assessment instruments, and some of these data had been obtained again after a mean of 12.8 months. For this study, weight data were obtained on 79 patients at a mean of 3.2 years postoperatively. Results Over the 1–3 year interval, mean simple weight loss and simple BMI decrease were essentially zero, compared with 45.61 kg and 16.52 respectively over the 0–1 year interval. Further, the 0–1 year and 1–3 year losses were uncorrelated. Optimal predictor variables for 1–3 year loss included three preoperative measures (expectation of increased self-confidence, amount of informational support, and total coping skills) plus functional eating behaviors after 1 year. Together they showed a multiple correlation of .55 with weight loss and .55 with BMI change. These predictors differed from the predictors of change over 0–1 year, and they continued to be significant after controlling for several preoperative characteristics. Conclusions The factors influencing long-term continuing weight loss after GBP are different from those influencing initial loss, and involve positive characteristics such as skills, information, and expectations. The results suggest the importance of actively teaching such skills during the first postoperative year.
Author Maxwell, Barbara M.
Lanyon, Richard I.
Kraft, Amy J.
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  surname: Lanyon
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  givenname: Barbara M.
  surname: Maxwell
  fullname: Maxwell, Barbara M.
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  givenname: Amy J.
  surname: Kraft
  fullname: Kraft, Amy J.
  organization: Arizona State University
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Cites_doi 10.1007/s11695-007-9059-5
10.1016/0272-7358(88)90050-5
10.1037/0003-066X.62.3.234
10.1038/oby.2004.195
10.1381/0960892053723484
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Keywords Long-term outcome
Gastric bypass
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PublicationSubtitle The Journal of Metabolic Surgery and Allied Care
PublicationTitle Obesity surgery
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Snippet Background To investigate the predictability and sustainability of weight loss in gastric bypass (GBP) surgery after the first year, we conducted a 3-year...
To investigate the predictability and sustainability of weight loss in gastric bypass (GBP) surgery after the first year, we conducted a 3-year follow-up of...
BACKGROUNDTo investigate the predictability and sustainability of weight loss in gastric bypass (GBP) surgery after the first year, we conducted a 3-year...
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StartPage 439
SubjectTerms Adaptation, Psychological
Adult
Body Mass Index
Clinical outcomes
Feeding and Eating Disorders - epidemiology
Female
Gastric Bypass
Gastrointestinal surgery
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity, Morbid - psychology
Obesity, Morbid - surgery
Research Article
Surgery
Time Factors
Treatment Outcome
Weight control
Weight Loss
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Title Prediction of Long-term Outcome after Gastric Bypass Surgery
URI https://link.springer.com/article/10.1007/s11695-008-9740-3
https://www.ncbi.nlm.nih.gov/pubmed/18850252
https://www.proquest.com/docview/223222248
https://search.proquest.com/docview/67104901
Volume 19
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