Abstract
Bariatric surgery is the most effective treatment for severe obesity and is associated with the most sustained weight loss [ [1] Garb J. Welch G. Zagarins S. Kuhn J. Romanelli J. Bariatric surgery for the treatment of morbid obesity: a meta-analysis of weight loss outcomes for laparoscopic adjustable gastric banding and laparoscopic gastric bypass. Obes Surg. 2009; 19: 1447-1455 Crossref PubMed Scopus (153) Google Scholar ]. Although highly effective, bariatric surgery requires permanent lifestyle changes, and a sizable minority of patients experience suboptimal weight loss (<50% of excess body weight [EBW]) or weight regain [ [2] Magro D.O. Geloneze B. Delfini R. Pareja B.C. Callejas F. Pareja J.C. Long-term weight regain after gastric bypass: a 5-year prospective study. Obes Surg. 2008; 18: 648-651 Crossref PubMed Scopus (428) Google Scholar ]. Although a variety of biologic putative mechanisms have been investigated to explain these suboptimal outcomes, most empiric findings support psychosocial and behavioral factors as causes [ 3 Bond D.S. Phelan S. Wolfe L.G. et al. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity. 2009; 17: 78-83 Crossref PubMed Scopus (149) Google Scholar , 4 Odom J. Zalesin K.C. Washington T.L. et al. Behavioral predictors of weight regain after bariatric surgery. Obes Surg. 2010; 20: 349-356 Crossref PubMed Scopus (285) Google Scholar , 5 Sarwer D.B. Wadden T.A. Moore R.H. et al. Preoperative eating behavior, postoperative dietary adherence, and weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2008; 4: 640-646 Abstract Full Text Full Text PDF PubMed Scopus (195) Google Scholar ]. Optimizing long-term weight control after bariatric surgery: a pilot studySurgery for Obesity and Related DiseasesVol. 8Issue 6PreviewAlthough bariatric surgery is associated with significant overall weight loss, many patients experience suboptimal outcomes. Our objective was to document the preliminary efficacy of a behavioral intervention for bariatric surgery patients with relatively poor long-term weight loss and to explore the factors related to outcome at an academic medical center in the United States. Full-Text PDF
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