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- Title
Effects of the Postoepartive Dietetic/Behavioral Counseling on the Weight Loss After Bariatric Surgery.
- Authors
Gradaschi, Raffaella; Molinari, Virginia; Sukkar, Samir Giuseppe; De Negri, Paola; Adami, Gian Franco; Camerini, Giovanni
- Abstract
Objective: Weight outcomes after bariatric surgery are due to an adequate adjustment of eating behavior to the new gastrointestinal conditions created by operation. The efficacy of dietary/behavior counseling for promoting weight loss and maintenance in a growing number of bariatric patients was investigated. Material and Methods: One hundred seventy-six non-diabetic obese patients undergoing Roux-en-Y gastric bypass (RYGBP) and sleeve gastrectomy (SG) were investigated. The first group (CO, 88 subjects, 16 male) attended a standard surgical follow-up, while in the second (DIET, 88 subjects, 15 male) the surgeon was supported by a dietitian, and patients received behavioral-dietary sessions on individual request. Data prior to the operation and at 2 years were considered, the weight outcome being regarded as successful when postoperative body mass index (BMI) value was lower than 30 kg/m2. Results: Weight results were better (p < 0.01) in the RYGBP than in the SG patients. In comparison to CO, in the DIET group a greater adherence to the bariatric program was observed (76% vs. 41%, < 0.01), while body weight data and prevalence of successful cases at 2 years (87 ± 23 vs. 83 ± 16 kg and 27% vs.33%, respectively) were similar. Conclusions: After RYSG and SG, postoperative dietetic/behavioral sessions delivered on patient's request does not influence weight results. The dietetic intervention promotes the adherence to bariatric program and prevents postoperative follow-up loss. In a dietitian/behavioral strategy after RYGBP and SG, a cognitive reinforcement of the compliance to bariatric program and a strengthening of the motivation to changes could promote better weight results.
- Subjects
WEIGHT loss; BARIATRIC surgery; FOOD habits; BODY mass index; GASTRIC bypass; GASTROINTESTINAL surgery; MEDITERRANEAN diet
- Publication
Obesity Surgery, 2020, Vol 30, Issue 1, p244
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-019-04146-2