Authors: Garry Welch Cheryl Wesolowski Sofija Zagarins Jay Kuhn John Romanelli Jane Garb Nancy Allen
Publish Date: 2010/01/20
Volume: 21, Issue: 1, Pages: 18-28
Abstract
Laparoscopic gastric bypass LGB surgery markedly increases percent excess weight loss EWL and obesityrelated comorbidities However poor study quality and minimal exploration of clinical behavioral and psychosocial mechanisms of weight loss have characterized research to dateMean EWL at followup was 591±172 This high level of weight loss was associated with a low rate of metabolic syndrome 106 although medications were commonly used to achieve control Mean adherence to daily vitamin and mineral supplements important to the management of LGB was only 576 and suboptimal blood chemistry levels were found for ferritin 32 of patients hematocrit 27 thiamine 25 and vitamin D 19 Aerobic exercise level R 2=008 and presurgical weight R 2=004 were significantly associated with EWL but recommended eating style fluid intake clinic followup and support group attendance were not Psychosocial adjustment results showed an absence of symptomatic depression 0 common use of antidepressant medications 320 low emotional distress related to the postsurgical lifestyle 198±140 scale range 0–100 a high level of perceived benefit from weight loss in terms of functioning and emotional wellbeing 827±179 scale range 0–100 and a change in marital status for 26 of patientsAt 2–3 years following LGB surgery aerobic exercise but not diet fluid intake or attendance at clinic visits or support groups is associated with EWL Depression is symptomatically controlled by medications lifestyle related distress is low and marital status is significantly impacted
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