Authors: Rachel Galioto John Gunstad Leslie J Heinberg Mary Beth Spitznagel
Publish Date: 2013/08/10
Volume: 23, Issue: 10, Pages: 1703-1710
Abstract
Although bariatric surgery is the most effective intervention for severe obesity a significant minority of participants fail to achieve or maintain optimal weight loss at extended followup Accumulating evidence suggests that adherence to prescribed postoperative recommendations including attendance at followup appointments and dietary and physical activity is related to improved weight loss outcomes However adherence to these guidelines presents a significant challenge for many patients potentially due in part to deficits in cognitive function In this paper we briefly examine current literature of adherence on postoperative weight loss outcomes and review emerging evidence that the cognitive dysfunction present in a subset of obese individuals is related to weight loss outcomes following bariatric procedures We then extend these findings positing a role for cognitive function in moderating the relationship between adherence and postoperative outcomes
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