Document Detail


Physical activity predicts weight loss following gastric bypass surgery: findings from a support group survey.
MedLine Citation:
PMID:  18365295     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Patient adherence to recommended eating and physical activity behaviors is considered important to weight loss outcomes following gastric bypass surgery, but there has been little systematic research in this area to investigate behavioral predictors of weight loss. METHOD: We developed a measure of postsurgical behaviors, the bariatric surgery self-management questionnaire (BSSQ). A survey was conducted of 200 patients attending postsurgical support groups (mean time since surgery 14 months, mean age 40 years, 85% female, presurgical weight 150 kg). Patients completed the BSSQ and measures of treatment regimen distress, perceived benefits of weight loss, and weight-related physical symptoms. RESULTS: Mean BSSQ adherence was in the 70% range, with subscale scores varying considerably. Distress levels associated with the new lifestyle were consistently low (approximately equal to 20%) and perceived benefits of weight loss were high early on and maintained consistently (70-90%). A final predictive model showed premorbid weight, time since surgery, and BSSQ physical activity subscale were significant predictors of weight loss, accounting for 73% of variance. CONCLUSIONS: Physical activity adherence was the sole significant behavioral predictor of weight loss, although maladaptive dietary habits and patient selection issues were identified for future research. It will be important to replicate the current study in prospective, longitudinal studies with representative patient cohorts. A challenge for researchers will be to develop novel, intensive recruiting and retention strategies to allow closer examination of these issues.
Authors:
Garry Welch; Cheryl Wesolowski; Bernadette Piepul; Jay Kuhn; John Romanelli; Jane Garb
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  18     ISSN:  0960-8923     ISO Abbreviation:  Obes Surg     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-08-11     Completed Date:  2008-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  517-24     Citation Subset:  IM    
Affiliation:
Behavioral Medicine Research, Baystate Medical Center, 140 High Street, Room 2104, Springfield, MA 01199, USA. Garry.Welch@BHS.Org
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MeSH Terms
Descriptor/Qualifier:
Adult
Drinking Behavior
Dumping Syndrome / prevention & control
Eating
Exercise*
Female
Gastric Bypass*
Health Care Surveys
Humans
Life Style
Male
Middle Aged
Patient Compliance
Postoperative Care
Psychometrics
Questionnaires
Self-Help Groups
Treatment Outcome
Weight Loss*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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