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Erschienen in: Obesity Surgery 5/2019

16.01.2019 | Original Contributions

Patient Perspectives on Adherence with Micronutrient Supplementation After Bariatric Surgery

verfasst von: Kamal K. Mahawar, Ken Clare, Mary O’Kane, Yitka Graham, Lindes Callejas-Diaz, William R. J. Carr

Erschienen in: Obesity Surgery | Ausgabe 5/2019

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Abstract

Background

Adherence to post-bariatric surgery nutritional supplements can be poor and is associated with higher micronutrient deficiency rates. There is currently no available study specifically seeking patients’ perspectives on the reasons behind poor adherence and how to address it.

Methods

Bariatric surgery patients living in the UK were invited to take part in an anonymous survey on SurveyMonkey®.

Results

A total of 529 patients (92.61% females, mean age 47.7 years) took part. Most of these patients had undergone either a Roux-en-Y gastric bypass (63.0%) or sleeve gastrectomy (24.0%). Most of the patients were in full-time (49.0%, n = 260/529) or part-time (15.7%, n = 83/529) employment. Approximately 54.0% (n = 287/529) of the respondents reported having trouble taking all their supplements. Males were significantly more likely to report complete compliance. The most important reported reason for poor compliance was difficulty in remembering (45.6%), followed by too many tablets (16.4%), side effects (14.3%), cost (11.5%), non-prescribing by GP (10.8%), bad taste (10.1%), and not feeling the need to take (9.4%). Patients suggested reducing the number of tablets (41.8%), patient education (25.7%), GP education (24.0%), reducing the cost (18.5%), and more information from a healthcare provider (12.5%) or a pharmacist (5.2%) to improve the compliance.

Conclusions

This study is the first attempt to understand patient perspectives on poor adherence to post-bariatric surgery nutritional recommendation. Patients offered a number of explanations and also provided with suggestions on how to improve it.
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Literatur
1.
Zurück zum Zitat Stein J, Stier C, Raab H, et al. Review article: the nutritional and pharmacological consequences of obesity surgery. Aliment Pharmacol Ther. 2014;40(6):582–609.CrossRefPubMed Stein J, Stier C, Raab H, et al. Review article: the nutritional and pharmacological consequences of obesity surgery. Aliment Pharmacol Ther. 2014;40(6):582–609.CrossRefPubMed
2.
Zurück zum Zitat Asghari G, Khalaj A, Ghadimi M, et al. Prevalence of micronutrient deficiencies prior to bariatric surgery: Tehran Obesity Treatment Study (TOTS). Obes Surg. 2018;28(8):2465–72.CrossRefPubMed Asghari G, Khalaj A, Ghadimi M, et al. Prevalence of micronutrient deficiencies prior to bariatric surgery: Tehran Obesity Treatment Study (TOTS). Obes Surg. 2018;28(8):2465–72.CrossRefPubMed
3.
Zurück zum Zitat Gesquiere I, Foulon V, Augustijns P, et al. Micronutrient intake, from diet and supplements, and association with status markers in pre- and post-RYGB patients. Clin Nutr. 2017;36(4):1175–81.CrossRefPubMed Gesquiere I, Foulon V, Augustijns P, et al. Micronutrient intake, from diet and supplements, and association with status markers in pre- and post-RYGB patients. Clin Nutr. 2017;36(4):1175–81.CrossRefPubMed
4.
Zurück zum Zitat Sawaya RA, Jaffe J, Friedenberg L, et al. Vitamin, mineral, and drug absorption following bariatric surgery. Curr Drug Metab. 2012;13(9):1345–55.CrossRefPubMedPubMedCentral Sawaya RA, Jaffe J, Friedenberg L, et al. Vitamin, mineral, and drug absorption following bariatric surgery. Curr Drug Metab. 2012;13(9):1345–55.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & bariatric surgery. Obesity (Silver Spring). 2013;21(Suppl 1):S1–27.CrossRef Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & bariatric surgery. Obesity (Silver Spring). 2013;21(Suppl 1):S1–27.CrossRef
7.
Zurück zum Zitat Sunil S, Santiago VA, Gougeon L, et al. Predictors of vitamin adherence after bariatric surgery. Obes Surg. 2017;27(2):416–23.CrossRefPubMed Sunil S, Santiago VA, Gougeon L, et al. Predictors of vitamin adherence after bariatric surgery. Obes Surg. 2017;27(2):416–23.CrossRefPubMed
8.
Zurück zum Zitat James H, Lorentz P, Collazo-Clavell ML. Patient-reported adherence to empiric vitamin/mineral supplementation and related nutrient deficiencies after Roux-en-Y gastric bypass. Obes Surg. 2016;26(11):2661–6.CrossRefPubMed James H, Lorentz P, Collazo-Clavell ML. Patient-reported adherence to empiric vitamin/mineral supplementation and related nutrient deficiencies after Roux-en-Y gastric bypass. Obes Surg. 2016;26(11):2661–6.CrossRefPubMed
9.
Zurück zum Zitat Modi AC, Zeller MH, Xanthakos SA, et al. Adherence to vitamin supplementation following adolescent bariatric surgery. Obesity (Silver Spring). 2013;21(3):E190–5.CrossRef Modi AC, Zeller MH, Xanthakos SA, et al. Adherence to vitamin supplementation following adolescent bariatric surgery. Obesity (Silver Spring). 2013;21(3):E190–5.CrossRef
10.
Zurück zum Zitat Hallberg L, Brune M, Erlandsson M, et al. Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans. Am J Clin Nutr. 1991;53(1):112–9.CrossRefPubMed Hallberg L, Brune M, Erlandsson M, et al. Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans. Am J Clin Nutr. 1991;53(1):112–9.CrossRefPubMed
11.
Zurück zum Zitat Ledoux S, Calabrese D, Bogard C, et al. Long-term evolution of nutritional deficiencies after gastric bypass: an assessment according to compliance to medical care. Ann Surg. 2014;259(6):1104–10.CrossRefPubMed Ledoux S, Calabrese D, Bogard C, et al. Long-term evolution of nutritional deficiencies after gastric bypass: an assessment according to compliance to medical care. Ann Surg. 2014;259(6):1104–10.CrossRefPubMed
12.
Zurück zum Zitat Tack J, Deloose E. Complications of bariatric surgery: dumping syndrome, reflux and vitamin deficiencies. Best Pract Res Clin Gastroenterol. 2014;28(4):741–9.CrossRefPubMed Tack J, Deloose E. Complications of bariatric surgery: dumping syndrome, reflux and vitamin deficiencies. Best Pract Res Clin Gastroenterol. 2014;28(4):741–9.CrossRefPubMed
13.
Zurück zum Zitat Lier HØ, Biringer E, Stubhaug B, et al. The impact of preoperative counseling on postoperative treatment adherence in bariatric surgery patients: a randomized controlled trial. Patient Educ Couns. 2012;87(3):336–42.CrossRefPubMed Lier HØ, Biringer E, Stubhaug B, et al. The impact of preoperative counseling on postoperative treatment adherence in bariatric surgery patients: a randomized controlled trial. Patient Educ Couns. 2012;87(3):336–42.CrossRefPubMed
15.
Zurück zum Zitat Stevens DJ, Jackson JA, Howes N, et al. Obesity surgery smartphone apps: a review. Obes Surg. 2014;24(1):32–6.CrossRefPubMed Stevens DJ, Jackson JA, Howes N, et al. Obesity surgery smartphone apps: a review. Obes Surg. 2014;24(1):32–6.CrossRefPubMed
16.
Zurück zum Zitat Court JH, Austin MW. Virtual glaucoma clinics: patient acceptance and quality of patient education compared to standard clinics. Clin Ophthalmol. 2015;9:745–9.CrossRefPubMedPubMedCentral Court JH, Austin MW. Virtual glaucoma clinics: patient acceptance and quality of patient education compared to standard clinics. Clin Ophthalmol. 2015;9:745–9.CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Guedes BL, Montanha MC, Teixeira JJ, et al. Clinicians’ prescribing practices for bariatric surgery patients: is there an issue? J Clin Pharm Ther. 2015;40(1):104–9.CrossRefPubMed Guedes BL, Montanha MC, Teixeira JJ, et al. Clinicians’ prescribing practices for bariatric surgery patients: is there an issue? J Clin Pharm Ther. 2015;40(1):104–9.CrossRefPubMed
18.
Zurück zum Zitat Dunstan MJ, Molena EJ, Ratnasingham K, et al. Variations in oral vitamin and mineral supplementation following bariatric gastric bypass surgery: a national survey. Obes Surg. 2015;25(4):648–55.CrossRefPubMed Dunstan MJ, Molena EJ, Ratnasingham K, et al. Variations in oral vitamin and mineral supplementation following bariatric gastric bypass surgery: a national survey. Obes Surg. 2015;25(4):648–55.CrossRefPubMed
19.
Zurück zum Zitat Auspitz M, Cleghorn MC, Azin A, et al. Knowledge and perception of bariatric surgery among primary care physicians: a survey of family doctors in Ontario. Obes Surg. 2016;26(9):2022–8.CrossRefPubMed Auspitz M, Cleghorn MC, Azin A, et al. Knowledge and perception of bariatric surgery among primary care physicians: a survey of family doctors in Ontario. Obes Surg. 2016;26(9):2022–8.CrossRefPubMed
Metadaten
Titel
Patient Perspectives on Adherence with Micronutrient Supplementation After Bariatric Surgery
verfasst von
Kamal K. Mahawar
Ken Clare
Mary O’Kane
Yitka Graham
Lindes Callejas-Diaz
William R. J. Carr
Publikationsdatum
16.01.2019
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 5/2019
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-03711-z

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