Original articleA pilot study investigating the efficacy of postoperative dietary counseling to improve outcomes after bariatric surgery
Section snippets
Participants
The study participants were 84 patients who underwent bariatric surgery at the Hospital of the University of Pennsylvania. The institutional review board of the University of Pennsylvania approved the study, and all participants provided informed consent.
Recruitment
Consistent with the standard of care in our program, prospective patients attend an information session to learn about bariatric surgery and then meet with a bariatric surgeon to determine their medical appropriateness for surgery. After this
Participant characteristics
The 84 participants had a mean preoperative age of 42.0 ± 9.9 years, weight of 152.7 ± 33.7 kg, height of 171.0 ± 11.4 cm, and body mass index of 51.64 ± 9.2 kg/m2. Of the 84 participants, 53 were women. Approximately 60% of all participants were European-American, 18% were African-American, and the remainder of other ethnic origin. The participants reported 14.2 ± 2.3 years of education. More than one half (53.1%) reported being married, 28.1% were single, and the remainder were separated,
Discussion
The results of the present pilot study provide some support for the potential utility of postoperative dietary counseling to improve outcomes after bariatric surgery. The patients who received every-other-week dietary counseling for the first 4 months after surgery achieved greater weight loss than those who received standard postoperative care. Patients who received dietary counseling were also found to consume significantly fewer calories, reported greater cognitive restraint, and reported
Conclusion
The results of the present pilot study provide some support for the efficacy of postoperative dietary counseling to improve weight loss and eating behavior after bariatric surgery. Future studies in this area should strive to include large sample sizes but should also consider the optimal timing of the intervention in relation to the surgical procedure. Continuous care interventions, which have been shown to be successful in nonsurgical weight loss studies, might be 1 approach with the greatest
Disclosures
D. B. Sarwer is a consultant for Allergan, BaroNova, Enteromedics, and Ethicon Endo-Surgery and has received consulting fees from these organizations. The remaining authors have no commercial associations that might be a conflict of interest in relation to this article.
References (50)
- et al.
Dietary intake and eating behavior after bariatric surgery: threats to weight loss maintenance and strategies for success
Surg Obes Relat Dis
(2011) - et al.
Physical activity stage of readiness predicts moderate-vigorous physical activity participation among morbidly obese gastric bypass surgery candidates
Surg Obes Relat Dis
(2006) - et al.
Participation in 150 min/wk of moderate or higher intensity physical activity yields greater weight loss after gastric bypass surgery
Surg Obes Relat Dis
(2007) - et al.
Impact of routine and long-term follow-up on weight loss after laparoscopic gastric bypass
Obes Manag
(2007) - et al.
ASMBS allied health nutritional guidelines for the surgical weight loss patient
Surg Obes Relat Dis
(2008) - et al.
Preoperative eating behavior, postoperative dietary adherence, and weight loss following gastric bypass surgery
Surg Obes Relat Dis
(2008) - et al.
Weight loss during the intensive intervention phase of the weight-loss maintenance trial
Am J Prev Med
(2008) - et al.
Weight and lifestyle inventory (WALI)
Surg Obes Relat Dis
(2006) - et al.
Validation of a self-administered diet history questionnaire using multiple diet records
J Clin Epidemiol
(1990) - et al.
Technology for behavioral assessment and intervention in bariatric surgery
Surg Obes Relat Dis
(2011)
Does weight loss immediately before bariatric surgery improve outcomes: a systematic review
Surg Obes Relat Dis
Brief, four-session group CBT reduces binge eating behaviors among bariatric surgery candidates
Surg Obes Relat Dis
Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life
Obesity (Silver Spring)
Predictive factors of outcome after gastric banding: a nationwide survey on the role of center activity and patients' behavior
Ann Surg
Fact sheet: metabolic and bariatric surgery
Follow-up of nutritional and metabolic problems after bariatric surgery
Diabetes Care
What happens to patients who do not follow-up after bariatric surgery?
Am Surg
Empowerment and self-management after weight loss surgery
Obes Surg
Compliance with surgical after-care following bariatric surgery for morbid obesity: a retrospective study
Obes Surg
Impact of patient follow-up on weight loss after bariatric surgery
Obes Surg
Adaptability and compliance of the obese patient to restrictive gastric surgery in the short term
Obes Surg
Dietary outcome in obese patients treated with a gastroplasty program
Am J Clin Nutr
Nutrition following gastric operations for morbid obesity
Ann Surg
Snack-eating patients experience lesser weight loss after Roux-en-Y gastric bypass surgery
Obes Surg
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Grant support for this study was provided by the National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases (grant R03-DK067885).