Higher Preoperative Weight loss Is Associated with Greater Weight Loss up to 12 Months After Bariatric Surgery

Autor: Romaen, Ine F L, Jense, Marijn T F, Palm-Meinders, Inge H, de Witte, Evelien, Fransen, Sofie A F, Greve, Jan Willem M, Boerma, Evert-Jan G
Přispěvatelé: RS: NUTRIM - R2 - Liver and digestive health, Surgery
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Obesity Surgery, 32(9):s11695-022-06176-9, 2860-2868. Springer, Cham
ISSN: 1708-0428
0960-8923
DOI: 10.1007/s11695-022-06176-9
Popis: BACKGROUND: Prior research suggested presurgical weight loss is associated with greater total weight loss, resulting in a more effective bariatric intervention. We aimed to assess whether preoperative weight loss is a predictor for total weight loss, and which patient factors are associated with successful weight loss.METHODS: All patients (N = 773) that underwent primary bariatric surgery between June 2017 and August 2019 were included in this single-center retrospective study. Outcome measures were preoperative weight loss (%preopWL) and total weight loss (%TWL) up to 1 year postoperatively. Patients were divided into 4 groups based on quartiles of %preopWL.RESULTS: Total weight loss after 1, 6, and 12 months for the upper quartile was 16.9%, 33.4%, and 37.8%, and for the lower quartile 11.8%, 28.9%, and 35.2%, respectively (p CONCLUSION: Higher preoperative weight loss is associated with persisting greater weight loss up to at least 12 months post-surgery. In order to optimize preoperative weight loss, we recommend extra preoperative support to younger and diabetic patients. We advise nutritional counseling and additional weight measurement in the week before surgery.
Databáze: OpenAIRE
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