Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 2019, 7295978
eCollection

Dietary and Lifestyle Factors Serve as Predictors of Successful Weight Loss Maintenance Postbariatric Surgery

Affiliations

Dietary and Lifestyle Factors Serve as Predictors of Successful Weight Loss Maintenance Postbariatric Surgery

Afshan Masood et al. J Obes.

Abstract

Bariatric surgery is considered to be an effective treatment for the resolution of severe obesity; however, in more than half of the bariatric surgery patients, weight reacquisition occurs as early as 18 months postsurgery, compromising the surgery's beneficial effects. Maintaining weight loss after surgery poses a great challenge, necessitating the identification of predicting factors. In the present study, we explored the association between weight regain and dietary habits and behavioral lifestyle practices in patients following bariatric surgery. Fifty patients who underwent bariatric surgery with ≥18-month postoperative period of follow-up were included. They were classified into two groups: weight maintainers (n = 29) were patients who regained <15% of their weight, and weight regainers (n = 21) were patients who regained ≥15% of their weight compared to their lowest postoperative weight. The mean age of the study participants was 41.4 ± 8.9 years, and twenty-eight patients (56%) of the total, were females. A detailed analysis of dietary and lifestyle habits was performed by questionnaire-based interviews. Significant weight regain was noted in the regainers compared to the maintainers (19.6 ± 8.4 kg vs. 4.5 ± 3.5 kg, respectively, P ≤ 0.001), which was attributed to their following of unhealthy dietary habits and behavioral lifestyle practices. The dietary and behavioral lifestyle practices adopted by the maintainers were higher fiber consumption and water intake, monitored pace of eating, evasion of emotional binge, and distracted eating and following of self-assessment behaviors. Additionally, regular nutritional follow-ups and compliance with postoperative dietary counseling significantly helped to improve weight maintenance. In conclusion, the effectiveness of weight loss postbariatric surgery was compromised by weight regain due to unhealthy dietary and behavioral lifestyle practices stemming from a lack of nutritional guidance and knowledge. The implementation of comprehensive nutritional counseling and advice on behavioral changes before and after surgery will help achieve optimal weight results.

Similar articles

See all similar articles

Cited by 3 PubMed Central articles

References

    1. Collaboration N. C. D. R. F. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. The Lancet. 2016;387(10026):1377–1396. doi: 10.1016/s0140-6736(16)30054-x. - DOI - PubMed
    1. Al Quwaidhi A. J., Pearce M. S., Critchley J. A., Sobngwi E., O’Flaherty M. Trends and future projections of the prevalence of adult obesity in Saudi Arabia, 1992-2022. Eastern Mediterranean Health Journal. 2014;20(10):589–595. doi: 10.26719/2014.20.10.589. - DOI - PubMed
    1. Memish Z. A., El Bcheraoui C., Tuffaha M., et al. Obesity and associated factors—kingdom of Saudi Arabia, 2013. Preventing Chronic Disease. 2014;11:p. E174. doi: 10.5888/pcd11.140236. - DOI - PMC - PubMed
    1. Buchwald H., Williams S. E. Bariatric surgery worldwide 2003. Obesity Surgery. 2004;14(9):1157–1164. doi: 10.1381/0960892042387057. - DOI - PubMed
    1. Alfadda A., Al-Dhwayan M., Alharbi A., et al. The Saudi clinical practice guideline for the management of overweight and obesity in adults. Saudi Medical Journal. 2016;37(10):1151–1162. doi: 10.15537/smj.2016.10.14353. - DOI - PMC - PubMed

LinkOut - more resources

Feedback