What variables are associated with successful weight loss outcomes for bariatric surgery after 1 year?
What variables are associated with successful weight loss outcomes for bariatric surgery after 1 year?
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DOI:
10.1016/j.soard.2014.01.030
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发表时间:
2014-07-01
影响因子:
3.1
通讯作者:
Safer, Debra L.
中科院分区:
文献类型:
--
作者:
Robinson, Athena H.;Adler, Sarah;Safer, Debra L.
Background: Prior evidence indicates that predictors of weight loss outcomes after gastric bypass surgery fall within 5 domains: 1) presurgical factors, 2) postsurgical psychosocial variables (e.g., support group attendance), 3) postsurgical eating patterns, 4) postsurgical physical activity, and 5) follow-up at postsurgical clinic. However, little data exist on which specific behavioral predictors are most associated with successful outcomes (e.g., >= 50% excess weight loss) when considering the 5 domains simultaneously. The objective of this study was to specify the behavioral variables, and their respective cutoff points, most associated with successful weight loss outcomes.Methods: Signal detection analysis evaluated associations between 84 pre- and postsurgical behavioral variables (within the 5 domains) and successful weight loss at >= 1 year in 274 postgastric bypass surgery patients.Results: Successful weight loss was highest (92.6%) among those reporting dietary adherence of >3 on a 9-point scale (median = 5) who grazed no more than once-per-clay. Among participants reporting dietary adherence