A behavioral rating system predicts weight loss and quality of life after bariatric surgery

Hilgendorf, William; Butler, Annabelle; Timsina, Lava; Banerjee, Ambar; Selzer, Don J.; Bacon, Simon L.

doi:10.1016/j.soard.2018.04.012

Cited by 17 publications

(11 citation statements)

References 26 publications

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“…Generalizability. Overall, characteristics of the sample at baseline were comparable to previously published studies (e.g., Driscoll et al, 2016;Garb et al, 2009;Hilgendorf et al, 2018;Sjöström et al, 2007;Sockalingam et al, 2017). The exception was current and lifetime estimates of psychiatric disorders, which tend to be higher in the bariatric literature than what was found in this study (Kalarchian et al, 2007;Mitchell et al, 2012).…”

Section: Strengths and Limitationssupporting

confidence: 83%

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The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS): Predictive Validity for Outcomes 1 and 2 Years Following Bariatric Surgery

Atwood¹

2023

Preprint

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Bariatric surgery is the most effective intervention for severe obesity; however, many patients demonstrate insufficient and/or unsustained weight loss, and unsatisfactory psychosocial functioning in the longer-term. Although it is well established that attendance at postsurgical follow-up appointments is integral to sustained weight loss, nonadherence to follow-up is common. Consequently, presurgical psychosocial evaluations are conducted in order to identify patients at high risk of poor outcomes. Yet, no consensus has been established regarding a standardized protocol for the assessment of variables relevant to surgical outcomes, and bariatric programs vary widely in their interpretation of psychosocial risk. In addition, there is a paucity of research examining the predictive utility of psychosocial evaluations. The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASSTM), a novel psychosocial evaluation tool, was developed to address these issues. The purpose of the present study was to contribute to the validation of the BIPASS tool via two aims: 1) by examining the psychometric properties of the BIPASS, and; 2) by examining the ability of the BIPASS tool to predict outcomes 1 and 2 years following bariatric surgery, including weight loss and weight regain, quality of life, psychiatric symptoms, and adherence to postsurgical follow-up appointments. The BIPASS was applied retrospectively to the charts of 200 consecutively referred patients of the Toronto Western Hospital Bariatric Surgery Program (TWH-BSP). Factor analysis of BIPASS items revealed a two-factor structure, reflecting “Mental Health” and “Patient Readiness” subscales. Internal consistency for the BIPASS Total and subscale scores ranged from poor to good, and inter-rater reliability was excellent. Higher BIPASS scores significantly predicted higher binge eating symptomatology, and lower physical and mental health-related quality of life at 1 year postsurgery. The BIPASS did not predict any outcome variables at 2 years postsurgery, or adherence to postsurgical follow-up appointments. Findings suggest that the BIPASS can be used to identify patients at increased risk of problematic eating and poor health-related quality of life early in the postsurgical course, thereby facilitating appropriate interventions.

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Section: Strengths and Limitationssupporting

confidence: 83%

“…Postsurgery, average anxiety and binge eating scores were within the normative range, whereas depressive symptoms fell within the mild range. Overall, scores on self-report measures were comparable to other studies of bariatric surgery patients (e.g., Hilgendorf et al, 2018;Sockalingam et al, 2017).…”

Section: Aim 2: Predictive Validity Of the Bipasssupporting

confidence: 78%

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS): Predictive Validity for Outcomes 1 and 2 Years Following Bariatric Surgery

Atwood¹

2023

Preprint

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“…The greater curvature, gastric antrum, pyloric region, and duodenal bulb of the stomach are resected during the SG procedure, which not only decreases the volume of the stomach but reduces the volume of food consumption. SG represents one of the most effective interventions for severe obesity, and its underlying mechanisms for weight loss and metabolic improvement are complex [12].…”

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confidence: 99%

Potential mechanisms of sleeve gastrectomy for reducing weight and improving metabolism in patients with obesity

Huang

Ding

et al. 2019

Surgery for Obesity and Related Diseases

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Obesity is a severe medical problem endangering the health of individuals worldwide. Sleeve gastrectomy (SG), one of the most commonly performed bariatric procedures, has been widely applied to the treatment of such patients. Currently, the potential mechanisms underlying the significant weight loss and metabolic improvement after SG have been well studied. First, and most importantly, by removing a large volume of stomach, the SG directly or indirectly restricts food intake. Then, there are alterations in the absorption and metabolism of both macro-and micronutrients, which may benefit or worsen the patients' well-being. Another profound change is enhanced secretion of the satiety gut hormone and reduced secretion of the hunger hormone as a consequence of the operation. Additionally, adjustment of gastrointestinal motility, alteration in the gut microbial community, and an inflammatory response were found after surgery. Therefore, the purpose of the present review was focused on such hypotheses and to compile the accumulated facts on the physiologic mechanism of bariatric surgery so that these results can help improve the understanding of how SG produces substantial weight loss and a significant improvement in the metabolism of patients with metabolic syndrome.

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“…To date there is no clear evidence regarding the impact of pre-operative mental health conditions and of depression specifically, on post-BS weight outcomes. Multiple studies have found preoperative depression to negatively impact weight loss [11][12][13][14], while several others have found no association [5,8,9,[15][16][17][18][19][20][21][22][23]. Some studies have also found a positive link with pre-operative depression resulting in greater weight loss [24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Impact of Depression on Weight Loss Post Sleeve Gastrectomy - An Australian Experience

Jaffar¹,

Devadas²

2019

Int J Obes Nutr Sci

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Introduction/aims: Depression is the most common mental disorder found in patients seeking bariatric surgery. Current literature regarding the impact of pre-operative depression on weight outcomes after bariatric surgery is equivocal. Laparoscopic Sleeve Gastrectomy (LSG) is the most commonly performed bariatric procedure in Australia. Few studies have examined the role of depression as a predictor of weight loss post-LSG specifically. Furthermore, this relationship has not been analyzed in an Australian cohort.Methods: 124 patients underwent LSG. Pre-operative Beck Depression Inventory-II (BDI-II) scores were available for 117 patients. Post-operative weight outcomes were collected at 1 year. Univariate and multivariate analysis was performed to investigate the relationship between pre-operative BDI-II scores and weight loss outcomes at 1 year. A multivariate model was employed to examine the impact of baseline variables including age, sex and pre-operative weight on weight outcomes. Results:The mean pre-operative weight and BMI was 123.9 kg and 43.1 kg/m 2 respectively. 2 patients were lost to follow-up. The mean post-operative ΔBMI and %EWL at 12 months was 13.1 kg/m 2 and 76.1% respectively. The median pre-operative BDI-II score was 14 (range 1-52), correlating with mild depression. No significant association was found between BDI-II scores and weight outcomes on univariate and multivariate analysis. On multivariate modeling, older age resulted in lower ΔBMI (p=0.001) and TWL (p=0.001). Higher baseline weight was significantly associated with greater ΔBMI, TWL and %TWL (p=0.0). Conclusion:Pre-operative depression severity was not predictive of weight loss outcomes in this study. Future studies with standardized assessment protocols and follow-up durations are needed to delineate the impact of depression on weight loss after LSG.

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A behavioral rating system predicts weight loss and quality of life after bariatric surgery

Abstract: A behavioral rating scale (CCBRS) completed before bariatric surgery predicted postoperative weight loss, quality of life, depression, and anxiety. Therefore, this tool may prove useful in patient counseling and expectation management before surgery.

Cited by 17 publications

References 26 publications

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS): Predictive Validity for Outcomes 1 and 2 Years Following Bariatric Surgery

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS): Predictive Validity for Outcomes 1 and 2 Years Following Bariatric Surgery

Potential mechanisms of sleeve gastrectomy for reducing weight and improving metabolism in patients with obesity

Impact of Depression on Weight Loss Post Sleeve Gastrectomy - An Australian Experience

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