Centile Charts for Monitoring of Weight Loss Trajectories After Bariatric Surgery in Asian Patients

Tan, Sarah Ying Tse; Syn, Nicholas; Lin, Daryl Jimian; Lim, Chin Hong; Ganguly, Sonali; Ong, Hock Soo; Tan, Jeremy; Lee, Phong Ching

doi:10.1007/s11695-021-05618-0

Cited by 13 publications

(9 citation statements)

References 34 publications

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“…Peak weight loss typically occurs 1–2 years after surgery, 195,202 with EWL of 65% to >80% 204 . In some populations, RYGB and OAGB result in greater and more sustainable long‐term weight loss than SG 203,205 …”

Section: Resultsmentioning

confidence: 99%

“… 204 In some populations, RYGB and OAGB result in greater and more sustainable long‐term weight loss than SG. 203 , 205 …”

Section: Resultsmentioning

confidence: 99%

“…206 Centile charts are available for postsurgical weight loss, specifically in Asian patients undergoing various bariatric procedures. 205 Because they display a wide range of weight trajectories, these charts can be helpful in counseling patients before surgery and the times at which weight regain is commonly expected. Weight trajectory charts can be used to identify individuals with suboptimal response.…”

Section: Southeast Asiamentioning

confidence: 99%

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Obesity in South and Southeast Asia—A new consensus on care and management

Tham¹,

Ghani²,

Sioksoan

et al. 2022

Obesity Reviews

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Summary Obesity is a chronic disease in which the abnormal or excessive accumulation of body fat leads to impaired health and increased risk of mortality and chronic health complications. Prevalence of obesity is rising rapidly in South and Southeast Asia, with potentially serious consequences for local economies, healthcare systems, and quality of life. Our group of obesity specialists from Bangladesh, Brunei Darussalam, India, Indonesia, Malaysia, Philippines, Singapore, Sri Lanka, Thailand, and Viet Nam undertook to develop consensus recommendations for management and care of adults and children with obesity in South and Southeast Asia. To this end, we identified and researched 12 clinical questions related to obesity. These questions address the optimal approaches for identifying and staging obesity, treatment (lifestyle, behavioral, pharmacologic, and surgical options) and maintenance of reduced weight, as well as issues related to weight stigma and patient engagement in the clinical setting. We achieved consensus on 42 clinical recommendations that address these questions. An algorithm describing obesity care is presented, keyed to the various consensus recommendations.

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Section: Resultsmentioning

confidence: 99%

“… 204 In some populations, RYGB and OAGB result in greater and more sustainable long‐term weight loss than SG. 203 , 205 …”

Section: Resultsmentioning

confidence: 99%

Section: Southeast Asiamentioning

confidence: 99%

See 1 more Smart Citation

Obesity in South and Southeast Asia—A new consensus on care and management

Tham¹,

Ghani²,

Sioksoan

et al. 2022

Obesity Reviews

View full text Add to dashboard Cite

show abstract

“…There are several alternatives for selecting the most appropriate metric when the researchers wanted to draw percentile charts for WL after BS. These choices vary from crude BMI [ 10 ] to more complicated ones like %EWL [ 11 , 12 ], excess BMI and total WL [ 13 ], and %AWL [ 14 ]. Among these studies, only van de Laar et al [ 15 ] explore a wider range of metrics and conclude the %AWL is the best choice for drawing percentile charts among them.…”

Section: Discussionmentioning

confidence: 99%

“…Another Spanish cohort study developed a percentiles chart without using any smoothing model or considering initial BMI, one of the most important factors in post-operative WL [ 6 ]. An Asian cohort study offered percentile charts to follow WL after BS using quantile regression models [ 13 ]. This could cause heterogeneity among participants or samples.…”

Section: Discussionmentioning

confidence: 99%

A Representative Percentile Chart for Prediction of Weight Loss Trend after Sleeve Gastrectomy

et al. 2022

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Introduction: It could be valuable for surgeons and patients to use one chart in different groups and evaluate weight loss during the post-surgery period. Methods: This retrospective study used the Iran National Obesity Surgery Database. patients with clinically severe obesity aged 18-70 undergoing sleeve gastrectomy participated in this study. Body mass Index (BMI) reduction and 5 other metrics measured over the study period were modeled using LMS (Lambda-mu-sigma) method. Our data were split into the train (70%) and test (30%) sets. Results: In this study, 1,258 patients (75% female) met the eligibility criteria to participate. Mean age and initial BMI were 36.87 ± 10.51 and 42.74 (40.37-46.36), respectively. Percentile charts for various metrics have been presented for the first 2 years after surgery. Conclusions: For sleeve surgery, all metrics are acceptable for clinical applications. Using the statistical view, BMI reduction is the most acceptable metric according to the lowest bias values and its variation between all the metrics.

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Suboptimal Weight Loss After Bariatric Surgery: Mechanisms and Treatment Algorithms

Mok

Batterham

2022

Obesity, Bariatric and Metabolic Surgery

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Centile Charts for Monitoring of Weight Loss Trajectories After Bariatric Surgery in Asian Patients

Cited by 13 publications

References 34 publications

Obesity in South and Southeast Asia—A new consensus on care and management

Obesity in South and Southeast Asia—A new consensus on care and management

A Representative Percentile Chart for Prediction of Weight Loss Trend after Sleeve Gastrectomy

Suboptimal Weight Loss After Bariatric Surgery: Mechanisms and Treatment Algorithms

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