Determinants of Dietary Adherence Among Chinese Patients After Bariatric Surgery Based on the Attitude-Social Influence-Efficacy Model

Formation mechanisms, interrelationships, and effects of cognitive factors on diet and physical activity during the post-bariatric surgery period: a cross-sectional study based on compensatory carry-over action model

“…In hypothesis 1, among the antecedent cognitive factors, only CB had a signi cant effect on diet (H1a, p < 0.001), and the paths of the other antecedent cognitions that in uenced behaviors were eliminated based on the results of the linear regression model (H1d,e,h). Both intention and self-e cacy formed direct associations with their corresponding behaviors (H1b,c,f,g, p < 0.05), which was consistent with the assumptions of other classical behavioral theories [11,33] . In hypothesis 2, CB exerted signi cant effects on intention, and TC exerted signi cant effects on self-e cacy (H2a-d, p < 0.001), which were consistent with the original hypotheses in CCAM.…”

“…This may have been due to the immense changes in the gastrointestinal tract structure after bariatric surgery [41] . Patients who adhere to the norms of dietary guidelines not only achieve optimal weight loss within a short time but also demonstrate fewer gastrointestinal symptoms such as vomiting and acid re ux and gain a better weight loss experience [33] . The main purpose of PA after bariatric surgery was to increase energy expenditure and reduce muscle loss, which can improve patients' body composition, but generally, it takes a long time for PA-induced weight loss to be effective, and most of the patients do not regularly engage in PA.…”

“…Our study also showed that the intention and self-e cacy of diet and PA can affect the corresponding behaviors, which was consistent with the conclusion of the studies based on the theory of behavioral change in the eld of bariatric surgery. As for diet, Zhu et al [33] explored the factors in uencing dietary compliance in patients during the post-bariatric surgery period based on the Attitude-Social in uence-E cacy Model and reported that dietary intention, attitude, and self-e cacy were the main predictors of dietary compliance. Ren et al [34] conducted a randomized controlled trial of exercise intervention in patients during the post-bariatric surgery period based on the Cross-theoretical Model.…”

Psychological predictors of adherence to lifestyle changes after bariatric surgery: A systematic review

“…However, perceived weight stigma within healthcare settings specifically (e.g., weight‐related discrimination from health professionals) was not associated with dietary adherence 37 . Conversely, dietary adherence was positively associated with a stronger endorsement of social support or positive social norms related to dietary adherence 36 …”

“…Another study found that, postoperatively, a stronger intention to adhere, a more positive attitude toward adherence, and higher self-efficacy regarding adherence were associated with better dietary adherence. 36 Finally, the role of internalized stigma has also been investigated with relation to dietary adherence. In a study of 298 patients who received RYGB or vertical sleeve gastrectomy within the 5 years prior to participation, those who had higher levels of internalized weight stigma were found to be at increased risk of engaging in disordered eating such as frequent snacking and perceived loss of CHAN and VARTANIAN control over food consumption.…”