Late bedtime is associated with lower weight loss in patients with severe obesity after sleeve gastrectomy

Barnadas-Solé, Cristina; Zerón-Rugerio, María Fernanda; Hernáez, Álvaro; Foncillas-Corvinos, Javier; Cambras, Trinitat; Izquierdo-Pulido, Marı́a

doi:10.1038/s41366-021-00859-6

Cited by 2 publications

(2 citation statements)

References 42 publications

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“…Note that 12 months after the EBT, participants who showed a good adherence to healthy lifestyle habits were 337% more likely to be good weight-loss-responders. What is equally interesting is that these patients were able to achieve an amount of weight loss (67.5% EWL) that is comparable to the amount achieved through bariatric surgery [ 35 ], suggesting that EBTs in conjunction with the adherence to healthy lifestyle habits offer a clear advantage over bariatric surgery in terms of weight loss effectiveness and cost [ 2 , 3 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Adherence to Healthy Lifestyle Habits Is a Determinant of the Effectiveness of Weight Loss among Patients Undergoing Endoscopic Bariatric Therapies

et al. 2022

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Endoscopic bariatric therapies (EBTs) are promising strategies for the treatment of obesity. However, there is still great variability in its effectiveness in weight loss. Thus, we investigated whether adherence to healthy lifestyle habits is a significant determinant of weight loss effectiveness among patients undergoing EBTs. Additionally, the role of eating behaviors and psychological traits in the effectiveness of weight loss was studied. A cohort of 361 participants (81.4% women; age 41.8 ± 9.5 years; BMI 37.8 ± 4.3 kg/m2) was followed for 1 year after EBT. Anthropometric parameters, adherence to healthy lifestyle habits, emotional eating, and psychological traits (anxiety and depression) were evaluated. General linear models were used to compare outcome variables according to weight loss effectiveness groups (poor vs. good weight-loss-responders). Additionally, a hierarchical linear regression model was used to determine whether adherence to healthy lifestyle habits, emotional eating, or psychological traits were significant predictors of excess weight loss (%EWL). One year after EBT, weight loss differed significantly between good and poor weight-loss-responders (67.5% EWL [95% CI: 64.2, 70.8] vs. 28.2% EWL [95% CI: 25.5, 30.9], p < 0.001). Participants who adhered to good lifestyle habits had 4.37 more odds [95% CI: 2.19, 8.88] of being good weight-loss-responders. We also observed that eating four to five meals/day and practicing muscle-strengthening activities >2 times/week were the two lifestyle habits that most significantly determined weight loss response. Furthermore, our results revealed that while adherence to healthy lifestyle habits was a significant determinant of %EWL 3, 6, and 12 months after EBT (p < 0.001), emotional eating was a significant determinant of %EWL only 3 and 6 months after the intervention (p < 0.01 and p < 0.05, respectively). Regarding psychological traits, we observed that neither anxiety nor depression were significant determinants of %EWL. Our results revealed that adherence to healthy lifestyle habits is a significant determinant for weight loss effectiveness among patients with obesity undergoing EBT. These findings highlight the importance of implementing an adequate nutritional intervention program, especially since patients who adhere to good lifestyle habits are able to achieve a weight loss that would be comparable with bariatric surgery.

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Section: Discussionmentioning

confidence: 99%

Adherence to Healthy Lifestyle Habits Is a Determinant of the Effectiveness of Weight Loss among Patients Undergoing Endoscopic Bariatric Therapies

et al. 2022

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“…In recent years, beyond the sleep duration, sleep timing, including bedtime and wake-up time, has been suggested as another important modifiable sleep behavior that plays a role in obesity [ [15] , [16] , [17] , [18] , [19] ]. Firstly, later bedtime may be a driver of shorter sleep duration, given that individuals who go to bed later may not be able to compensate by sleeping later the next morning due to work, and social schedules.…”

Section: Introductionmentioning

confidence: 99%

Beyond sleep duration: Sleep timing is associated with BMI among Brazilian adults

et al. 2023

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Late bedtime is associated with lower weight loss in patients with severe obesity after sleeve gastrectomy

Cited by 2 publications

References 42 publications

Adherence to Healthy Lifestyle Habits Is a Determinant of the Effectiveness of Weight Loss among Patients Undergoing Endoscopic Bariatric Therapies

Adherence to Healthy Lifestyle Habits Is a Determinant of the Effectiveness of Weight Loss among Patients Undergoing Endoscopic Bariatric Therapies

Beyond sleep duration: Sleep timing is associated with BMI among Brazilian adults

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