Patient adherence in following a prescribed diet and micronutrient supplements after laparoscopic sleeve gastrectomy: our experience during 1 year of follow‐up

Schiavo, Luigi; Scalera, Giuseppe; Pilone, Vincenzo; Sena, Gabriele De; Ciorra, Francesca Romana; Barbarisi, Alfonso

doi:10.1111/jhn.12427

Cited by 30 publications

(23 citation statements)

References 30 publications

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“…[9] In one study conducted in sleeve gastrectomy patients, the rate of poor adherence reached 74% by the end of the rst year, mainly with low consumption of fruits, vegetables, legumes, and cereals. [10] Similarly, in another study of postgastric bypass surgery patients, poor dietary choices increased crucially from 11% to 37% in the second year. [11] Bariatric surgery is the most effective treatment in morbidly obese patients, but it is not a panacea, and it should be incorporated with two large domains: "diet and exercise".…”

Section: Introductionmentioning

confidence: 95%

Dietary Assessment and Patient-Perspective Reasons for Poor Adherence to Diet and Exercise Post Bariatric Surgery

Assakran

Widyan

Alhumaidan

et al. 2020

Preprint

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Objective: Obesity prevalence is increasing, and as an outcome, bariatric procedures are on the rise. Previous articles about bariatric surgery disclosed tremendous results. This study aims to assess eating patterns and identify the reasons behind poor adherence to diet and exercise in postbariatric patients.Results: According to the questionnaire used, the majority (85.5%) of our patients scored “good”, 12% scored “fair”, and only 2% scored “excellent”. None scored “needs improvement”. Fruits had a mean consumption of 1.51 ± 0.79 and vegetables 1.78 ± 0.76. The main reasons for patient nonadherence to healthy eating were low self-discipline (48%), lack of motivation (28%), and availability of healthy food and being too busy to prepare healthy meals, both at 25%. Additionally, 55.9% of the study subjects engaged in physical activity. Lack of time (47%), low self-discipline (38%), and weather (32%) were the primary reasons for not exercising regularly.

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Section: Introductionmentioning

confidence: 95%

Dietary Assessment and Patient-Perspective Reasons for Poor Adherence to Diet and Exercise Post Bariatric Surgery

Assakran

Widyan

Alhumaidan

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…[9] In one study conducted in sleeve gastrectomy patients the rate of poor adherence reached 74% by the end of the rst year, mainly in low consumption of fruits, vegetables, legumes, and cereals. [10] Similarly, in another study of post gastric bypass surgery patients poor dietary choices increased crucially from 11% to 37% in the second-year. [11] Bariatric surgery is the most effective treatment in morbidly obese patients, but it is not a panacea, and it should be incorporated with two large domains; "diet and exercise".…”

Section: Introductionmentioning

confidence: 95%

Dietary Assessment and Patients Perspective Reasons for Diet and Exercise Adherence Post Bariatric Surgery

Assakran¹,

Widyan²,

Alhumaidan³

et al. 2020

Preprint

View full text Add to dashboard Cite

Objective: Obesity prevalence is increasing and as an outcome; bariatric procedures are on the rise. Previous articles about bariatric surgery disclosed tremendous results. This study aims to estimate the rate and identify the reasons behind poor adherence to diet and exercise in post-bariatric patients.Results: Majority (85.5%) of our patients scored “good”, 12% scored “fair”, and only 2% scored “excellent”. None scored “needs improvement”. Fruits had a mean of 1.51 ± 0.79 and vegetables 1.78 ± 0.76. The main reasons for patient non-adherence to healthy eating were: low self-discipline (48%), lack of motivation (28%), availability of healthy food, and being too busy to prepare healthy meals; both (25%). (55.9%) of the study subjects engaged in physical activity. Lack of time (47%), low self-discipline (38%), and weather (32%) were the primary reasons for not exercising regularly.

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“…A high number of patients, after bariatric surgery, have problems with the intake of the recommended supplements due to different reasons (e.g., high number of supplements, difficulties in remembering the prescriptions, and high costs). [16][17][18]. In patients with psychiatric disorders, nonadherence to recommended psychopharmacological medication can be expected in up to 50% of long-term prescriptions and thus remains a significant challenge [19].…”

Section: Introductionmentioning

confidence: 99%

Psychopharmacological Medication Has No Influence on Vitamin Status After Bariatric Surgery in Long-term Follow-up

et al. 2020

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Context A substantial number of patients undergoing bariatric surgery are prescribed psychopharmacological medication. However, the impact of concomitant psychopharmacological medication on the frequency of relevant vitamin deficiencies in postoperative follow-up is not known. Methods Five hundred twenty-four patients with obesity who underwent bariatric surgery (January 2004 to September 2018) with follow-up of at least 12 months, were included in retrospective analysis. Postoperative follow-up visits between January 2015 and September 2019 were analyzed. Anthropometric and laboratory data were analyzed at the first documented follow-up visit after on average 39.5 ± 37.3 months and at every following visit during the observation period. Patients with prescribed psychopharmacological drugs (PD) were compared with patients without (control group, CON). Results Psychopharmacological medication was documented in 25% (132) of patients. In 59 patients documented prescription of more than one psychiatric drug was found, whereas psychopharmacological monotherapy was found in 73 patients. Frequencies of vitamin deficiencies were comparable between PD and CON (vitamin A: p = 0.852; vitamin D: p = 0.622; vitamin E: p = 0.901; folic acid: p = 0.941). Prevalence of vitamin B12 deficiency was rare (6% CON, 1% PD) but was significantly higher in CON (p = 0.023). A comparison of CON and POLY also showed no significant differences between the groups concerning prevalence of vitamin deficiencies. Conclusions Intake of psychopharmacological medication is highly prevalent in patients after bariatric surgery. Patients with psychopharmacological medication, who participate in structured follow-up care after bariatric surgery, are not at higher risk for vitamin deficiencies compared with controls.

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Patient adherence in following a prescribed diet and micronutrient supplements after laparoscopic sleeve gastrectomy: our experience during 1 year of follow‐up

Abstract: Morbidly obese patients who have undergone LSG do not follow exactly the post-operative dietary guidelines, including micronutrient therapy.

Cited by 30 publications

References 30 publications

Dietary Assessment and Patient-Perspective Reasons for Poor Adherence to Diet and Exercise Post Bariatric Surgery

Dietary Assessment and Patient-Perspective Reasons for Poor Adherence to Diet and Exercise Post Bariatric Surgery

Dietary Assessment and Patients Perspective Reasons for Diet and Exercise Adherence Post Bariatric Surgery

Psychopharmacological Medication Has No Influence on Vitamin Status After Bariatric Surgery in Long-term Follow-up

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