Take your pick - weight loss or clothes size goal: A longitudinal exploration of outcomes in individuals following laparoscopic adjustable gastric banding

Abstract

Objective: Laparoscopic adjustable gastric banding (LAGB) is a type of bariatric surgery. Individuals find setting a goal following LAGB useful as part of rehabilitation; however, it is unclear which type of goal is likely to benefit individuals most. This study explored long-term outcomes comparing two goal groups. Design:A longitudinal study collecting data prior to LAGB surgery, then annually until five years post-surgery from 38 individuals. Based on their pre-surgical goal, individuals were assigned to one of two goal groups (weight loss or clothes size). Data were analysed using repeated measures ANOVAs and t-tests. Main outcomes measures:Objectively measured weight, and self-reported measures of appearance using validated scales (Salience and Valance Appearance Questionnaire, and Derriford Appearance Scale).Results: From pre-LAGB to five years post-surgery significant differences were found in all the objective and subjective measures, however, no differences between goal groups were present. Conclusion:This is the first study to explore the long-term impact of two different goals following LAGB surgery. Although setting a specific goal maybe useful for an individual, this study suggests no differences in outcomes between individuals who set a weight loss or clothes size goal. Clinicians should work with an individual to help them achieve their own personal goal as part of rehabilitation following surgey.

Predicting Outcomes Following Laparoscopic Adjustable Gastric Banding Surgery: Weight Loss versus Improved Perceptions of Appearance

“…Furthermore, results indicate that an individual's mental health needs to be assessed, and if appropriate treated prior to and throughout their weight loss journey in order to maximise mental and physical health benefits from the surgical intervention [11,53,54]. Previous analysis on the current data set exploring changing in mental health over the five year period following surgery has indicated improvements from pre-surgical measurements [33,37,38].…”