Weight Change After Roux-en Y Gastric Bypass, Physical Activity and Eating Style: Is There a Relationship?

Abstract

Background Insufficient weight loss and weight regain is seen in 20-30% of the post-bariatric population. More knowledge about the effect of physical activity and eating style on weight change after Roux-en-Y gastric bypass is essential since behaviour can be modified and thereby results improved. The goal of this study is to determine the relationship between weight change, selfreported physical activity and eating style. Methods Weight, physical activity (PA) and eating style (ES) were assessed before surgery and 15, 24, 36 and 48 months after surgery. A linear mixed model was performed to assess the association between the change in PA and ES and percentage total weight loss (% TWL). Results There were 4569 patients included. Preoperative PA and ES were not related to weight change. Change in PA was positively associated with % TWL at 15, 36 and 48 months follow-up. Change in emotional eating was negatively related to % TWL at all follow-up moments. Change in external eating was only negatively related to weight loss at 24 months follow-up. Change in restrained eating was negatively associated with weight loss up to 36 months follow-up. More restrained eating at 36 months follow-up was related to higher weight regain, and more emotional eating at 48 months to 48-month weight regain. Conclusion Preoperative self-reported PA and ES did not predict weight change after RYGB. Being are more physically active and showing less emotional and restrained eating was related to a higher weight loss. Emotional and restrained eating were related to higher weight regain.

Bariatric surgery after failed conservative management in a morbidly obese patient with endometrial cancer

“…Bariatric surgery, specifically laparoscopic sleeve gastrectomy, was recommended as it has been associated with 67.3% loss of excess body weight within 1 year (Emile et al, 2017). Refinements in surgical technique and improved perioperative outcomes have contributed to its emerging role as a bridge to procedures in which obesity may be technically challenging or is a relative contraindication (Monpellier et al, 2018; Lynch & Belgaumkar, 2012). Interestingly, the benefit of bariatric surgery may be best prior to development of malignancy.…”

Change in emotional eating after bariatric surgery: systematic review and meta-analysis

“…values of emotional eating assessments, of whom five responded. Graphical outcome Castellini et al 28 Holsen et al 40 Järvholm et al 41 Laurenius et al 31 Monpellier et al 24 Nance et al 4 Papalazarou et al 43 Pepino et al 36 Pepino et al 38 Subramaniam et al 32 Søvik et al 42 Turkmen et al 29 van Hout et al 37 Weineland et al 30 Woodard et al data for two studies were estimated using PlotDigitizer™ 2.6.8 (SourceForge; Slashdot Media, La Jolla, California, USA) 17 .…”

“…An overview of the study characteristics is provided in Table 1. Twenty were prospective cohort studies 4,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] , one 41 was a retrospective cohort study, and two 42,43 were RCTs. One RCT 42 randomized patients with a BMI of 50-60 kg/m 2 to either duodenal switch or gastric bypass, and the other 43 randomized patients to either lifestyle intervention or usual care after bariatric surgery.…”

“…Every study had a predominantly female population (range 65-100 per cent). The vast majority of patients underwent RYGB (19 studies, 6140 patients) 4,[23][24][25][26][27][28][29][30][31][32][33][34][35][36]38,39,41,42 , seven studies (381 patients) 4,22,26,30,32,36,40 investigated SG, three (48 patients) 28,36,38 examined laparoscopic adjustable gastric banding (LAGB), two (121 patients) 37,43 included vertical banded gastroplasty (VBG), and one each duodenal switch (29 patients) 42 , biliopancreatic diversion (BPD) (26 patients) 28 and anastomosis gastric bypass (4 patients) 32 .…”

“…The timing of postsurgical assessment ranged from 3 days to 48 months, with the most common final duration of follow-up being 12 months (7 studies) 23,25,[27][28][29]34,40 . Bryant et al 23 Järvholm et al 41 Laurenius et al 31 Søvik et al 42 Søvik et al 42 Turkmen et al 29 Woodard et al 30 Holsen et al 40 The most common measure of emotional eating was the DEBQ 44 , used in nine studies 4,24,32,[35][36][37][38]40,43 . The 21-and 18-item revisions of the original 51-item TFEQ (TFEQ-R21 45 and TFEQ-R18) 46,47 were used in six 29,31,33,[40][41][42] and three 23,25,27 studies respectively.…”