“When the honeymoon is over, the real work begins:” Gastric bypass patients' weight loss trajectories and dietary change experiences

Lynch, Amanda

doi:10.1016/j.socscimed.2015.12.024

Cited by 50 publications

(46 citation statements)

References 29 publications

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“…Imidlertid rapporterer pasientene at de er lite forberedt på de ekstreme livsstilsendringer som GBP medfører (Wykowski og Krouse 2013). Det er fremdeles lite kunnskap om hvilke forutsetninger som må vaere tilstede for at pasientene endrer livsstil på lengre sikt, og hvilken oppfølging pasientene har behov for etter inngrepet (Grönnestad og Blystad 2004;Lynch 2016;Wykowski og Krouse 2013;Sutton og Raines 2010). Av avgjørende betydning er at det kirurgiske inngrepet kombineres med livsstilsendringer og oppfølging fra helsepersonell for at pasientene skal få langsiktig vekttap og økt livskvalitet (Livhits, Mercado, Yermilov, Parikh, Dutson, Mehran, Clifford og Gibbons 2010).…”

Section: Innledningunclassified

Gastric bypass - ingen snarvei til ny livsstil. Pasienterfaringer to år etter kirurgi

et al. 2017

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Section: Innledningunclassified

Gastric bypass - ingen snarvei til ny livsstil. Pasienterfaringer to år etter kirurgi

et al. 2017

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“…In the first two years following surgery, weight loss often stabilizes and a proportion of individuals begin to regain lost weight. Studies on the gastric bypass patient population reports regain between 5% and 50% of weight gain to an average regain of 23% of the overall weight lost (Lynch, 2016). Qualitative and quantitative studies of bariatric surgical outcomes report regain of weight and return of comorbidities along with the weight (Buchwald, Estok, & Fahrbach, 2009;Foust et al, 2006).…”

Section: Significance Of the Studymentioning

confidence: 99%

“…Ten years postoperatively, approximately 10% of patients who underwent RYGB and 25% of patients who underwent LAGB failed to maintain at least a 5% reduction in their initial weight. In addition, the rate of improvement/resolution of comorbidities such as diabetes, hypertension, and high cholesterol was less impressive after 10 years than at the 2-year point, possibly due to weight regain over time (Lynch, 2016). Bariatric surgery is a tool to be used alongside behavior modification in order to achieve long-term weight loss, and it is possible that difficulties with nutrition, dietary habits, and lifestyle behaviors are responsible for regain after bariatric surgery.…”

Section: Weight Regainmentioning

confidence: 99%

“…The participants for this study were selected through a convenience sample of adult women who were a minimum of 18 months or more post bariatric surgery. The minimum 18-month timeframe was chosen to align with the literature that identifies 18 months to 2 years as the long-term weight loss period where patients begin to regain the weight that was originally lost (Lynch, 2016).…”

Section: Description Of the Samplementioning

confidence: 99%

“…Study participants were selected through a convenience sample of adult females who were more than 18 months post bariatric surgery to align with the literature that identifies 18 months to 2 years as the long-term weight loss period where patients begin to regain weight that was originally lost (Lynch, 2016). The inclusion criteria for the study participation were female adults age 18 years and older, able to read and write English, Internet users with computer literacy, who underwent a bariatric surgery procedure with greater than or equal to eighteen months or more postoperative time.…”

Section: Summary Of the Studymentioning

confidence: 99%

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Bariatric Surgery Regain and Long-Term Weight Loss among Women: Self-Efficacy, Social Support and Health Promotion Lifestyle Behaviors

Brooks¹

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Although bariatric surgery appears to produce success in a short period of time immediately after surgery, weight regain over time in this population cannot be ignored.Understanding the relationship between potential psychosocial predicting post-surgical variables influencing bariatric surgery may prevent long-term weight regain. The purpose of this research is to examine self-efficacy, social support, and lifestyle habits and their relationship to long term weight loss and regain in women post bariatric surgery. Weight regain is observed as early as 18 months to 2 years after bariatric surgery. Patients face challenges sustaining the dramatic lifestyle changes required to ensure positive long-term weight loss.A descriptive correlational research design was used to examine relationships among the variables. The demographic data of the women were reviewed for any correlations with reported regain. There were three independent variables explored in this research: self-efficacy, health promotion lifestyle, and social support. The dependent variable in the study was weight regain. The study was advertised for four weeks in a 'bariatric women only' Facebook forum and on the Obesity Help website. A solicitation email was placed on these sites containing five inclusion criteria: adult, female, able to read and write English, Internet users, and underwent bariatric surgery with greater than 18 months or more post-operative time. The research was conducted entirely online using the web-based survey platform SurveyMonkey.In total, 123/135 participants (91.1%) reported weight regain and 12/135 (8.8%) reported no weight regain. There was a strong negative correlation between the two variables WELQ and regain p<0.001 with high scores self-efficacy associated with lower reported weight regain. The health promotion lifestyle factors and the perceived social support factors were nonsignificant at the .001 level of significance for a two-sided tailed test.Participants reporting the ability to resist eating in a variety of situations and settings were more likely to have less weight regain. These results suggest developing and teaching bariatric surgery patients to increase their self-efficacy could play a significant role in decreasing the chances of weight regain over time.

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Impacts of an intensive community‐based support for patients with severe or morbid obesity in the United Kingdom: A qualitative study

Bond

Haywood

Holding

et al. 2022

Public Health Challenges

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Background: To explore the long-term impact of a UK specialist service providing intensive weight management support for patients with severe and complex obesity. An interview-based study of former patients about their contact with the service and how it had affected their subsequent weight management. The questions covered areas of difference between those who had received lifestyle change support and those who had also had weight loss surgery. Methods: This qualitative study took place with former patients of a communitybased weight management service for people with severe or morbid obesity who had been discharged for at least 2 years. Nineteen interviews took place with patients initially contacted by questionnaire about their experiences of involvement with the service. Participants interviewed all had support to change their lifestyle, and some also had bariatric surgery. A narrative interview approach was employed to explore participants' weight management after involvement with the service. Results: Most participants maintained their weight loss. The self-esteem of some participants had significantly improved. For some, the weight loss came with significant problems in terms of dietary restrictions and loose skin. Participants said they would like more open-ended contact, particularly for those who had bariatric surgery. Conclusions:The study supported current research findings that both those who had bariatric surgery or who just had lifestyle change support experienced a significant reduction in their weight. In this respect, participants thought it was a success. However, for a number, it was at a price in terms of the amount and type of food they could eat. The study adds to the understanding of the impact of bariatric surgery and weight management support from the patients' perspective and of the support needs of patients having lifestyle support and surgery to help them manage the long-term impact of obesity and treatment side-effects.

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“When the honeymoon is over, the real work begins:” Gastric bypass patients' weight loss trajectories and dietary change experiences

Cited by 50 publications

References 29 publications

Gastric bypass - ingen snarvei til ny livsstil. Pasienterfaringer to år etter kirurgi

Gastric bypass - ingen snarvei til ny livsstil. Pasienterfaringer to år etter kirurgi

Bariatric Surgery Regain and Long-Term Weight Loss among Women: Self-Efficacy, Social Support and Health Promotion Lifestyle Behaviors

Impacts of an intensive community‐based support for patients with severe or morbid obesity in the United Kingdom: A qualitative study

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