Advertisement

Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Bariatric Support Groups Predicts Long-term Weight Loss

Abstract

Background

Support groups are an integral part of bariatric surgery (BS) programs yet there is limited evidence for an association between support group attendance and BS weight outcomes.

Settings

University Hospital, Spain.

Objectives

This study examined the effect of support group attendance on weight loss (WL) at short- and long-term follow-up (FU) following BS.

Methods

Participants were 531 (mean body mass index (BMI) = 45.8 (5.4) kg/m2; mean age 45.9 (11.1) years, 76.4% females) who underwent BS (Roux-en-Y gastric bypass (RYGB): 233 (43.8%); sleeve gastrectomy (SG): 298 (56.2%)) in our clinic. The bariatric support group program (BSGP) consisted of two subprograms: Novel-BSGP (N-BSGP; first 12 months after surgery) and Experienced-BSGP (E-BSGP; FU between 12 months 5 years after BS).

Results

Three hundred and twenty-three (60.8%) and 129 (24.3%) participants attended at least one session of N-BSGP and E-BSGP, respectively. Linear regression analyses showed that number of sessions attended during year 1 predicted percent total body WL (%TBWL (β = 0.381, p < 0.001)) and percent excess WL (%EWL (β = 0.928, p < 0.001)) at one year and number of sessions attended during years 2–5 were positively related to %TBWL and %EWL achieved at 5 years (%EWL: β = 0.162 (p = 0.014) and %TBWL: β = 0.378 (p = 0.013)) respectively.

Conclusion

We observed a significant beneficial effect of a post-surgical support group program on short- and long-term body WL after BS.

This is a preview of subscription content, log in to check access.

References

  1. 1.

    Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial - a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219–34.

  2. 2.

    Courcoulas AP, King WC, Belle SH, et al. Seven-year weight trajectories and health outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) Study. JAMA Surg, 2018. 153(5):427–34.

  3. 3.

    de Hollanda A, Ruiz T, Jiménez A, et al. Patterns of weight loss response following gastric bypass and sleeve gastrectomy. Obes Surg. 2015;25(7):1177–83.

  4. 4.

    Freire RH, Borges MC, Alvarez-Leite JI, et al. Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass. Nutrition. 2012;28(1):53–8.

  5. 5.

    Herman KM, Carver TE, Christou NV, et al. Keeping the weight off physical activity, sitting time, and weight loss maintenance in bariatric surgery patients 2 to 16 years post-surgery. Obes Surg. 2014;24(7):1064–72.

  6. 6.

    Mitchell JE, Christian NJ, Flum DR, et al. Postoperative behavioral variables and weight change 3 years after bariatric surgery. JAMA Surg. 2016;151(8):752–7.

  7. 7.

    Mechanick JI, Apovian C, Brethauer S, et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures 2019 update: cosponsored by American Association Of Clinical Endocrinologists/American College Of Endocrinology, the Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Endocr Pract. 2019;4

  8. 8.

    Madan AK, Tichansky DS. Patients postoperatively forget aspects of preoperative patient education. Obes Surg. 2005;15:1066–9.

  9. 9.

    Madan AK, Tichansky DS, Taddeucci RJ. Postoperative laparoscopic bariatric surgery patients do not remember potential complications. Obes Surg. 2007;17:885–8.

  10. 10.

    Orth WS, Madan AK, Taddeucci RJ, et al. Support group meeting attendance is associated with better weight loss. Obes Surg. 2008;18(4):391–4.

  11. 11.

    Rudolph A, Hilbert A. Postoperative behavioral management in bariatric surgery: a systematic review and meta-analysis of randomized controlled trials. Obes Rev. 2013;14(4):292–302.

  12. 12.

    Fried M, Hainer V, Basdevant A. Inter-disciplinary European guidelines on surgery of severe obesity. Int J Obes. 2007;31:569–77.

  13. 13.

    Cottam D, Qureshi FG, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.

  14. 14.

    Kaiser KA, Franks SF, Smith AB. Positive relationship between support group attendance and one-year postoperative weight loss in gastric banding patients. Surg Obes Relat Dis. 2011;7(1):89–93.

  15. 15.

    Elakkary E, Elhorr A, Aziz F, et al. Do support groups play a role in weight loss after laparoscopic adjustable gastric banding? Obes Surg. 2006;16(3):331–4.

  16. 16.

    Song Z, Reinhardt K, Buzdon M, et al. Association between support group attendance and weight loss after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(2):100–3.

  17. 17.

    Rabner JG, Greenstein RJ. Antiobesity surgery: is a structured support group desirable? Preliminary. Obes Surg. 1993;3(4):381–90.

  18. 18.

    Welch G, Wesolowski C, Zagarins S, et al. Evaluation of clinical outcomes for gastric bypass surgery: results from a comprehensive follow-up study. Obes Surg. 2011;1:18–28.

  19. 19.

    Moroshko I, Brennan L, O’Brien P. Predictors of attrition in bariatric aftercare: a systematic review of the literature. Obes Surg. 2012;22(10):1640–7.

  20. 20.

    Hameed S, Salem V, Tan TM, et al. Beyond weight loss: establishing a postbariatric surgery patient support group. What do patients want? J Obes. 2018;14:2018.

  21. 21.

    Lara MD, Baker MT, Larson CJ, et al. Travel distance, age, and sex as factors in follow-up visit compliance in the post-gastric bypass population. Surg Obes Relat Dis. 2005;1(1):17–21.

  22. 22.

    Hildebrant SE. Effect of participation in bariatric support after Roux-en-Y gastric bypass. Obes Surg. 1998;8(5):535–42.

  23. 23.

    Beck NN, Johannsen M, Støving RK, et al. Do postoperative psychotherapeutic interventions and support groups influence weight loss following bariatric surgery? A systematic review and meta-analysis of randomized and nonrandomized trials. Obes Surg. 2012;22(11):1790–7.

  24. 24.

    Conceição EM, Machado PP, Vaz AR, et al. APOLO-Barian internet-based program for longitudinal support of bariatric surgery patients: study protocol for a randomized controlled trial. Trials. 2016;17(1):114.

  25. 25.

    Banbury A, Nancarrow S, Dart J, et al. Parkinson Telehealth interventions delivering home-based support group videoconferencing: systematic review. L.J Med Internet Res. 2018;2:20–2.

  26. 26.

    Jiménez A, Ibarzabal A, Moizé V, et al. Ten-year outcomes after Roux-en-Y gastric bypass and sleeve gastrectomy: an observational nonrandomized cohort study. Surg Obes Relat Dis. 2019;15(3):382–8.

  27. 27.

    Diamant A, Milner J, Cleghorn M, et al. Analysis of patient attrition in a publicly funded bariatric surgery program. J Am Coll Surg. 2014;219(5):1047–55.

  28. 28.

    Al-Khyatt W, Ryall R, Leeder P, et al. Predictors of inadequate weight loss after laparoscopic gastric bypass for morbid obesity. Obes Surg. 2017;27(6):1446–52.

Download references

Acknowledgments

The authors acknowledge Dr. Marci Gluck for her critical review in support of this manuscript.

Author information

Correspondence to Violeta Moizé.

Ethics declarations

The Ethics Committee of Hospital Clinic Barcelona, Spain, approved this study. Participants were > 5 years post-op at the time of informed consent was obtained.

Conflict of Interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic Supplementary Material

ESM 3
figure1

(PNG 121 kb)

ESM 1

(DOCX 15 kb)

ESM 2

(DOCX 11 kb)

High Resolution (TIF 69 kb)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Andreu, A., Jimenez, A., Vidal, J. et al. Bariatric Support Groups Predicts Long-term Weight Loss. OBES SURG (2020). https://doi.org/10.1007/s11695-020-04434-2

Download citation

Keywords

  • Bariatric surgery
  • Weight loss
  • Peer support
  • Multidisciplinary team