Success After Roux-en-Y Gastric Bypass: Psychosocial, Behavioral Factors
Motivational Factors Predict Greater Weight Reduction After Roux-en-Y Stomach Bypass
| Bariatric Surgery information Success After Roux-en-Y Gastric Bypass: Psychosocial, Behavioral Factors |
Motivational Factors Predict Greater Weight Reduction After Roux-en-Y Stomach Bypass |
|
Weight Loss Surgery Information - Bariatric Research Studies |
Predicting success after Roux-en-Y gastric
bypass:
|
Method
A bariatric database has been maintained since 1994. Beginning in April 1997, patients completed preoperative and annual postoperative questionnaires that collected an array of psychosocial information. We hypothesized that certain attributes are predictive of success after surgery.
Results
Of the 243 patients in our database, 181 enrolled after 1997. A total of 149 were seen for follow-up at 1 year. Life Experiences Survey (LES) scores and sexual satisfaction improved significantly. Perceived obesity-related health problems, motivation unrelated to social distress about obesity, a Sense of Coherence (SOC) score >110, and an LES score <-1 each independently predicted better weight loss. A history of sexual abuse correlated with poorer weight loss. Patients with more confidants, multiple previous dieting attempts, and greater anticipated postoperative diet-related stress tended toward better weight loss, but these data did not reach significance.
Conclusion
Intrinsic motivational factors appear to predict greater weight loss after surgery. Ongoing follow-up will help determine the utility of preoperative evaluations and the role of preoperative intervention in those with poor predictive factors.
Source:
Ray EC, Nickels MW, Sayeed S, Sax HC. Department of Surgery, University
of Rochester, School of Medicine and Dentistry, 601 Elmwood Avenue, Rochester,
NY 14642, USA. 2003