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Noncompliance "pervasive" following obesity surgery
Noncompliance "pervasive" following obesity surgery -- Posted by Sweet Zombie Jesus! on 06-13-05 08:28
BACKGROUND: Bariatric surgery has been increasingly utilized for
treatment of severe obesity. Although initial weight loss following
surgery is almost completely assured, little is known about long-term
out-come and patient compliance with post-surgical behavioral
recommendations for diet and exercise that would improve outcome. The
purpose of this study was to examine the rate of noncompliance with
behavioral recommendations and to identify the incidence of
psychological concerns following bariatric surgery.
METHOD: Subjects were identified from an active clinical data-base of
prospective clinical follow-up of all bariatric surgery patients. 100
consecutive patients who underwent Roux-en-Y gastric bypass were
identified, and a chart review was conducted at 6 and 12 months
postoperatively to gather demographic data and identify the prevalence
of noncompliance identified in monthly follow-up visits. Also, patients
were asked about depression, relationship/sexual concerns, and medical
complications.RESULTS: 81 women and 19 men were followed for 1 year.
The majority of patients reported noncompliance in at least one area,
with lack of exercise and snacking being most frequently cited (41%,
37% respectively overall). Most patients were compliant with eating
protein first and avoiding sodas. At 12 months follow-up, 12% reported
depression, 4% reported sexual concerns and 2% reported relationship
problems. Also, 9% reported having experienced some medical
complication related to their surgery.
CONCLUSION: Noncompliance with behavioral recommendations is pervasive
following bariatric surgery, with lack of exercise being the most
likely area of noncompliance. Because of the importance of compliance
with behavioral recommendations for the successful outcome of bariatric
surgery, further research is warranted to further clarify the factors
that impact long-term outcome and to design interventions to improve
compliance.
Obes Surg. 2005 Apr;15(4):546-51. Noncompliance with behavioral
recommendations following bariatric surgery.Elkins G, Whitfield P,
Marcus J, Symmonds R, Rodriguez J, Cook T.Departments of Psychiatry and
Behavioral Sciences, Scott and White Memorial Hospital and Clinic;
Scott, Sherwood and Brindley Foundation, Temple, TX, USA.
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