The nature of expectations of bariatric surgery in patients during the pre ‐ and post‐operative period: A unicentric, qualitative study of patient perspectives
This study aimed to describe the nature of patients' general expectations of BS during the pre-surgical period, and how patients determined whether their expectations and WL goals (WLGs) were realistic. The extent to which patients' expectations and WLGs were met and/or changed during the post-surgical period was also assessed. Semi-structured interviews were conducted with 15 preoperative patients recruited approximately 6-months before surger y. Focus groups were also conducted with 14 post-operative patients recruited approximately 6-months after surgery. Interviews and focus groups were audio-recorded, transcribed verb...
Source: Clinical Obesity - September 11, 2023 Category: Eating Disorders & Weight Management Authors: Li Anne Mercier,
Annabelle Fortin,
Ess é Julien Atto,
Kim L. Lavoie Tags: ORIGINAL RESEARCH Source Type: research
Issue Information
(Source: Clinical Obesity)
Source: Clinical Obesity - September 8, 2023 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research
Developmental trajectory of appetitive traits and their bidirectional relations with body mass index from infancy to early childhood
SummaryAppetitive traits, including food responsiveness, enjoyment of food, satiety responsiveness and slowness in eating, are associated with childhood body mass index. Change in appetitive traits from infancy to childhood and the direction of causality between appetitive traits and body mass index are unclear. The present study examined the developmental trajectory of appetitive traits and their bidirectional relations with body mass index, from infancy to early childhood. Mothers in the Pregnancy Eating Attributes Study and follow-up (n = 162) reported child appetitive traits using the Baby and Child Eating Behaviou...
Source: Clinical Obesity - September 6, 2023 Category: Eating Disorders & Weight Management Authors: Jenna R. Cummings,
Leah M. Lipsky,
Myles S. Faith,
Tonja R. Nansel Tags: ORIGINAL RESEARCH Source Type: research
What is the role of psychology in bariatric surgery? A survey of the differing views of psychologists, the multidisciplinary team, and patients in the UK
SummaryAlthough psychologists are a key member of the bariatric multidisciplinary team (MDT), there is a lack of clarity about the specific remit of their role. This exploratory study was conducted to identify differences, priorities and clarify how the role of psychology is perceived in the United Kingdom. We conducted surveys of three major stakeholder groups (psychologists, patients, and the bariatric multidisciplinary team) which focused on their perception of psychology in bariatric surgery. The results showed that in UK bariatric services, psychologists are spending the majority of their clinical time providing pre-o...
Source: Clinical Obesity - August 30, 2023 Category: Eating Disorders & Weight Management Authors: Denise Ratcliffe,
Esme Banting Tags: ORIGINAL RESEARCH Source Type: research
Long ‐term weight outcomes in patients treated with liraglutide 3.0 mg in real‐world clinical practice
In conclusion, in patients with clinical obesity treated with liraglutide 3.0 mg in a real-world clinical setting, fat mass loss was associated with weight regain. Whilst weight regain occurred on average, the magnitude was less than that observed in patients treated with lifestyle al one and weight loss remained clinically significant for most patients. (Source: Clinical Obesity)
Source: Clinical Obesity - August 25, 2023 Category: Eating Disorders & Weight Management Authors: Andrew Grannell,
Werd Al ‐Najim,
Carel Roux Tags: ORIGINAL RESEARCH Source Type: research
Long ‐term impact of gastropexy on use of acid‐reducing medication, second operations for gastroesophageal reflux and subjective reflux symptoms after sleeve gastrectomy
SummaryWe investigated whether adding gastropexy to sleeve gastrectomy (SG) reduced gastroesophageal reflux disease (GERD) in patients operated for severe obesity, assessed mainly by use of anti-reflux medication (ARM) and second operations due to GERD worsening. In a prospective non-randomized study, patients undergoing SG at two Norwegian hospitals were included from 2011 to 2015 and followed for 7 years. GERD was defined by regular use of ARM, and epigastric pain and heartburn were measured by the Rome II questionnaire. Gastropexy was done by suturing the gastrocolic ligament to the staple line. Patients undergoing S...
Source: Clinical Obesity - August 16, 2023 Category: Eating Disorders & Weight Management Authors: Tone Nygaard Fl ølo,
Alexander Fosså,
Jonas Ingolf Petersson Nedkvitne,
Jo Erling Riise Waage,
Magne Rekdal,
Simon Nitter Dankel,
Johan Fernø,
Gunnar Mellgren,
Bjørn Gunnar Nedrebø Tags: ORIGINAL RESEARCH Source Type: research
The use of non ‐invasive brain stimulation techniques to reduce body weight and food cravings: A systematic review and meta‐analysis
SummarySeveral studies demonstrated non-invasive brain stimulation (NIBS) techniques such as transcranial direct current stimulation (tDCS) and transcranial magnetic stimulation (TMS) are safe and simple techniques that can reduce body weight, food cravings, and food consumption in patients with obesity. However, a systematic to evaluate the efficacy of active NIBS versus sham stimulation in reducing body weight and food cravings in patients with obesity is not available. We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) using PubMed, Embase, MEDLINE, and Cochrane Central Register of...
Source: Clinical Obesity - August 15, 2023 Category: Eating Disorders & Weight Management Authors: Yousef Abdullah Alhindi,
Najat Khalifa,
Waleed Al ‐Khyatt,
Iskandar Idris Tags: REVIEW Source Type: research
Medical students' perceived comfort and competence performing physical examinations on patients with obesity: A mixed ‐methods needs assessment
SummaryPhysicians are unsatisfied with their training in the care of patients with obesity. Physical examination is a key component of care, and modifications to techniques are often necessary for patients with obesity. To determine learning needs, we examined medical students' perceived comfort and competency in conducting physical examinations on patients with obesity. This mixed-methods study of Canadian medical students used a questionnaire and semi-structured focus groups to assess medical students' perceived comfort and competence in examining patients with obesity. Participants included 175 Canadian medical students...
Source: Clinical Obesity - August 10, 2023 Category: Eating Disorders & Weight Management Authors: Christine B. Tenedero,
Kathleen T. O'Brien,
Barkha P. Patel,
Michele Strom,
Arin C. Deveci,
Lisa Chu,
Sanasi Jayawardena,
Rebecca Noseworthy,
Amy C. McPherson,
Catharine M. Walsh,
Jill K. Hamilton Tags: ORIGINAL RESEARCH Source Type: research
Shedding light on eye disease in obesity: A review
SummaryObesity is known to be associated with numerous ocular manifestations, including but not limited to, diabetic retinopathy (DR), age-related macular degeneration (AMD), cataracts, glaucoma, and dry eye disease. This review aims to provide an overview of the ophthalmological findings in obesity. A literature search was conducted using PubMed and Cochrane databases for studies describing randomized clinical trials, meta-analyses, systematic reviews, and observational studies published from 1 January 2017 to 1 April 2023. The search terms used included relevant keywords such as ‘obesity’, ‘body mass index’, ‘w...
Source: Clinical Obesity - August 3, 2023 Category: Eating Disorders & Weight Management Authors: Shravika Lam,
Jennifer Lindsey,
Barbara Gisella Carranza Leon,
Sahar Takkouche Tags: REVIEW Source Type: research
Rethinking family ‐based obesity treatment
SummaryEmerging research in paediatric obesity has demonstrated that parental involvement in the weight management process can improve weight outcomes in children. Recent guidelines by the American Academy of Pediatrics note the importance of parent and family involvement in treatment. However, it is currently unknown if including the entire family in obesity treatment can supersede outcomes associated with participation of only one parent. Family Systems Theory (FST) provides the theoretical foundation for examining one's healthy behaviours as they exist within the context of their family, defined by family dynamics. This...
Source: Clinical Obesity - August 3, 2023 Category: Eating Disorders & Weight Management Authors: Joseph A. Skelton,
Mara Vitolins,
Keeley J. Pratt,
Leila Hamzi DeWitt,
Sally G. Eagleton,
Callie Brown Tags: REVIEW Source Type: research
Moving beyond eat less, move more using willpower: Reframing obesity as a chronic disease impact of the 2020 Canadian obesity guidelines reframed narrative on perceptions of self and the patient –provider relationship
This study evaluated the impact of revising this narrative, to viewing obesity as a treatable medical condition, on internalized weight bias and perceived patient –provider relationship. PwO were recruited into an online study in which two videos were presented; the first showing a traditional doctor endorsing the eat less, move more approach, and the second showing a doctor describing obesity as a treatable medical condition. After each video participants were asked to imagine that they were being treated by that doctor and completed the Weight Bias Internalization Scale (WBIS) and the Patient–Health Care Provider Com...
Source: Clinical Obesity - July 31, 2023 Category: Eating Disorders & Weight Management Authors: Sara English,
Michael Vallis Tags: ORIGINAL RESEARCH Source Type: research
Creating an appetite awareness and lifestyle modification intervention for Black women at risk for binge eating disorder: A pilot open trial
SummaryDespite the availability of evidence-based interventions to improve binge eating, Black women have some of the lowest rates of access to care for eating disorders. Innovation is needed to offer accessible and culturally relevant treatment options. To this end, using an open trial design, we investigated the feasibility and acceptability of a group-based, appetite awareness training (AAT) + lifestyle modification (LM) programme in Black women at risk for BED in a primary care setting. Participants (n = 20) were Black women recruited from a family medicine centre affiliated with a local public university, and...
Source: Clinical Obesity - July 28, 2023 Category: Eating Disorders & Weight Management Authors: Rachel W. Goode,
Anna Bardone ‐Cone,
Stephanie Wilhoit‐Reeves,
Lesley Williams,
Hannah Malian,
Danielle Coan,
Taylor Noem,
Deborah F. Tate Tags: ORIGINAL RESEARCH Source Type: research
Issue Information
(Source: Clinical Obesity)
Source: Clinical Obesity - July 17, 2023 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research
Use of medications associated with weight change among participants in the All of Us research programme
SummaryOur objective was to describe the use of medications associated with weight change among US adults with overweight/obesity, including anti-obesity medications (AOMs), weight-loss-promoting and weight-gain-promoting medications. We performed a cross-sectional analysis of data from the nationwideAll of Us Research Programme. We included adults with measured body mass index (BMI) ≥ 27 kg/m2 enrolled between 2018 and 2022 across the United States. We used linked electronic health record data to determine medication use ±12 months of BMI measure. Our 132 057 participants had mean age 54 years and mean BMI...
Source: Clinical Obesity - July 17, 2023 Category: Eating Disorders & Weight Management Authors: Erik Almazan,
Jessica L. Schwartz,
Kimberly A. Gudzune Tags: ORIGINAL RESEARCH Source Type: research
Complementary elements of support after gastric ‐bypass surgery perceived by adults with previous type 2 diabetes: A qualitative study 2 years after bariatric surgery
This study therefore aimed to investigate how adults with previous T2DM perceived different sources of support 2 years after bariatric surgery. In this qualitative study, individual interviews were conducted with 13 adults (10 women) 2 years after surgery. Using thematic analysis, one overarching theme (compiling complementary elements of support after gastric-bypass surgery), four themes and nine subthem es emerged. The results show that support was given and received from various sources, support needs varied over time depending on where the patient was in the process and that the sources of support were complementa...
Source: Clinical Obesity - July 11, 2023 Category: Eating Disorders & Weight Management Authors: Eva Randell,
Petros Katsogiannos,
Janeth Leksell,
Jan W. Eriksson,
Magnus Sundbom,
Maria Svedbo Engstr öm Tags: ORIGINAL RESEARCH Source Type: research
