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Open Access 03-01-2024 | Bariatric Surgery | Original Contributions

Positive Program Evaluation and Health Maintenance among Post-Metabolic and Bariatric Surgery Patients Following a 6-Week Pilot Program

Authors: Sydney McIntosh, Madison Hayes, Makenzie L. Barr-Porter

Published in: Obesity Surgery | Issue 2/2024

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Abstract

Purpose

Despite lifestyle changes and medication therapies, weight loss is difficult to maintain. Metabolic and bariatric surgery (MBS) is an effective route for significant weight reduction. However, post-operation there are limited opportunities to support weight loss maintenance. The following study aimed to pilot test a 6-week, 6-session nutrition and support program for post-MBS surgery patients.

Materials and Methods

A 6-week post-MBS pilot nutrition and support program was developed to test feasibility and acceptability. Participants completed a baseline survey that included demographics, weight changes, success post-surgery, and self-efficacy of leading a healthy lifestyle. Weight change, percent total weight loss, self-efficacy, and program evaluation measures were assessed.

Results

Participants (n = 18) were recruited from a local MBS clinic, predominately female (88.9%), non-Hispanic white (94.4%), received sleeve gastrectomy surgery (100%), and were 2–3 years post-operation (44.4%). Eight of the 18 participants attended the in-person sessions, serving as the intervention group. Both weight loss over and behavioral variables remained stable for both groups across the 6 weeks with no significant differences from pre to post program (p > 0.05). For program evaluation, intervention participants “agreed” or “strongly agreed” with 10 of 11 program satisfaction measures.

Conclusion

Following the program, weight loss was maintained among both intervention and control groups. Intervention feedback indicated that the program’s approach to provide nutrition education and support was successful and acceptable. Future enhancement of the intervention should include a broader multidisciplinary approach, longer intervention period, and intentional recruitment of participants with a weight regain.

Graphical Abstract

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Metadata
Title
Positive Program Evaluation and Health Maintenance among Post-Metabolic and Bariatric Surgery Patients Following a 6-Week Pilot Program
Authors
Sydney McIntosh
Madison Hayes
Makenzie L. Barr-Porter
Publication date
03-01-2024
Publisher
Springer US
Published in
Obesity Surgery / Issue 2/2024
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-023-07013-3
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