Skip to main content
Top
Published in: Obesity Surgery 11/2011

01-11-2011 | Allied Care

Influence of Activity Levels and Energy Intake on Percent Excess Weight Loss After Roux-en-Y Gastric Bypass

Authors: Steven Forbush, Leah Nof, John Echternach, Cheryl Hill, Jacquie Rainey

Published in: Obesity Surgery | Issue 11/2011

Login to get access

Abstract

Background

Gastric bypass is a successful medical intervention for weight loss for obesity. Weight loss is substantial after this surgery. Predictors of the most successful weight loss are not yet fully known. The purpose of this study was to define variables that improve percent excess weight loss (%EWL) in this post-surgical population.

Methods

All patients who underwent the Roux-en-Y gastric bypass (RYGB) during the 5 years preceding the study in one surgical practice (n = 805; respondents = 265; 33%) received the Arizona Activity Frequency Questionnaire and the Arizona Food Frequency Questionnaire. Analysis through ANOVA testing to determine relationships between selected behaviors and %EWL was performed.

Results

Comparisons of differences in mean %EWL were analyzed using the variables of energy consumption/day (energy consumption), hours of activity/day (hours in activity), and energy expended in activity/day (energy expended). Patients with more energy expended, and hours in activity demonstrated significantly better %EWL (p = 0.05) when compared to those with less energy expended or hours in activity. Reported energy consumption did not significantly influence %EWL in this study.

Conclusions

This research suggests that in this sample of post-RYGB patients, energy expended in activity, as either energy expended or hours in activity improved their %EWL over those persons not expending as much energy in activity. Increasing the hours in activity improved the maintenance of %EWL in these respondents. Energy consumption did not have a statistically significant effect on %EWL or maintenance of %EWL in these subjects.
Literature
1.
go back to reference Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142(7):547–59.PubMed Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142(7):547–59.PubMed
2.
go back to reference Picot J, Jones J, Colquitt JL, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health technology assessment (Winchester, England). 2009;13(41):1–190, 215–357, iii–iv. Picot J, Jones J, Colquitt JL, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health technology assessment (Winchester, England). 2009;13(41):1–190, 215–357, iii–iv.
3.
go back to reference Frutos MD, Lujan J, Hernandez Q, et al. Results of laparoscopic gastric bypass in patients > or =55 years old. Obes Surg. 2006;16(4):461–4.PubMedCrossRef Frutos MD, Lujan J, Hernandez Q, et al. Results of laparoscopic gastric bypass in patients > or =55 years old. Obes Surg. 2006;16(4):461–4.PubMedCrossRef
4.
go back to reference Welch G, Wesolowski C, Piepul B, et al. Physical activity predicts weight loss following gastric bypass surgery: findings from a support group survey. Obes Surg. 2008;18(5):517–24.PubMedCrossRef Welch G, Wesolowski C, Piepul B, et al. Physical activity predicts weight loss following gastric bypass surgery: findings from a support group survey. Obes Surg. 2008;18(5):517–24.PubMedCrossRef
5.
go back to reference Bond DS, Phelan S, Wolfe LG, et al. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity (Silver Spring Md). 2009;17(1):78–83.CrossRef Bond DS, Phelan S, Wolfe LG, et al. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity (Silver Spring Md). 2009;17(1):78–83.CrossRef
6.
go back to reference Kolotkin RL, Crosby RD, Gress RE, et al. Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls. Surg Obes Relat Dis. 2009;5(2):250–6.PubMedCrossRef Kolotkin RL, Crosby RD, Gress RE, et al. Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls. Surg Obes Relat Dis. 2009;5(2):250–6.PubMedCrossRef
7.
go back to reference Shah M, Simha V, Garg A. Review: long-term impact of bariatric surgery on body weight, comorbidities, and nutritional status. J Clin Endocrinol Metab. 2006;91(11):4223–31.PubMedCrossRef Shah M, Simha V, Garg A. Review: long-term impact of bariatric surgery on body weight, comorbidities, and nutritional status. J Clin Endocrinol Metab. 2006;91(11):4223–31.PubMedCrossRef
8.
go back to reference Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683–93.PubMedCrossRef Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683–93.PubMedCrossRef
9.
go back to reference Bond DS, Evans RK, Wolfe LG, et al. Impact of self-reported physical activity participation on proportion of excess weight loss and BMI among gastric bypass surgery patients. Am Surg. 2004;70(9):811–4.PubMed Bond DS, Evans RK, Wolfe LG, et al. Impact of self-reported physical activity participation on proportion of excess weight loss and BMI among gastric bypass surgery patients. Am Surg. 2004;70(9):811–4.PubMed
10.
go back to reference Batsis JA, Clark MM, Grothe K, et al. Self-efficacy after bariatric surgery for obesity. A population-based cohort study. Appetite. 2009;52(3):637–45.PubMedCrossRef Batsis JA, Clark MM, Grothe K, et al. Self-efficacy after bariatric surgery for obesity. A population-based cohort study. Appetite. 2009;52(3):637–45.PubMedCrossRef
11.
go back to reference Batsis JA, Lopez-Jimenez F, Collazo-Clavell ML, et al. Quality of life after bariatric surgery: a population-based cohort study. Am J Med. 2009;122(11):1055. e1–e10.PubMedCrossRef Batsis JA, Lopez-Jimenez F, Collazo-Clavell ML, et al. Quality of life after bariatric surgery: a population-based cohort study. Am J Med. 2009;122(11):1055. e1–e10.PubMedCrossRef
12.
go back to reference Bond DS, Evans RK, DeMaria E, et al. Physical activity and quality of life improvements before obesity surgery. Am J Health Behav. 2006;30(4):422–34.PubMed Bond DS, Evans RK, DeMaria E, et al. Physical activity and quality of life improvements before obesity surgery. Am J Health Behav. 2006;30(4):422–34.PubMed
13.
go back to reference Hager C. Quality of life after Roux-en-Y gastric bypass surgery. AORN J. 2007;85(4):768, 70–5, 77–8. Hager C. Quality of life after Roux-en-Y gastric bypass surgery. AORN J. 2007;85(4):768, 70–5, 77–8.
14.
go back to reference Odom J, Zalesin KC, Washington TL, et al. Behavioral predictors of weight regain after bariatric surgery. Obes Surg. 2010;20(3):349–56.PubMedCrossRef Odom J, Zalesin KC, Washington TL, et al. Behavioral predictors of weight regain after bariatric surgery. Obes Surg. 2010;20(3):349–56.PubMedCrossRef
16.
go back to reference Martinez ME, Marshall JR, Graver E, et al. Reliability and validity of a self-administered food frequency questionnaire in a chemoprevention trial of adenoma recurrence. Cancer Epidemiol Biomark Prev. 1999;8(10):941–6. Martinez ME, Marshall JR, Graver E, et al. Reliability and validity of a self-administered food frequency questionnaire in a chemoprevention trial of adenoma recurrence. Cancer Epidemiol Biomark Prev. 1999;8(10):941–6.
17.
go back to reference Staten LK, Taren DL, Howell WH, et al. Validation of the Arizona Activity Frequency Questionnaire using doubly labeled water. Med Sci Sports Exerc. 2001;33(11):1959–67.PubMedCrossRef Staten LK, Taren DL, Howell WH, et al. Validation of the Arizona Activity Frequency Questionnaire using doubly labeled water. Med Sci Sports Exerc. 2001;33(11):1959–67.PubMedCrossRef
18.
go back to reference Thompson FE, Kipnis V, Subar AF, et al. Evaluation of 2 brief instruments and a food-frequency questionnaire to estimate daily number of servings of fruit and vegetables. Am J Clin Nutr. 2000;71(6):1503–10.PubMed Thompson FE, Kipnis V, Subar AF, et al. Evaluation of 2 brief instruments and a food-frequency questionnaire to estimate daily number of servings of fruit and vegetables. Am J Clin Nutr. 2000;71(6):1503–10.PubMed
19.
go back to reference Natarajan L, Pu M, Fan J, et al. Measurement error of dietary self-report in intervention trials. Am J Epidemiol. 2010;172(7):819–27.PubMedCrossRef Natarajan L, Pu M, Fan J, et al. Measurement error of dietary self-report in intervention trials. Am J Epidemiol. 2010;172(7):819–27.PubMedCrossRef
20.
go back to reference Association of Life Insurance Medical Directors of America, Society of Actuaries. Build study, 1979. Chicago: Society of Actuaries and Association of Life Insurance Medical Directors of America; 1980. Association of Life Insurance Medical Directors of America, Society of Actuaries. Build study, 1979. Chicago: Society of Actuaries and Association of Life Insurance Medical Directors of America; 1980.
21.
go back to reference Bond DS, Phelan S, Leahey TM, et al. Weight-loss maintenance in successful weight losers: surgical vs non-surgical methods. Int Journal Obesity (2005). 2009;33(1):173–80.CrossRef Bond DS, Phelan S, Leahey TM, et al. Weight-loss maintenance in successful weight losers: surgical vs non-surgical methods. Int Journal Obesity (2005). 2009;33(1):173–80.CrossRef
22.
go back to reference Evans RK, Bond DS, Wolfe LG, et al. Participation in 150 min/wk of moderate or higher intensity physical activity yields greater weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2007;3(5):526–30.PubMedCrossRef Evans RK, Bond DS, Wolfe LG, et al. Participation in 150 min/wk of moderate or higher intensity physical activity yields greater weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2007;3(5):526–30.PubMedCrossRef
23.
go back to reference Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 2nd ed. Upper Saddle River: Prentice Hall Health; 2000. Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 2nd ed. Upper Saddle River: Prentice Hall Health; 2000.
24.
go back to reference Greer TV, Chuchinprakarn R, Sheshadri S. Likelihood of participating in mail survey research. Ind Mark Manag. 2000;29:97–109.CrossRef Greer TV, Chuchinprakarn R, Sheshadri S. Likelihood of participating in mail survey research. Ind Mark Manag. 2000;29:97–109.CrossRef
25.
go back to reference Evans RK, Bond DS, Demaria EJ, et al. Initiation and progression of physical activity after laparoscopic and open gastric bypass surgery. Surg Innov. 2004;11(4):235–9.PubMedCrossRef Evans RK, Bond DS, Demaria EJ, et al. Initiation and progression of physical activity after laparoscopic and open gastric bypass surgery. Surg Innov. 2004;11(4):235–9.PubMedCrossRef
26.
go back to reference O'Brien P. Is weight loss more successful after gastric bypass than gastric banding for obese patients? Nat Clinical Pract Gastroenterol Hepatol. 2009;6(3):136–7.CrossRef O'Brien P. Is weight loss more successful after gastric bypass than gastric banding for obese patients? Nat Clinical Pract Gastroenterol Hepatol. 2009;6(3):136–7.CrossRef
27.
go back to reference Silver HJ, Torquati A, Jensen GL, et al. Weight, dietary and physical activity behaviors two years after gastric bypass. Obes Surg. 2006;16(7):859–64.PubMedCrossRef Silver HJ, Torquati A, Jensen GL, et al. Weight, dietary and physical activity behaviors two years after gastric bypass. Obes Surg. 2006;16(7):859–64.PubMedCrossRef
28.
go back to reference Suter M, Calmes JM, Paroz A, et al. Results of Roux-en-Y gastric bypass in morbidly obese vs superobese patients: similar body weight loss, correction of comorbidities, and improvement of quality of life. Arch Surg. 2009;144(4):312–8. discussion 8.PubMedCrossRef Suter M, Calmes JM, Paroz A, et al. Results of Roux-en-Y gastric bypass in morbidly obese vs superobese patients: similar body weight loss, correction of comorbidities, and improvement of quality of life. Arch Surg. 2009;144(4):312–8. discussion 8.PubMedCrossRef
29.
go back to reference Vansant G, Hulens M. The assessment of dietary habits in obese women: influence of eating behavior patterns. Eat Disord. 2006;14(2):121–9.PubMedCrossRef Vansant G, Hulens M. The assessment of dietary habits in obese women: influence of eating behavior patterns. Eat Disord. 2006;14(2):121–9.PubMedCrossRef
30.
go back to reference Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36(5):936–42.PubMed Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36(5):936–42.PubMed
31.
go back to reference Block G, Subar AF. Estimates of nutrient intake from a food frequency questionnaire: the 1987 National Health Interview Survey. J Am Diet Assoc. 1992;92(8):969–77.PubMed Block G, Subar AF. Estimates of nutrient intake from a food frequency questionnaire: the 1987 National Health Interview Survey. J Am Diet Assoc. 1992;92(8):969–77.PubMed
32.
go back to reference Burns KJ, Froman RD. Refinement of the Habitual Physical Activity Index for use with American adults. J Nurs Meas. 1997;5(1):17–32.PubMed Burns KJ, Froman RD. Refinement of the Habitual Physical Activity Index for use with American adults. J Nurs Meas. 1997;5(1):17–32.PubMed
Metadata
Title
Influence of Activity Levels and Energy Intake on Percent Excess Weight Loss After Roux-en-Y Gastric Bypass
Authors
Steven Forbush
Leah Nof
John Echternach
Cheryl Hill
Jacquie Rainey
Publication date
01-11-2011
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 11/2011
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-011-0450-x

Other articles of this Issue 11/2011

Obesity Surgery 11/2011 Go to the issue