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01-01-2012 | Clinical Research

Preoperative Predictors of Weight Loss Following Bariatric Surgery: Systematic Review

Authors: Masha Livhits, Cheryl Mercado, Irina Yermilov, Janak A. Parikh, Erik Dutson, Amir Mehran, Clifford Y. Ko, Melinda Maggard Gibbons

Published in: Obesity Surgery | Issue 1/2012

Abstract

Background

Obesity affects 32% of adults in the USA. Surgery generates substantial weight loss, but 20–30% fails to achieve successful weight loss. Our objective was to identify preoperative psychosocial factors associated with weight loss following bariatric surgery.

Methods

We performed a literature search of PubMed® and the Cochrane Database of Reviews of Effectiveness between 1988 and April 2010. Articles were screened for bariatric surgery and weight loss if they included a preoperative predictor of weight loss: body mass index (BMI), preoperative weight loss, eating disorders, or psychiatric disorder/substance abuse. One thousand seven titles were reviewed, 534 articles screened, and 115 included in the review.

Results

Factors that may be positively associated with weight loss after surgery include mandatory preoperative weight loss (7 of 14 studies with positive association). Factors that may be negatively associated with weight loss include preoperative BMI (37 out of 62 studies with negative association), super-obesity (24 out of 33 studies), and personality disorders (7 out of 14 studies). Meta-analysis revealed a decrease of 10.1% excess weight loss (EWL) for super-obese patients (95% confidence interval (CI) [3.7–16.5%]), though there was significant heterogeneity in the meta-analysis, and an increase of 5.9% EWL for patients with binge eating at 12 months after surgery (95% CI [1.9–9.8%]).

Conclusions

Further studies are necessary to investigate whether preoperative factors can predict a clinically meaningful difference in weight loss after bariatric surgery. The identification of predictive factors may improve patient selection and help develop interventions targeting specific needs of patients.

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Title: Preoperative Predictors of Weight Loss Following Bariatric Surgery: Systematic Review
Authors: Masha Livhits
Cheryl Mercado
Irina Yermilov
Janak A. Parikh
Erik Dutson
Amir Mehran
Clifford Y. Ko
Melinda Maggard Gibbons
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: Obesity Surgery / Issue 1/2012
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-011-0472-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Preoperative Predictors of Weight Loss Following Bariatric Surgery: Systematic Review

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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