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Published in: Obesity Surgery 10/2013

01-10-2013 | New Concept

Adherence and Weight Loss Outcomes in Bariatric Surgery: Does Cognitive Function Play a Role?

Authors: Rachel Galioto, John Gunstad, Leslie J. Heinberg, Mary Beth Spitznagel

Published in: Obesity Surgery | Issue 10/2013

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Abstract

Although bariatric surgery is the most effective intervention for severe obesity, a significant minority of participants fail to achieve or maintain optimal weight loss at extended follow-up. Accumulating evidence suggests that adherence to prescribed postoperative recommendations, including attendance at follow-up appointments and dietary and physical activity, is related to improved weight loss outcomes. However, adherence to these guidelines presents a significant challenge for many patients, potentially due in part to deficits in cognitive function. In this paper, we briefly examine current literature of adherence on postoperative weight loss outcomes, and review emerging evidence that the cognitive dysfunction present in a subset of obese individuals is related to weight loss outcomes following bariatric procedures. We then extend these findings, positing a role for cognitive function in moderating the relationship between adherence and postoperative outcomes.
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Metadata
Title
Adherence and Weight Loss Outcomes in Bariatric Surgery: Does Cognitive Function Play a Role?
Authors
Rachel Galioto
John Gunstad
Leslie J. Heinberg
Mary Beth Spitznagel
Publication date
01-10-2013
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2013
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-013-1060-6

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