Skip to main content
Top
Published in: Obesity Surgery 5/2016

01-05-2016 | New Concept

Perioperative Online Weight Monitoring in Bariatric Surgery with a Digital Internet-Connected Scale

Authors: Mark Tenhagen, Gabriëlle H. van Ramshorst, Ahmet Demirkiran, Michiel A. J. M. Hunfeld, Huib A. Cense

Published in: Obesity Surgery | Issue 5/2016

Login to get access

Abstract

Introduction

Strict follow-up after bariatric surgery is an important factor in achieving and maintaining weight loss, whereas regaining weight is the most important threat in long-term follow-up. Stagnation in weight loss or weight regain can be signals of early treatment failure. The aim of this study is to assess the possibility of obtaining frequent objective weight measurements using an Internet-connected home weighing scale.

Methods

Internet-connected home weighing scales were used to perform weekly follow-up in bariatric surgery patients during the first postoperative year. For each patient, weight measurements were registered and excess body weight loss was calculated. This follow-up method was deemed successful if weight measurements were available for 80 % of all weeks in the first year.

Results

A total of 14 patients started the protocol. Seven patients (50 %) performed weekly weight measurements for at least 80 % of all weeks in the first year. One-year follow-up was available for 11 patients. Excess weight loss was >50 % in nine (82 %) of these patients and >40 % in the remaining two.

Conclusions

Using an Internet-connected weighing scale at home is feasible in postsurgery bariatric patients. It can provide the treating physicians with valuable information about weight loss over time. This could possibly offer opportunities for timely interventions during follow-up in case of insufficient weight loss or weight regain.
Literature
1.
go back to reference Shuster MH, Vázquez JA. Nutritional concerns related to Roux-en-Y gastric bypass: what every clinician needs to know. Crit Care Nurs Q. 2005;28:227–60.CrossRefPubMed Shuster MH, Vázquez JA. Nutritional concerns related to Roux-en-Y gastric bypass: what every clinician needs to know. Crit Care Nurs Q. 2005;28:227–60.CrossRefPubMed
2.
3.
go back to reference Christou NV, Sampalis JS, Liberman M, et al. Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg. 2004;240:416–23. discussion 423–4.CrossRefPubMedPubMedCentral Christou NV, Sampalis JS, Liberman M, et al. Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg. 2004;240:416–23. discussion 423–4.CrossRefPubMedPubMedCentral
4.
go back to reference Frank P, Crookes PF. Short- and long-term surgical follow-up of the postbariatric surgery patient. Gastroenterol Clin N Am. 2010;39:135–46.CrossRef Frank P, Crookes PF. Short- and long-term surgical follow-up of the postbariatric surgery patient. Gastroenterol Clin N Am. 2010;39:135–46.CrossRef
5.
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;91:4223–31.CrossRefPubMed 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;91:4223–31.CrossRefPubMed
6.
go back to reference Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Surg Obes Relat Dis. 2013;9:159–91.CrossRefPubMed Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Surg Obes Relat Dis. 2013;9:159–91.CrossRefPubMed
7.
go back to reference Bourron O, Ciangura C, Bouillot JL, et al. Amiodarone-induced hyperthyroidism during massive weight loss following gastric bypass. Obes Surg. 2007;17:1525–8.CrossRefPubMed Bourron O, Ciangura C, Bouillot JL, et al. Amiodarone-induced hyperthyroidism during massive weight loss following gastric bypass. Obes Surg. 2007;17:1525–8.CrossRefPubMed
8.
go back to reference Ziegler O, Sirveaux MA, Brunaud L, et al. Medical follow-up after bariatric surgery: nutritional and drug issues. General recommendations for the prevention and treatment of nutritional deficiencies. Diabetes Metab. 2009;35:544–57.CrossRefPubMed Ziegler O, Sirveaux MA, Brunaud L, et al. Medical follow-up after bariatric surgery: nutritional and drug issues. General recommendations for the prevention and treatment of nutritional deficiencies. Diabetes Metab. 2009;35:544–57.CrossRefPubMed
9.
go back to reference Linde JA, Jeffery RW, French SA, et al. Self-weighing in weight gain prevention and weight loss trials. Ann Behav Med. 2005;30:210–6.CrossRefPubMed Linde JA, Jeffery RW, French SA, et al. Self-weighing in weight gain prevention and weight loss trials. Ann Behav Med. 2005;30:210–6.CrossRefPubMed
10.
go back to reference McGuire MT, Wing RR, Klem ML, et al. Behavioral strategies of individuals who have maintained long-term weight losses. Obes Res. 1999;7:334–41.CrossRefPubMed McGuire MT, Wing RR, Klem ML, et al. Behavioral strategies of individuals who have maintained long-term weight losses. Obes Res. 1999;7:334–41.CrossRefPubMed
11.
go back to reference VanWormer JJ, Martinez AM, Martinson BC, et al. Self-weighing promotes weight loss for obese adults. Am J Prev Med. 2009;36:70–3.CrossRefPubMed VanWormer JJ, Martinez AM, Martinson BC, et al. Self-weighing promotes weight loss for obese adults. Am J Prev Med. 2009;36:70–3.CrossRefPubMed
12.
go back to reference Van Wormer JJ, Martinez AM, Cosentino D, et al. Satisfaction with a weight loss program: what matters? Am J Health Promot. 2010;24:238–45.CrossRef Van Wormer JJ, Martinez AM, Cosentino D, et al. Satisfaction with a weight loss program: what matters? Am J Health Promot. 2010;24:238–45.CrossRef
13.
go back to reference Odom J, Zalesin KC, Washington TL, et al. Behavioral predictors of weight regain after bariatric surgery. Obes Surg. 2010;20:349–56.CrossRefPubMed Odom J, Zalesin KC, Washington TL, et al. Behavioral predictors of weight regain after bariatric surgery. Obes Surg. 2010;20:349–56.CrossRefPubMed
Metadata
Title
Perioperative Online Weight Monitoring in Bariatric Surgery with a Digital Internet-Connected Scale
Authors
Mark Tenhagen
Gabriëlle H. van Ramshorst
Ahmet Demirkiran
Michiel A. J. M. Hunfeld
Huib A. Cense
Publication date
01-05-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 5/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2136-x

Other articles of this Issue 5/2016

Obesity Surgery 5/2016 Go to the issue