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Obesity Surgery
Published in: Obesity Surgery 12/2016

01-12-2016 | Original Contributions

Physical Activity, Decision-Making Abilities, and Eating Disturbances in Pre- and Postbariatric Surgery Patients

Authors: Merle Bartsch, Svenja Langenberg, Kerstin Gruner-Labitzke, Mareike Schulze, Hinrich Köhler, Ross D. Crosby, Michael Marschollek, Martina de Zwaan, Astrid Müller

Published in: Obesity Surgery | Issue 12/2016

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Abstract

Background

Physical activity (PA) is considered to have a beneficial influence on executive functioning, including decision-making. Enhanced decision-making after bariatric surgery may strengthen patients’ ability to delay gratification, helping to establish appropriate eating behavior. The objectives of this study were to (1) compare a preoperative group with a postoperative group with regard to daily PA, decision-making, and eating disturbances; and (2) investigate the relationship between these variables.

Methods

The study included 71 bariatric surgery candidates (55 % women, BMI [kg/m2] M = 46.9, SD = 6.0) and 73 postoperative patients (57 % women, BMI M = 32.0, SD = 4.1; 89 % Roux-en-Y gastric bypass, 11 % sleeve gastrectomy; months postoperative M = 8.2, SD = 3.5; total weight loss [%] M = 33.2, SD = 8.9) who completed SenseWear Pro2 activity monitoring. Decision-making was assessed using a computerized version of the Iowa Gambling Task and eating disorder psychopathology using the Eating Disorder Examination-Questionnaire.

Results

The number of patients who were classified as physically inactive was similarly high in the pre- and postoperative groups. No group differences emerged with regard to decision-making, but the postoperative group exhibited less eating disturbances than the preoperative group. No significant associations were found between PA, decision-making, and eating behavior.

Conclusions

Patients after bariatric surgery were not more physically active than bariatric surgery candidates, which should be considered in care programs. Additionally, future research is needed to explore the possible link between PA, patients’ decision-making abilities, and eating disturbances concerning dose-response questions.
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Metadata
Title
Physical Activity, Decision-Making Abilities, and Eating Disturbances in Pre- and Postbariatric Surgery Patients
Authors
Merle Bartsch
Svenja Langenberg
Kerstin Gruner-Labitzke
Mareike Schulze
Hinrich Köhler
Ross D. Crosby
Michael Marschollek
Martina de Zwaan
Astrid Müller
Publication date
01-12-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 12/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2208-y

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