Maladaptive eating patterns after weight-loss surgery. Nutr Clin Pract 2007 Feb;22(1):41-9
Date
01/24/2007Pubmed ID
17242453DOI
10.1177/011542650702200141Scopus ID
2-s2.0-33846640499 (requires institutional sign-in at Scopus site) 57 CitationsAbstract
Weight-loss surgery has been shown to contribute to the improved health and well-being of the clinically severe obese, and for many has been seen as their "last resort." Although the majority of patients who choose this option as a means to achieve a healthier weight are successful, for some patients it is not beneficial. Bariatric surgery is not a panacea, and its immediate and long-term success depends on the patient's ability to incorporate lifestyle and behavioral changes. Patients who are not successful in achieving and maintaining their anticipated weight loss struggle to comply with diet, exercise, and vitamin regimens. Not only do these patients exhibit diminished weight loss, they have put themselves at risk for vitamin and mineral deficiencies and protein malnutrition. Their problematic response to weight-loss surgery may or may not be due to a worsening of presurgical depression, binge eating, emotion-triggered eating, body image, or eating behaviors associated with specific situations such as social events. This paper describes clinical responses we have observed in our bariatric practice. Several case studies are presented to highlight problems we have encountered when following bariatric surgery patients in the early postoperative period, as well as in a long-term setting. Recommendations are made for screening and follow-up of at-risk patients.
Author List
Rusch MD, Andris DMESH terms used to index this publication - Major topics in bold
Adaptation, PsychologicalAdult
Bariatric Surgery
Body Image
Diet, Reducing
Female
Humans
Life Style
Malnutrition
Middle Aged
Obesity, Morbid
Patient Compliance
Risk Factors
Self Efficacy
Treatment Outcome
Weight Loss