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Impact of Self-Monitoring on Weight Loss After Bariatric Surgery

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Abstract

Background

Weight loss after bariatric surgery varies among patients. Patients who do not comply with self-monitoring are predicted to lose less weight than those who comply with self-monitoring.

Objective

To assess the effect of compliance with self-monitoring behavior on long-term %excess weight loss (%EWL) and %total weight loss (%TWL) among patients receiving laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB).

Methods

We used retrospective analysis to evaluate the self-monitoring behavior of patients and their weight changes throughout a 2-year follow-up. The participants were divided into two groups: group 1 consisted of participants who kept self-monitoring behavior records for all follow-ups and group 2 consisted of participants who kept self-monitoring behavior records for only six months of follow-up. Our investigators used telephone interviews to collect the data. By comparing %EWL and %TWL, we assessed the possible relationship between the long-term self-monitoring behavior, weight loss outcome, and operation type.

Results

There were 384 included samples. %EWL was significantly different between group 1 and group 2, and group 1 participants had better outcomes regardless of operational method. In group 2, LRYGB patients had better %EWL outcomes than LSG patients.

Conclusions

Patients with long-term self-monitoring behaviors have better %EWL and %TWL. Patients in LRYGB group had better weight loss outcomes than the LSG group.

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Funding

This work was supported by Medical Science and Technology Research Fund of Guangdong Province, China. (B2019058).

Author information

Author notes

  1. Xinke Huang and Lina Wu contributed equally to this work.

Authors and Affiliations

  1. Department of Gynaecology and Obstetrics, The First Affiliated Hospital of Jinan University, Guangzhou, China

    Xinke Huang

  2. Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

    Lina Wu, Lilian Gao, Shuqing Yu, Xiaomei Chen, Cunchuan Wang & Wah Yang

Authors
  1. Xinke Huang
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  2. Lina Wu
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  3. Lilian Gao
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  4. Shuqing Yu
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  5. Xiaomei Chen
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  6. Cunchuan Wang
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  7. Wah Yang
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Consortia

on behalf of Chinese Obesity and Metabolic Surgery Collaborative

Corresponding authors

Correspondence to Lina Wu or Wah Yang.

Ethics declarations

Ethical Approval

All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare no competing of interests.

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Key Points

1. Long-term self-monitoring behaviors enhance effect of weight loss after bariatric surgery.

2. The outcome of bariatric surgery is based on weight loss after bariatric surgery, but the outcome of weight loss is affected by different variables, that one is self-monitoring behaviors.

3. Patients in LRYGB group had better weight loss outcomes than the LSG group.

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Huang, X., Wu, L., Gao, L. et al. Impact of Self-Monitoring on Weight Loss After Bariatric Surgery. OBES SURG 31, 4399–4404 (2021). https://doi.org/10.1007/s11695-021-05600-w

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  • DOI: https://doi.org/10.1007/s11695-021-05600-w

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