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Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions

Authors McGrice M, Don Paul K

Received 25 December 2014

Accepted for publication 7 April 2015

Published 23 June 2015 Volume 2015:8 Pages 263—274

DOI https://doi.org/10.2147/DMSO.S57054

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 5

Editor who approved publication: Professor Ming-Hui Zou


Video abstract presented by Melanie McGrice

Views: 178

Melanie McGrice, Kathlene Don Paul

Nutrition Plus Enterprises, Melbourne, VIC, Australia

Abstract: Bariatric surgery aims to provide long-term weight loss and improvement in weight-related comorbidities. Unfortunately, some patients do not achieve predicted weight loss targets and many regain a portion of their lost weight within 2–10 years postsurgery. A review of the literature found that behavioral, dietary, psychological, physical, and medical considerations can all play a role in suboptimal long-term weight loss. Recommendations to optimize long-term weight loss include ensuring that the patient understands how the procedure works, preoperative and postoperative education sessions, tailored nutritional supplements, restraint with liquid kilojoules, pureed foods, grazing and eating out of the home, an average of 60 minutes of physical activity per day, and lifelong annual medical, psychological, and dietary assessments.

Keywords:
weight, bariatric, surgery

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