RT Journal Article
T1 Factors Related to Weight Loss Maintenance in the Medium-Long Term after Bariatric Surgery: A Review
A1 Cornejo-Pareja, Isabel
A1 Molina-Vega, María
A1 Gómez-Pérez, Ana María
A1 Damas-Fuentes, Miguel
A1 Tinahones, Francisco J.
K1 Bariatric surgery
K1 Weight regain
K1 Surgical technique
K1 Psychological disorders
K1 Physical activity
K1 Diet
K1 Gut hormones
K1 Gut–brain axis
K1 Cirugía bariátrica
K1 Ejercicio físico
K1 Dieta
AB Despite bariatric surgery being the most effective treatment for obesity, some individuals do not respond adequately, especially in the long term. Identifying the predictors of correct weight maintenance in the medium (from 1 to 3 years after surgery) and long term (from 3 years and above) is of vital importance to reduce failure after bariatric surgery; therefore, we summarize the evidence about certain factors, among which we highlight surgical technique, psychological factors, physical activity, adherence to diet, gastrointestinal hormones or neurological factors related to appetite control. We conducted a search in PubMed focused on the last five years (2015-2021). Main findings are as follows: despite Roux-en-Y gastric bypass being more effective in the long term, sleeve gastrectomy shows a more beneficial effectiveness-complications balance; pre-surgical psychological and behavioral evaluation along with post-surgical treatment improve long-term surgical outcomes; physical activity programs after bariatric surgery, in addition to continuous and comprehensive care interventions regarding diet habits, improve weight loss maintenance, but it is necessary to improve adherence; the impact of bariatric surgery on the gut-brain axis seems to influence weight maintenance. In conclusion, although interesting findings exist, the evidence is contradictory in some places, and long-term clinical trials are necessary to draw more robust conclusions.
PB MDPI
YR 2021
FD 2021-04-16
LK http://hdl.handle.net/10668/3657
UL http://hdl.handle.net/10668/3657
LA en
NO Cornejo-Pareja I, Molina-Vega M, Gómez-Pérez AM, Damas-Fuentes M, Tinahones FJ. Factors Related to Weight Loss Maintenance in the Medium-Long Term after Bariatric Surgery: A Review. J Clin Med. 2021 Apr 16;10(8):1739
DS RISalud
RD Apr 11, 2025