Background: Research has shown that obese individuals report goal weight losses in excess of those achievable with standard treatments for obesity. Little is known about the goal weights of bariatric surgery patients, or the prognostic significance of unrealistic goals on surgical outcomes, including weight losses and changes in associated behavioral and psychological domains.
Methods: A consecutive series of 139 gastric bypass (GBP) surgery candidates reported weight loss goals prior to GBP surgery and at 6 and 12 months after surgery. Dream, Happy, Acceptable, and Disappointed weights following treatment were reported.
Results: Consistent with previous research, goal weights at baseline were lower than those attainable even with surgery. Repeated measures analyses, controlling for baseline BMI, revealed no changes in any of the goal weights from baseline to 6 and 12 months following surgery. After controlling for baseline BMI, weight loss expectations at baseline did not predict weight loss at either follow-up point. Unrealistic weight goals were also largely unrelated to psychological functioning prior to surgery, and were unrelated to the magnitude of the improvements in eating-related behaviors and psychological functioning after surgery. Interestingly, mean goal weights parallel current weight classifications: i.e., dream BMI corresponds with the cutoff for normal (BMI < or =25), happy BMI (=27) with the lower bound for "overweight", and acceptable BMI (=30) with the lower bound for obesity.
Conclusions: Among GBP surgery patients, goal weights are remarkably consistent over time, and unrealistic weight loss goals do not appear to have negative prognostic significance on surgical outcomes.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s11695-007-9009-2 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Factors associated with HIV testing among young women in Tanzania: Insights from the 2022 Tanzanian Demographic and Health Survey using Anderson's Behavioral Model.
Front Public Health
January 2025
School of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.
Background: HIV continues to be a significant global health issue, particularly affecting sub-Saharan Africa, including Tanzania. Knowing one's HIV status is a crucial first step in combating HIV/AIDS and achieving the targets set for the Sustainable Development Goals (SDGs) by 2030. However, despite ongoing efforts, HIV testing coverage remains low in developing countries, including Tanzania, where testing among young people poses particular challenges.
View Article and Find Full Text PDFTofersen and other antisense oligonucleotides in ALS.
Ther Adv Neurol Disord
January 2025
Department of Neurology, Ulm University, Ulm, Germany.
The advent of antisense oligonucleotide (ASO) therapies in neurodegenerative disorders is associated with enormous hope. Nusinersen treatment was a breakthrough intervention in the recessive disease spinal muscular atrophy, and superoxide dismutase 1 (SOD1) amyotrophic lateral sclerosis (ALS) seems to be the paradigm disease in dominant degenerative diseases. The results of treatment with the ASO tofersen in SOD1-ALS show that the drug has a convincing beneficial effect on ALS caused by SOD1 mutations, that preclinical studies in rodents predicted the therapeutic effect in the human disease, and that clinical efficacy is associated with a specific sequence of effects of the drug on mechanistic and degenerative biomarkers and, subsequently, functional outcomes such as weight stabilization and ALSFRS-R.
View Article and Find Full Text PDFThree-dimensional complementary breast ultrasound (3D CBUS): Improving 3D spatial resolution uniformity with orthogonal images.
Med Phys
January 2025
Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Background: With increasing evidence supporting three-dimensional (3D) automated breast (AB) ultrasound (US) for supplemental screening of breast cancer in increased-risk populations, including those with dense breasts and in limited-resource settings, there is an interest in developing more robust, cost-effective, and high-resolution 3DUS imaging techniques. Compared with specialized ABUS systems, our previously developed point-of-care 3D ABUS system addresses these needs and is compatible with any conventional US transducer, which offers a cost-effective solution and improved availability in clinical practice. While conventional US transducers have high in-plane resolution (axial and lateral), their out-of-plane resolution is constrained by the poor intrinsic elevational US resolution.
View Article and Find Full Text PDFNationwide representative serosurvey of third-grade school children to evaluate the hepatitis B vaccination impact in Kyrgyzstan, 2022.
BMC Infect Dis
January 2025
WHO Regional Office for Europe, Marmorvej 51, Copenhagen, 2100, Denmark.
Background: Kyrgyzstan introduced universal hepatitis B childhood vaccination in 1999 to reduce the burden of hepatitis B. In 2016, aligned with the goal of controlling hepatitis B in the WHO European Region, a regional target of 0.5% was set for seroprevalence of hepatitis B surface antigen (HBsAg) among targeted birth cohorts.
View Article and Find Full Text PDFFactors Affecting Patient Outcomes of Abdominoplasty After Bariatric Surgery: A Retrospective Cohort Study.
Ann Plast Surg
January 2025
Department of Surgery, University of South Florida, Tampa, FL.
Background: Postoperative complications in body contouring surgery have been linked to several factors, including body mass index, diabetes, cardiovascular disease, and skin resection weight. Prior weight loss by surgical means is another predisposing factor for postoperative complications following body contouring. This study aims to examine these previously identified variables, and several others, in the context of a spectrum of abdominal body contouring techniques following bariatric surgery.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!