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Neurocognitive and Psychopathological Predictors of Weight Loss After Bariatric Surgery: A 4-Year Follow-Up Study
Twenty to thirty percent of patients experience weight regain at mid and long-term follow-up. Impaired cognitive functions are prevalent in people suffering from obesity and in those with binge eating disorder, thereby, affecting the weight-loss outcomes. The aim of our study was to investigate neur...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131828/ https://www.ncbi.nlm.nih.gov/pubmed/34025579 http://dx.doi.org/10.3389/fendo.2021.662252 |
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author | Bianciardi, Emanuela Raimondi, Giulia Samela, Tonia Innamorati, Marco Contini, Lorenzo Maria Procenesi, Leonardo Fabbricatore, Mariantonietta Imperatori, Claudio Gentileschi, Paolo |
author_facet | Bianciardi, Emanuela Raimondi, Giulia Samela, Tonia Innamorati, Marco Contini, Lorenzo Maria Procenesi, Leonardo Fabbricatore, Mariantonietta Imperatori, Claudio Gentileschi, Paolo |
author_sort | Bianciardi, Emanuela |
collection | PubMed |
description | Twenty to thirty percent of patients experience weight regain at mid and long-term follow-up. Impaired cognitive functions are prevalent in people suffering from obesity and in those with binge eating disorder, thereby, affecting the weight-loss outcomes. The aim of our study was to investigate neurocognitive and psychopathological predictors of surgical efficacy in terms of percentage of excess weight loss (%EWL) at follow-up intervals of one year and 4-year. Psychosocial evaluation was completed in a sample of 78 bariatric surgery candidates and included psychometric instruments and a cognitive battery of neuropsychological tests. A schedule of 1-year and 4-year follow-ups was implemented. Wisconsin Sorting Card Test total correct responses, scores on the Raven’s Progressive Matrices Test, and age predicted %EWL at, both, early and long-term periods after surgery while the severity of pre-operative binge eating (BED) symptoms were associated with lower %EWL only four years after the operation. Due to the role of pre-operative BED in weight loss maintenance, the affected patients are at risk of suboptimal response requiring ongoing clinical monitoring, and psychological and pharmacological interventions when needed. As a result of our findings and in keeping with the latest guidelines we encourage neuropsychological assessment of bariatric surgery candidates. This data substantiated the rationale of providing rehabilitative interventions tailored to cognitive domains and time specific to the goal of supporting patients in their post-surgical course. |
format | Online Article Text |
id | pubmed-8131828 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-81318282021-05-20 Neurocognitive and Psychopathological Predictors of Weight Loss After Bariatric Surgery: A 4-Year Follow-Up Study Bianciardi, Emanuela Raimondi, Giulia Samela, Tonia Innamorati, Marco Contini, Lorenzo Maria Procenesi, Leonardo Fabbricatore, Mariantonietta Imperatori, Claudio Gentileschi, Paolo Front Endocrinol (Lausanne) Endocrinology Twenty to thirty percent of patients experience weight regain at mid and long-term follow-up. Impaired cognitive functions are prevalent in people suffering from obesity and in those with binge eating disorder, thereby, affecting the weight-loss outcomes. The aim of our study was to investigate neurocognitive and psychopathological predictors of surgical efficacy in terms of percentage of excess weight loss (%EWL) at follow-up intervals of one year and 4-year. Psychosocial evaluation was completed in a sample of 78 bariatric surgery candidates and included psychometric instruments and a cognitive battery of neuropsychological tests. A schedule of 1-year and 4-year follow-ups was implemented. Wisconsin Sorting Card Test total correct responses, scores on the Raven’s Progressive Matrices Test, and age predicted %EWL at, both, early and long-term periods after surgery while the severity of pre-operative binge eating (BED) symptoms were associated with lower %EWL only four years after the operation. Due to the role of pre-operative BED in weight loss maintenance, the affected patients are at risk of suboptimal response requiring ongoing clinical monitoring, and psychological and pharmacological interventions when needed. As a result of our findings and in keeping with the latest guidelines we encourage neuropsychological assessment of bariatric surgery candidates. This data substantiated the rationale of providing rehabilitative interventions tailored to cognitive domains and time specific to the goal of supporting patients in their post-surgical course. Frontiers Media S.A. 2021-05-05 /pmc/articles/PMC8131828/ /pubmed/34025579 http://dx.doi.org/10.3389/fendo.2021.662252 Text en Copyright © 2021 Bianciardi, Raimondi, Samela, Innamorati, Contini, Procenesi, Fabbricatore, Imperatori and Gentileschi https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Endocrinology Bianciardi, Emanuela Raimondi, Giulia Samela, Tonia Innamorati, Marco Contini, Lorenzo Maria Procenesi, Leonardo Fabbricatore, Mariantonietta Imperatori, Claudio Gentileschi, Paolo Neurocognitive and Psychopathological Predictors of Weight Loss After Bariatric Surgery: A 4-Year Follow-Up Study |
title | Neurocognitive and Psychopathological Predictors of Weight Loss After Bariatric Surgery: A 4-Year Follow-Up Study |
title_full | Neurocognitive and Psychopathological Predictors of Weight Loss After Bariatric Surgery: A 4-Year Follow-Up Study |
title_fullStr | Neurocognitive and Psychopathological Predictors of Weight Loss After Bariatric Surgery: A 4-Year Follow-Up Study |
title_full_unstemmed | Neurocognitive and Psychopathological Predictors of Weight Loss After Bariatric Surgery: A 4-Year Follow-Up Study |
title_short | Neurocognitive and Psychopathological Predictors of Weight Loss After Bariatric Surgery: A 4-Year Follow-Up Study |
title_sort | neurocognitive and psychopathological predictors of weight loss after bariatric surgery: a 4-year follow-up study |
topic | Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131828/ https://www.ncbi.nlm.nih.gov/pubmed/34025579 http://dx.doi.org/10.3389/fendo.2021.662252 |
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