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Patients’ Experiences of Weight Regain After Bariatric Surgery

PURPOSE: Bariatric surgery is a successful obesity treatment; however, an estimated 1/5 of patients have regained more than 15% of their body weight 5 years post-surgery. To increase the understanding of patients who experienced weight regain after bariatric surgery, we conducted a qualitative study...

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Autores principales: Tolvanen, Liisa, Christenson, Anne, Surkan, Pamela J., Lagerros, Ylva Trolle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986695/
https://www.ncbi.nlm.nih.gov/pubmed/35061154
http://dx.doi.org/10.1007/s11695-022-05908-1
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author Tolvanen, Liisa
Christenson, Anne
Surkan, Pamela J.
Lagerros, Ylva Trolle
author_facet Tolvanen, Liisa
Christenson, Anne
Surkan, Pamela J.
Lagerros, Ylva Trolle
author_sort Tolvanen, Liisa
collection PubMed
description PURPOSE: Bariatric surgery is a successful obesity treatment; however, an estimated 1/5 of patients have regained more than 15% of their body weight 5 years post-surgery. To increase the understanding of patients who experienced weight regain after bariatric surgery, we conducted a qualitative study. MATERIALS AND METHODS: We recruited 16 adult participants (4 men, 12 women) at an obesity clinic in Stockholm, Sweden, 2018 to 2019, and performed semi-structured individual interviews. The transcribed recorded interview data was analyzed with thematic analysis. RESULTS: Participants had undergone gastric bypass surgery on average 10 years prior to study and regained 36% (range 12 to 71%) of their weight from their nadir. Participants experienced challenges such as eating in social settings, loneliness, family difficulties, increases in appetite, and physical and mental health problems, which distracted them from weight management. Participants responded to weight regain with emotional distress, particularly with hopelessness, discouragement, shame, and frustration (theme: loss of control and focus). Nonetheless, participants experienced remaining benefits from the surgery, despite weight regain. Social support, self-care, and behavioral strategies were perceived as facilitators for weight management (theme: reducing the burden of weight management). CONCLUSIONS: Weight regain after bariatric surgery was perceived to be an unexpected and difficult experience that induced hopelessness, discouragement, shame, and frustration. Results indicate that internal and external circumstances such as psychosocial factors, changes in appetite, and physical and mental health problems may contribute to loss of control over weight. Social support, self-care, and behavioral strategies might facilitate long-term post-surgical weight management. GRAPHICAL ABSTRACT: [Image: see text] SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11695-022-05908-1.
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spelling pubmed-89866952022-04-22 Patients’ Experiences of Weight Regain After Bariatric Surgery Tolvanen, Liisa Christenson, Anne Surkan, Pamela J. Lagerros, Ylva Trolle Obes Surg Original Contributions PURPOSE: Bariatric surgery is a successful obesity treatment; however, an estimated 1/5 of patients have regained more than 15% of their body weight 5 years post-surgery. To increase the understanding of patients who experienced weight regain after bariatric surgery, we conducted a qualitative study. MATERIALS AND METHODS: We recruited 16 adult participants (4 men, 12 women) at an obesity clinic in Stockholm, Sweden, 2018 to 2019, and performed semi-structured individual interviews. The transcribed recorded interview data was analyzed with thematic analysis. RESULTS: Participants had undergone gastric bypass surgery on average 10 years prior to study and regained 36% (range 12 to 71%) of their weight from their nadir. Participants experienced challenges such as eating in social settings, loneliness, family difficulties, increases in appetite, and physical and mental health problems, which distracted them from weight management. Participants responded to weight regain with emotional distress, particularly with hopelessness, discouragement, shame, and frustration (theme: loss of control and focus). Nonetheless, participants experienced remaining benefits from the surgery, despite weight regain. Social support, self-care, and behavioral strategies were perceived as facilitators for weight management (theme: reducing the burden of weight management). CONCLUSIONS: Weight regain after bariatric surgery was perceived to be an unexpected and difficult experience that induced hopelessness, discouragement, shame, and frustration. Results indicate that internal and external circumstances such as psychosocial factors, changes in appetite, and physical and mental health problems may contribute to loss of control over weight. Social support, self-care, and behavioral strategies might facilitate long-term post-surgical weight management. GRAPHICAL ABSTRACT: [Image: see text] SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11695-022-05908-1. Springer US 2022-01-21 2022 /pmc/articles/PMC8986695/ /pubmed/35061154 http://dx.doi.org/10.1007/s11695-022-05908-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Contributions
Tolvanen, Liisa
Christenson, Anne
Surkan, Pamela J.
Lagerros, Ylva Trolle
Patients’ Experiences of Weight Regain After Bariatric Surgery
title Patients’ Experiences of Weight Regain After Bariatric Surgery
title_full Patients’ Experiences of Weight Regain After Bariatric Surgery
title_fullStr Patients’ Experiences of Weight Regain After Bariatric Surgery
title_full_unstemmed Patients’ Experiences of Weight Regain After Bariatric Surgery
title_short Patients’ Experiences of Weight Regain After Bariatric Surgery
title_sort patients’ experiences of weight regain after bariatric surgery
topic Original Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986695/
https://www.ncbi.nlm.nih.gov/pubmed/35061154
http://dx.doi.org/10.1007/s11695-022-05908-1
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