scholarly journals Motivations of Males with Severe Obesity, Who Pursue Medical Weight Management or Bariatric Surgery

2019 ◽  
Vol 29 (6) ◽  
pp. 730-740 ◽  
Author(s):  
Sally A. Jolles ◽  
Esra Alagoz ◽  
Natalie Liu ◽  
Corrine I. Voils ◽  
Grace Shea ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Severe Obesity ◽  
Medical Weight Management

Motivations of Men with Severe Obesity Who Pursue Bariatric Surgery or Medical Weight Management

2018 ◽  
Vol 227 (4) ◽  
pp. e32-e33
Author(s):  
Sally A. Jolles ◽  
Esra Alagoz ◽  
Corrine I. Voils ◽  
Grace E. Shea ◽  
Natalie Liu ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Severe Obesity ◽  
Medical Weight Management

scholarly journals Assessing the Feasibility of a Social Media to Promote Weight Management Engagement in Adolescents with Severe Obesity: Pilot Study (Preprint)

2017 ◽  
Author(s):  
Elizabeth Prout Parks ◽  
Renee' H Moore ◽  
Ziyi Li ◽  
Chanelle T Bishop-Gilyard ◽  
Andrew R Garrett ◽  
...  
Keyword(s):  
Social Media ◽  
Weight Loss ◽  
Weight Management ◽  
Severe Obesity ◽  
Pilot Trial ◽  
Treatment Engagement ◽  
Clinic Visit ◽  
Attrition Rates ◽  
Medical Weight Management ◽  
Use Of Social Media

BACKGROUND Severe obesity in adolescents has deleterious physical and psychological complications necessitating frequent multi-disciplinary clinic visits. Greater treatment engagement has been equated with weight-loss. However, traditional medical weight-loss programs for adolescents have high attrition rates. Social media is widely used by adolescents and may enhance medical weight management engagement and success. OBJECTIVE The first objective was to examine the acceptability and feasibility of using a private social media group as an adjunct to medical weight management in youth ages 14 to 20 years with severe obesity [body mass index (BMI) ≥ 35 kg/m2]. The second objective was to pilot test the use of social media to improve treatment engagement and decrease attrition rates. METHODS In this single arm, 12 week pre-post study, participants attended individual clinic visits and participated in a moderated private social media group that received nutrition, exercise, and behavior change social media communications or “posts” 3 to 4 times/week. Youth commented and/or liked posts from the moderator and each other. Social media engagement was measured with the number of likes and comments on social media. Clinic attrition was compared, measuring clinic visit attendance 12 weeks prior, during, and after the intervention with mixed linear regression models. Correlations of social media engagement with changes from baseline for BMI, BMI-z score, and psychosocial measures were fit. RESULTS All 13 enrolled youth completed the study and reported that the group was enjoyable, helpful, reinforced their weight management program, and would recommend using social media to support other youth. The pilot trial was acceptable and feasible. Youth mean weekly engagement (likes + comments) in social media was greater than once a day (8.6 ±3.6). Compared to 12 weeks prior to the intervention, there was no significant decrease in clinic visit attendance at the end of the intervention (M=.231, P=.69) or 12 weeks at the conclusion of the intervention (M=.589, P=.28). Increased social media comments correlated with weight change (r=–.633, P=.04). CONCLUSIONS This pilot trial demonstrated that the use of social media as an adjunct to medical weight management was feasible and acceptable to adolescents with severe obesity. Based upon these preliminary findings, social media may be an effective way to mitigate attrition from obesity treatment programs, and improve health outcomes in this high-risk population.

Insurance-mandated medical weight management before bariatric surgery

2016 ◽  
Vol 12 (3) ◽  
pp. 496-499 ◽  
Author(s):  
Daniel Horwitz ◽  
John K. Saunders ◽  
Akuezunkpa Ude-Welcome ◽  
Manish Parikh
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Medical Weight Management

scholarly journals Tier 3 multidisciplinary medical weight management improves outcome of Roux-en-Y gastric bypass surgery

2015 ◽  
Vol 97 (3) ◽  
pp. 235-237 ◽  
Author(s):  
P Patel ◽  
A Hartland ◽  
A Hollis ◽  
R Ali ◽  
A Elshaw ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Weight Management ◽  
Gastric Bypass Surgery ◽  
Management Programme ◽  
Percentage Points ◽  
Weight Management Programme ◽  
Medical Weight Management ◽  
Tier 3

Introduction In 2013 the Department of Health specified eligibility for bariatric surgery funded by the National Health Service. This included a mandatory specification that patients first complete a Tier 3 medical weight management programme. The clinical effectiveness of this recommendation has not been evaluated previously. Our bariatric centre has provided a Tier 3 programme six months prior to bariatric surgery since 2009. The aim of our retrospective study was to compare weight loss in two cohorts: Roux-en-Y gastric bypass only (RYGB only cohort) versus Tier 3 weight management followed by RYGB (Tier 3 cohort). Methods A total of 110 patients were selected for the study: 66 in the RYGB only cohort and 44 in the Tier 3 cohort. Patients in both cohorts were matched for age, sex, preoperative body mass index and pre-existing co-morbidities. The principal variable was therefore whether they undertook the weight management programme prior to RYGB. Patients from both cohorts were followed up at 6 and 12 months to assess weight loss. Results The mean weight loss at 6 months for the Tier 3 cohort was 31% (range: 18–69%, standard deviation [SD]: 0.10 percentage points) compared with 23% (range: 4–93%, SD: 0.12 percentage points) for the RYGB only cohort (p=0.0002). The mean weight loss at 12 months for the Tier 3 cohort was 34% (range: 17–51%, SD: 0.09 percentage points) compared with 27% (range: 14–48%, SD: 0.87 percentage points) in the RYGB only cohort (p=0.0037). Conclusions Our study revealed that in our matched cohorts, patients receiving Tier 3 specialist medical weight management input prior to RYGB lost significantly more weight at 6 and 12 months than RYGB only patients. This confirms the clinical efficacy of such a weight management programme prior to gastric bypass surgery and supports its inclusion in eligibility criteria for bariatric surgery.

Adding a Medical Weight Management Program Enhances Bariatric Surgery Referrals

2017 ◽  
Vol 13 (10) ◽  
pp. S155
Author(s):  
Maureen Miletics ◽  
Maher El Chaar ◽  
Leonardo Claros ◽  
Sagar Mehta ◽  
Kate Boardman ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Management Program ◽  
Weight Management Program ◽  
Medical Weight Management
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