ESPEYB15 11 Obesity and Weight Regulation Bariatric surgery – new findings (2 abstracts)
11.19 Factors associated with long-term weight-loss maintenance following bariatric surgery in adolescents with severe obesity
Ryder JR , Gross AC , Fox CK , Kaizer AM , Rudser KD , Jenkins TM , Ratcliff MB , Kelly AS , Kirk S , Siegel RM & Inge TH
University of Colorado, Denver, and Children’s Hospital Colorado, Aurora, CO, USA
To read the full abstract: Int J Obes (Lond). 2018 Jan;42(1):102-107
This cohort of n=50 adolescents who underwent bariatric surgery is highly important, since such long-term follow-up data are rare. Until today, only this study cohort described here by Ryder et al. and the Swedish nationwide study (AMOS) of adolescents with severe obesity who underwent laparoscopic Roux-en-Y gastric bypass (3) have such long-term data for weight/BMI development and provide the opportunity to study why adolescents maintain or regain weight after bariatric surgery. Here, Ryder et al. found no significant differences in weight-related and eating behavior, health responsibility, physical activity/inactivity, or dietary habits at FAB-5+ visit between long-term maintainers and re-gainers. Of importance is the result of significant differences in overall QOL and QOL sub-domain scores between maintainers and re-gainers. Long-term maintainers had better QOL than re-gainers at FAB-5+ visit. A limitation is that they have no information on weight-related and eating behavior, health responsibility, physical activity/inactivity, dietary habits or QOL before bariatric surgery (baseline). Further studies should collect such information at baseline to identify which baseline factors determine the subsequent long-term outcomes after bariatric surgery in adolescents.
1. Miyano G, Jenkins TM, Xanthakos SA, Garcia VF, Inge TH. Perioperative outcome of Laparoscopic Roux-en-Y gastric bypass: A children’s hospital experience. Journal of pediatric surgery. 2013;48:2092–2098.
2. Inge TH, Jenkins TM, Xanthakos SA, Dixon JB, Daniels SR, Zeller MH, Helmrath MA. Long-term outcomes of bariatric surgery in adolescents with severe obesity (FABS-5+): a prospective follow-up analysis. The Lancet Diabetes & Endocrinology.
3. Olbers T, Beamish AJ, Gronowitz E, Flodmark CE, Dahlgren J, Bruze G, Ekbom K, Friberg P, Göthberg G, Järvholm K, Karlsson J, Mårild S, Neovius M, Peltonen M, Marcus C. Laparoscopic Roux-en-Y gastric bypass in adolescents with severe obesity (AMOS): a prospective, 5-year, Swedish nationwide study. Lancet Diabetes Endocrinol. 2017 Mar;5(3):174-183.
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ESPE Yearbook of Paediatric Endocrinology
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