Clinical Obesity最新文献

{"title":"Correction to \"Managing the New Wave of Weight Loss Medication in General Practice: A Qualitative Study\".","authors":"","doi":"10.1111/cob.70028","DOIUrl":"https://doi.org/10.1111/cob.70028","url":null,"abstract":"","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70028"},"PeriodicalIF":2.2,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The tighter the stoma, the greater the loss: A narrower gastrojejunostomy is more beneficial for weight loss following roux-en-Y gastric bypass.","authors":"Keivan Kalali, Tooraj Zandbaf, Ali Esparham, Soheil Ahmadyar, Ali Jangjoo, Mojtaba Meshkat, Mohammad Ebrahim Kalantari, Mohammad Javad Ghamari, Alireza Rezapanah, Amin Dalili","doi":"10.1111/cob.70013","DOIUrl":"https://doi.org/10.1111/cob.70013","url":null,"abstract":"<p><p>The optimal size of Gastrojejunostomy (GJ) in Laparoscopic Roux-EnY Gastric Bypass (LRYGB) for a- preferential weight loss is still unknown. This study aimed to investigate the influence of linear-stapled GJ size in long-term LRYGB weight reduction results. We performed a retrospective analysis of 100 patients who underwent LRYGB surgery between January and July 2021. The patients were divided into two 50-patient groups based on the size of their linear-stapled GJ, either 30 or 45 mm. Their weight loss was observed and compared on day 15, and the following appointments were 1, 3, 6, 9, 12, 18, and 24 months after surgery. After 24 months, the 30-mm group reduced their BMI by an average of 19.23, compared with the 16.43 kg/m² of the 45-mm group (p < .001). Overall, repeated measures ANOVA showed a beneficial weight loss pattern for the 30-mm group in all four categories (weight, BMI, EWL, and TWL). Upon adjusting for age, biliopancreatic length, alimentary length, sex, history of diabetes, and a history of hypertension in repeated measures ANOVA, this difference remained significantly in favour of the 30-mm GJ. Based on the results of this study, performing a gastrojejunostomy with a 30-mm stapler compared to a 45-mm stapler increases weight loss in LRYGB patients.</p>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70013"},"PeriodicalIF":2.2,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing risk factors and reoperation rates for laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass.","authors":"Jana K Elsawwah, Christina T Nici, Ashish Padnani, Rolando H Rolandelli, Zoltan H Nemeth","doi":"10.1111/cob.70023","DOIUrl":"https://doi.org/10.1111/cob.70023","url":null,"abstract":"<p><p>Obesity has become a growing concern globally as a leading risk factor for several chronic diseases such as diabetes, hypertension, cardiovascular disease and more. Many patients with obesity undergo metabolic and bariatric surgery (MBS) to lose weight and improve their comorbid conditions. Despite the generally accepted efficacy of these operations, some patients will not achieve substantial and sustained weight loss or will experience significant postoperative complications, leading to reoperation within 30 days after the first procedure. Using the 2022 American College of Surgeons Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database, we selected patients who underwent either a laparoscopic sleeve gastrectomy (LSG) or a laparoscopic Roux-en-Y gastric bypass (LRYGB). Furthermore, we divided patients in each operation cohort into those who underwent reoperation within 30 days and those who did not. Patients who underwent a laparoscopic Roux-en-Y bypass experienced higher rates of reoperation (1.84%) compared to those undergoing an LSG (0.65%). In reoperation groups within both cohorts, comorbidities that commonly impact patients with obesity, such as diabetes, sleep apnoea and gastroesophageal reflux disease, were associated with higher rates of reoperation. As the prevalence of obesity increases worldwide, it is vital to understand the risk factors and complications associated with different types of MBS. Physicians choosing to utilise an LRYGB procedure over an LSG should do so while carefully considering the increased risk of reoperation.</p>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70023"},"PeriodicalIF":2.2,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnic differences in weight loss during a clinical obesity management program.","authors":"Jennifer Linchee Kuk, Parmis Mirzadeh, Sean Wharton","doi":"10.1111/cob.70022","DOIUrl":"https://doi.org/10.1111/cob.70022","url":null,"abstract":"<p><p>To examine ethnic differences in how individuals respond to obesity management therapies, a retrospective chart review of the Wharton Medical Weight Management Clinic electronic medical records was used (n = 21 709; 14 695 patients with weight loss data). South and East Asian, Middle Eastern and Other ethnicities had a significantly lower body mass index (BMI) at enrollment than White adults (39.7 vs. 35.4-38.7 kg/m²), with higher or similar BMIs in Indigenous and Black adults (39.9-42.2 kg/m²). Whites, East Asians and Other Ethnicities had the greatest weight loss (4.3-4.9 kg), while Blacks (3.3 kg), Latin (3.0 kg), Middle Eastern (2.7 kg), and South Asians (3.5 kg) lost significantly less weight as compared to Whites (4.9 kg) (p < .05). There were also weight loss differences between Black sub-groups. African American females lost the least weight (1.4 kg), while West Indian Black females lost much more weight (4.3 kg, p = .01). African American males also lost the least amount of weight (0.9 kg), while African Black males lost the most (7.4 kg, p = 0.01). There are differences in the weight loss achieved during a clinical obesity management program between individuals of various ethnicities.</p>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70022"},"PeriodicalIF":2.2,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of maternal body mass index (BMI) and gestational weight gain on offspring's weight and BMI z-scores across the first 8 years of life.","authors":"Zheng Lu, Iskander L C Shadid, Jhill Shah, Vincent J Carey, Nancy Laranjo, George T O'Connor, Robert S Zeiger, Leonard Bacharier, Augusto A Litonjua, Scott T Weiss, Hooman Mirzakhani","doi":"10.1111/cob.70021","DOIUrl":"https://doi.org/10.1111/cob.70021","url":null,"abstract":"<p><p>While prior studies have linked maternal pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) to birth weight and early childhood obesity, fewer have examined their joint effect on longitudinal growth trajectories, particularly standardized BMI z-scores through school age. We aimed to examine the relationship between maternal pre-pregnancy BMI, GWG and the trajectory of offspring's early-life weight, BMI z-scores and weight percentiles from birth to age 8. Linear mixed models were employed to assess the association between maternal pre-pregnancy BMI, GWG and children's standardized weight-for-age, BMI and length/height-for-age, adjusting for potential confounders. Data were analysed from 806 mother-child pairs from the Vitamin D Antenatal Asthma Reduction Trial, with children followed longitudinally from birth through 8 years of age. Our study demonstrated a significant association between maternal pre-pregnancy BMI and offspring weight-for-age and BMI z-score trajectories (β = .03, 95% confidence interval [CI]: 0.02-0.04 for both; p < .001, respectively). Specifically, children born to mothers with pre-pregnancy BMI of 25-30 kg/m² or ≥30 kg/m² had significantly higher BMI z-scores (β = .15, 95% CI: 0.02-0.29; p = .03; β = .49, 95% CI: 0.33-0.64; p < .001, respectively) compared to those with normal BMI. Maternal BMI was not significantly associated with the child's length/height. GWG was independently and positively associated with weight-for-age and BMI z-scores (β = .01, 95% CI: 0.002-0.015, p = .01 and β = .01, 95% CI: 0.01-0.02, p < .001, respectively). Excessive GWG was linked to higher offspring weight-for-age and BMI z-scores from birth to 8 years (β = .20, 95% CI: 0.08-0.32; β = .19, 95% CI: 0.08-0.31; p = .001, respectively) compared to guideline-congruent or inadequate GWG. Achieving or maintaining a healthy BMI prior to pregnancy and adhering to GWG guidelines may help mitigate the risk of early childhood overweight or obesity.</p>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70021"},"PeriodicalIF":2.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive dissonance for weight stigma reduction: The development and effect of a counter-attitudinal advocacy intervention.","authors":"Vanessa Montemarano, Lamia Firasta, Jason Deska, Stephanie E Cassin","doi":"10.1111/cob.70024","DOIUrl":"https://doi.org/10.1111/cob.70024","url":null,"abstract":"<p><p>Weight stigmatization is persistent and pervasive, leading to numerous negative consequences. This study developed a weight stigma reduction intervention rooted in Cognitive Dissonance Theory aimed at reducing stigma towards individuals living in larger bodies. Undergraduate students (N = 325) were randomized to one of three conditions: Cognitive Dissonance (i.e., Written Advocacy or Written + Vocalized Advocacy) or Control. Participants in both Cognitive Dissonance conditions provided a written statement advocating for a proposal benefiting individuals living in larger bodies that would be somewhat costly to participants. Those in the Written + Vocalized Advocacy condition also vocalized their arguments to further enhance dissonance. It was hypothesized that compared to Controls, participants in both Cognitive Dissonance conditions would report reduced weight stigma and greater commitment to a prosocial action, with the strongest effects for the Written + Vocalized Advocacy condition. There was a significant reduction in weight stigma across all conditions, but minimal support for significant differences between conditions. Participants in the Cognitive Dissonance conditions did not commit significantly more hours towards the prosocial action compared to Controls. There was limited support that cognitive dissonance was induced. Future studies should pre-screen participants endorsing stronger weight stigma to help ensure they are advocating for a counter-attitudinal cause.</p>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70024"},"PeriodicalIF":2.2,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The implementation of a Nationally Enhanced Service incentive for weight management: A longitudinal qualitative study of the perceptions and experiences of UK primary care staff on weight management using normalisation process theory.","authors":"Jack B Joyce, Anisa Hajizadeh, Rachna Begh, Kate Jolly, Susan A Jebb, Paul Aveyard","doi":"10.1111/cob.70020","DOIUrl":"https://doi.org/10.1111/cob.70020","url":null,"abstract":"<p><p>In 2021 a Nationally Enhanced Service (NES) incentive for weight management in primary care was rolled out in England. This paid general practices £11.50 for every eligible referral they made to a weight management programme. We explored primary care staff's perceptions, experiences and attitudes toward the NES by conducting 37 semi-structured interviews with General Practitioners (GPs), administrative staff and nurses preceding the introduction of the NES (May to September 2021) and 1 year later following its introduction (September to December 2022). Data were analysed using normalisation process theory. The NES for weight management solidified the position of staff already supportive of referring patients to weight management programmes. For staff less supportive of weight management services, the dissonance between the perceived lack of benefit of services and making referrals to services was reduced with referrals becoming more habitual. Facilitators to implementation included the presence of a coherent national policy; having a 'champion' explain key aspects; and a financial incentive if framed as benefiting the practice at large. Barriers included a perception that primary care has been shouldered with a complex and difficult health crisis; a worry over workload burdens; and inefficient and unclear referral systems. The implementation of the NES was broadly welcomed and accepted by primary care staff. Interviewees expressed concerns around the acceptance of weight management policies in primary care, the provision of training to raise the topic of weight and whether the responsibility of weight management fell with primary care, public health or with the patient.</p>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70020"},"PeriodicalIF":2.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Making do in the absence of specialist support: Exploring healthcare professionals' views, experiences and behaviours around long-term post-bariatric surgery follow-up care in the United Kingdom.","authors":"Ross Watkins, Laura L Jones, Kenneth Clare, Karen D Coulman, Colin J Greaves, Kate Jolly, Emma Shuttlewood, Helen M Parretti","doi":"10.1111/cob.70016","DOIUrl":"https://doi.org/10.1111/cob.70016","url":null,"abstract":"<p><p>Bariatric surgery is an effective treatment for obesity, but long-term can lead to health-related issues. Guidelines highlight the importance of long-term post-bariatric surgery follow-up. However, in the UK, there is currently no specific funding to support the delivery of this care. Our aim was to understand the views and experiences of healthcare professionals (HCPs) around long-term post-bariatric surgery follow-up, and barriers and enablers to care. Semi-structured interviews with HCPs in UK primary care or specialist weight management services were conducted. The topic guide was theoretically informed by the Capability-Opportunity-Motivation-Behaviour model and the Theoretical Domains Framework. Thematic analysis was undertaken. Twenty-six HCPs were interviewed. Three core themes were interpreted: Existing Challenges, Mediating Factors and Future Directions. While there was agreement on the need for long-term support, current provision was variable and hampered by a paucity of referral options. Follow-up care could be contingent upon the patients' surgical pathway and the culture and expertise within the general practitioner surgery. Participants discussed potential ways to improve care, including using technology, adapting approaches used in other chronic conditions, shared care models and harnessing the potential for peer-based support to improve wellbeing and quality of life. Healthcare professionals' views and experiences shared in this study highlight the complex issues associated with long-term bariatric surgery follow-up. The findings will inform future research to design and implement care pathways that are urgently needed to improve service provision for these patients.</p>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70016"},"PeriodicalIF":2.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One anastomosis gastric bypass in children and adolescents: An international expert survey.","authors":"Mohammad Kermansaravi, Sonja Chiappetta, Mario Musella, Miguel Angel Carbajo, Radwan Kassir, Jean-Marc Chevallier, Khaled Gawdat, Kuldeepak Singh Kular, Gerhard Prager, Rudolf Weiner, Scott Alan Shikora, Chetan Parmar","doi":"10.1111/cob.70018","DOIUrl":"https://doi.org/10.1111/cob.70018","url":null,"abstract":"<p><p>Despite the growing popularity of one anastomosis gastric bypass (OAGB) as the third most commonly performed metabolic and bariatric surgery (MBS) procedure worldwide, concerns remain among MBS surgeons about performing OAGB in children and adolescents. This international expert survey was conducted to assess the perspectives of experts regarding the different aspects of OAGB specific to these patient groups. A total of 102 expert MBS surgeons from 41 countries were invited to participate in this survey, which took place between 24 May 2024, and 11 June 2024. The participating surgeons provided their responses through a 30-question online survey, employing a multiple-choice format. Approximately 6.85% of participants believe there should be no minimum age limit for OAGB and 26.5% of experts perform OAGB only in patients 18 years old and above. The experts define adherence to postoperative diet, patient cooperation, and managing family expectations as the main challenges encountered when performing OAGB in this population. About 92.2% of experts believe that consultation and follow-up by a paediatrician, as part of a multidisciplinary team (MDT), are essential before surgery. Also, 76.5% of experts believe that bone age should be determined in these age groups before OAGB. Despite the absence of strong evidence refuting the safety and efficacy of OAGB in children and adolescents, this survey revealed that there are still some concerns about the long-term safety and efficacy of OAGB in children and adolescents.</p>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70018"},"PeriodicalIF":2.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neck circumference can be a better predictor of cardiometabolic syndrome among body shape indexes and other anthropometry parameters - A cross-sectional study from Mashhad Persian Cohort.","authors":"Asie Araste, Mohammad Reza Shadmand Foumani Moghadam, Mohadeseh Mastali, Raheleh Ganjali, Saeid Eslami, Maryam Khosravi, Ramin Rezaee, Reza Rezvani","doi":"10.1111/cob.70010","DOIUrl":"https://doi.org/10.1111/cob.70010","url":null,"abstract":"<p><p>Cardiometabolic syndrome (CMS) is a global health issue that is commonly associated with obesity. This study aimed to assess the utility of neck circumference for predicting cardiometabolic risk in the Iranian population. A cross-sectional study with 6789 participants was conducted using face-to-face interviews, clinical evaluations, body composition measurements using Inbody 770 device, laboratory tests and anthropometric measurements. The anthropometric measurements included height, weight, body mass index, neck, waist, hip and wrist circumference, while laboratory measures included complete blood count, fasting blood glucose, lipid profile and lipid accumulation product. The results revealed that 22.4% of the population had CMS, with a higher prevalence in males (29.8%) than in females (16%). Waist circumference was the most prevalent indicator of CMS (75.8%), particularly in males (86%), while low high-density lipoprotein (HDL) levels were the least common (found in only 349 males). Neck circumference was significantly related to all CMS indicators. Univariate logistic regression analysis indicated that every unit increase in neck circumference led to a twofold increase in the probability of CMS (OR (95% CI) = 1.24 (1.21, 1.26), p < 0.001). Neck circumference had a higher predictive value (AUC = 0.7, sensitivity = 0.71, specificity = 0.6, validity = 0.63) for CMS risk than weight and body mass index (BMI). The cut-off points for neck circumference in diagnosing CMS among the males and females were 38.6 and 36.9 cm, respectively. Neck and waist circumference are better predictors of cardiovascular risk factors than BMI or waist-to-hip ratio. Monitoring changes in these measurements can help predict CMS.</p>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70010"},"PeriodicalIF":2.2,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}