Clinical Obesity最新文献_第3页

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 在缺乏专家支持的情况下：探索英国医疗保健专业人员对长期减肥手术后随访护理的看法、经验和行为。

IF 2.2

Clinical Obesity Pub Date : 2025-04-29 DOI: 10.1111/cob.70016

Ross Watkins, Laura L. Jones, Kenneth Clare, Karen D. Coulman, Colin J. Greaves, Kate Jolly, Emma Shuttlewood, Helen M. Parretti

{"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":"10.1111/cob.70016","url":null,"abstract":"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.","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":"15 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cob.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One anastomosis gastric bypass in children and adolescents: An international expert survey. 儿童和青少年一种吻合胃旁路术：国际专家调查。

IF 2.2

Clinical Obesity Pub Date : 2025-04-28 DOI: 10.1111/cob.70018

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

{"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":"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.","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}

引用次数: 0

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 在体型指标和其他人体测量参数中，颈围可以更好地预测心脏代谢综合征——来自马什哈德波斯队列的横断面研究。

IF 2.2

Clinical Obesity Pub Date : 2025-04-26 DOI: 10.1111/cob.70010

Asie Araste, Mohammad Reza Shadmand Foumani Moghadam, Mohadeseh Mastali, Raheleh Ganjali, Saeid Eslami, Maryam Khosravi, Ramin Rezaee, Reza Rezvani

{"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":"10.1111/cob.70010","url":null,"abstract":"<div>\u0000 \u0000 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.\u0000 </div>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":"15 4","pages":""},"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}

引用次数: 0

Is bariatric surgery a crime? A systematic review and meta-analysis of postoperative psychiatric symptoms and eating disorders. 减肥手术是犯罪吗？术后精神症状和饮食失调的系统回顾和荟萃分析。

IF 2.2

Clinical Obesity Pub Date : 2025-04-24 DOI: 10.1111/cob.70017

Bushra Albadareen, Ahmed AlBadareen

{"title":"Is bariatric surgery a crime? A systematic review and meta-analysis of postoperative psychiatric symptoms and eating disorders.","authors":"Bushra Albadareen, Ahmed AlBadareen","doi":"10.1111/cob.70017","DOIUrl":"https://doi.org/10.1111/cob.70017","url":null,"abstract":"Bariatric surgery can lead to significant weight loss and improved physical health. Still, it often also brings about complex psychological effects, including changes in self-esteem, body image and emotional well-being that require careful monitoring and support. This systematic review with meta-analysis aims to analyse the relationship between bariatric surgery and postoperative improvement in psychiatric and eating disorders. MEDLINE, EMBASE, COCHRANE Library and other specialized databases were searched in July 2024. Observational studies included individuals who had undergone any bariatric surgical treatment with a preoperative evaluation of eating disorders, depression and anxiety and at a postoperative measure of the same variables selected. Thirteen studies that met the eligibility criteria were included for qualitative synthesis and eight studies for meta-analysis. Two reviewers independently screened for eligibility. The mean difference was calculated using the random-effects model. Bariatric surgery was found to be effective in improving eating disorders (-0.81%, 95% CI -1.61 to -0.05; I2 = 98%, p < .05), depression (-0.56, 95% CI -1.09 to -0.04, I2 = 97%, p < .03) and anxiety (-0.74, 95% CI -1.17 to -0.31, I2 = 94%, p < .00). The literature reveals high heterogeneity between studies, particularly in assessing psychological factors, with a common reliance on self-reported questionnaires rather than gold-standard assessments. Nonetheless, based on the findings of this study, there was a genuine effect on eating disorders, depression and anxiety when those participants underwent bariatric surgery.","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":" ","pages":"e70017"},"PeriodicalIF":2.2,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957023","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}

引用次数: 0

Effect of glucagon-like peptide 1 receptor agonists on systolic blood pressure in patients with obesity, with or without diabetes: A systematic review and network meta-analysis 胰高血糖素样肽1受体激动剂对伴有或不伴有糖尿病的肥胖患者收缩压的影响：一项系统综述和网络荟萃分析

IF 2.2

Clinical Obesity Pub Date : 2025-04-23 DOI: 10.1111/cob.70012

Abraish Ali, Asad Ali Siddiqui, Muhammad Shariq Usman, Izza Shahid, Muhammad Shahzeb Khan, Prinka Perswani

{"title":"Effect of glucagon-like peptide 1 receptor agonists on systolic blood pressure in patients with obesity, with or without diabetes: A systematic review and network meta-analysis","authors":"Abraish Ali, Asad Ali Siddiqui, Muhammad Shariq Usman, Izza Shahid, Muhammad Shahzeb Khan, Prinka Perswani","doi":"10.1111/cob.70012","DOIUrl":"10.1111/cob.70012","url":null,"abstract":"The effect of glucagon-like peptide 1 receptor agonists (GLP-1RAs) on systolic blood pressure (SBP) in patients with obesity with or without diabetes remains unclear. The aim was to compare the effect of different drug–dose combinations of GLP-1RAs on SBP. The secondary aim was to assess whether changes in SBP with GLP-1RAs are associated with weight change. MEDLINE and Cochrane were searched until January 2022 for randomized control trials (RCTs) on patients with obesity, evaluating the impact of semaglutide, liraglutide, efpeglenatide, or exenatide on SBP. Separate analyses were done for trials with and without diabetes. Multivariate meta-regression assessed if SBP changes with GLP-1RA varied based on weight change or follow-up duration. Thirty-five RCTs were included. Follow-up duration ranged from 12 to 68 weeks for T2DM and 12–56 weeks for non-T2DM patients. GLP-1RAs significantly lowered SBP for all patients (MD = −3.14 [−3.60; −2.68]). Subgroup analysis showed a significantly greater difference in SBP reduction for patients without diabetes (−3.80 [−4.24; −3.37]) when compared with patients with diabetes (−2.13 [−3.27; −1.00]). Among patients with diabetes, liraglutide < 2 mg OD showed the greatest reduction in SBP (−3.78 [−6.27; −1.28]), while efpeglenatide ≤ 6 mg QW showed the greatest reduction in SBP (−6.00 [−9.89; −2.11]) in patients without diabetes. GLP-1RAs result in mild reductions in SBP in patients with obesity. The change in SBP varies only slightly by the drug–dose combination and appears to be related to the amount of weight loss.","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":"15 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cob.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How well does it fit? Process evaluation of a multidisciplinary pre- and postoperative metabolic bariatric surgery support programme: A patients' perspective 它合身吗？多学科前和术后代谢减肥手术支持方案的过程评估：患者的观点。

IF 2.2

Clinical Obesity Pub Date : 2025-04-21 DOI: 10.1111/cob.70006

Nadia Botros, Melina T. Czymoniewicz-Klippel, Vera van de Scheur, Laura N. Deden, Elske M. van den Berg, Eric J. Hazebroek

{"title":"How well does it fit? Process evaluation of a multidisciplinary pre- and postoperative metabolic bariatric surgery support programme: A patients' perspective","authors":"Nadia Botros, Melina T. Czymoniewicz-Klippel, Vera van de Scheur, Laura N. Deden, Elske M. van den Berg, Eric J. Hazebroek","doi":"10.1111/cob.70006","DOIUrl":"10.1111/cob.70006","url":null,"abstract":"Multidisciplinary support can help patients improve health and cope with changes after metabolic and bariatric surgery (MBS). However, there is uncertainty regarding what intervention components, delivery methods and intensity are effective. To understand how intervention effects are achieved, we performed a process evaluation of a 15-session pre- and post-MBS programme comprising medical, dietary and psychological interventions delivered via group sessions until 9 months postsurgery. The evaluation examined programme relevance, perceived fit and practicability (‘appropriateness’) and satisfaction with content and delivery (‘acceptability’). Interviews (n = 11) and focus groups (n = 2) were performed with 21 patients in different programme phases. Programme fidelity was assessed using administrative data on attendance in 1.396 patients. Presurgery, practicing with postoperative recommendations and multiple social components, was described as useful. Although participants found several postoperative components helpful (e.g. meal planning), the perceived fit was lower due to group delivery, session spacing and varying needs. Attended programme time postsurgery was lower than presurgery. Individual needs varied in terms of support intensity and type, and by gender, age and surgery type. Participants recommended greater session spacing, as maintaining behaviours >1 year postsurgery was expected to be most challenging. Participants requested additional information on negative lived experiences, exercise and coping with various postoperative changes. Programme fit can be improved by taking patients' varying needs into account in a flexible programme, with a duration beyond the first postoperative year, and more attention to negative lived experiences, exercise and coping with changes.","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":"15 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cob.70006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association of motivational factors with weight loss and treatment time in a publicly funded weight management clinic 动机因素与减肥和治疗时间在公共资助的体重管理诊所的关系。

IF 2.2

Clinical Obesity Pub Date : 2025-04-08 DOI: 10.1111/cob.70014

Amir Yazdanparast, Sean Wharton, Hala Tamim, Alison K. Macpherson, Jennifer L. Kuk

{"title":"The association of motivational factors with weight loss and treatment time in a publicly funded weight management clinic","authors":"Amir Yazdanparast, Sean Wharton, Hala Tamim, Alison K. Macpherson, Jennifer L. Kuk","doi":"10.1111/cob.70014","DOIUrl":"10.1111/cob.70014","url":null,"abstract":"The objective of the study is to explore differences in weight loss (WL) and treatment time with having health, mobility, and/or aesthetics motivations for attempting WL. Data from 7540 adults with overweight or obesity who participated in a publicly funded weight management programme at the Wharton Medical Clinic were analysed. Patients' WL motivations were categorised into six groups: Health only; Health and Aesthetics; Health and Mobility; Health, Mobility and Aesthetics; No Health; and None. Women with Health, Mobility and Aesthetics or No Health motivations had marginally higher WL goals compared to other groups, with no differences in men. Men with Health and Aesthetics or Health and Mobility motivations showed marginally higher 6-month attendance rates. Men who discontinued after one visit were 40% less likely to have a Health and Aesthetics motivation as opposed to Health only, compared to those who continued. No differences were observed in WL between motivation groups in either sex. No correlation was found between WL goals and WL attained. Only weak correlations between treatment time and WL were observed across most motivation groups. Despite small differences in treatment time and WL goals, motivations for attempting WL were not significantly associated with differences in the WL achieved.","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":"15 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cob.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early obesity risk prediction via non-dietary lifestyle factors using machine learning approaches 利用机器学习方法通过非饮食生活方式因素进行早期肥胖风险预测。

IF 2.2

Clinical Obesity Pub Date : 2025-04-03 DOI: 10.1111/cob.70011

Ker Ming Seaw, Melvin Khee Shing Leow, Xinyan Bi

{"title":"Early obesity risk prediction via non-dietary lifestyle factors using machine learning approaches","authors":"Ker Ming Seaw, Melvin Khee Shing Leow, Xinyan Bi","doi":"10.1111/cob.70011","DOIUrl":"10.1111/cob.70011","url":null,"abstract":"<div>\u0000 \u0000 Obesity poses a significant health threat, contributing to the development of noncommunicable diseases (NCDs). Early identification of individuals at higher risk for obesity is crucial for implementing effective prevention strategies. This study explores the viability of non-dietary factors such as lifestyle, family history, and demographics as predictors of obesity risk. The dataset comprised 1068 males and 1043 females, aged between 14 and 61 years. Only non-dietary factors were used to build the machine learning models, including decision tree, random forest, support vector classification (SVC), k-nearest neighbour (KNN), and Gaussian Naïve Bayes (GNB). Random forest emerged as the optimal model, demonstrating 66.9% test accuracy, 66.4% precision, 66.9% recall, 66.4% F1-score, 94.5% specificity and 92.3% area under the receiver operating characteristic curve (AUC-ROC). Variability of the models' performance was also evaluated through bootstrapping. Lifestyle factors, while less impactful than family history and demographics, also contributed to predictive power. This indicates the potential for predicting obesity while relying less on dietary data, paving the way for future studies to refine predictive models. This could play a crucial role in identifying lifestyle factors as predictors of obesity, thereby preventing and intervening early to address obesity-related complications.\u0000 </div>","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":"15 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779296","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}

引用次数: 0

Considerations in the treatment of individuals with obesity and periodontitis 肥胖和牙周炎患者治疗的注意事项。

IF 2.2

Clinical Obesity Pub Date : 2025-03-26 DOI: 10.1111/cob.70002

Abigail S. Q. Cheong, Jean E. Suvan

{"title":"Considerations in the treatment of individuals with obesity and periodontitis","authors":"Abigail S. Q. Cheong, Jean E. Suvan","doi":"10.1111/cob.70002","DOIUrl":"10.1111/cob.70002","url":null,"abstract":"Two common non-communicable diseases, obesity and periodontitis, are responsible for and affected by systemic inflammation, sharing common risk factors and mechanistic pathways. Periodontitis is an irreversible immune-mediated inflammatory disease of hard and soft tissue supporting teeth. If left untreated, periodontitis can lead to tooth loss, affecting food choices and healthy eating, therefore affecting overall health. Obesity is an independent predictive factor for worsened periodontal inflammation, increased onset, progression, severity, and recurrence of infection, as well as delayed wound healing. Thus, managing obesity and associated metabolic dysfunctions may improve periodontal therapy outcomes. The chronic inflammatory state of obesity impairs immune regulation exacerbating the inflammatory gingival tissue destruction of periodontitis, which can also systemically contribute to inflammatory mediators. Furthermore, bariatric surgeons and dietitians should educate patients with obesity regarding the risk of elevated caries, xerostomia, and periodontitis risk from acid reflux and frequent food intake. Non-dental healthcare professionals should recognise periodontal disease signs to prompt dental referral when warranted. Asking patients about recent dental visits promotes patient involvement in cross-discipline dialogue to enhance patient care coordination between medicine and dentistry. This article discusses the association between these two diseases, the challenges of achieving optimal periodontal treatment outcomes, and the clinical strategies to enhance holistic care. It also explores oral health considerations in dietary and surgical interventions in the treatment of obesity.","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":"15 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cob.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of health literacy and general self-efficacy on surgical outcomes 2 years after bariatric surgery 健康素养和一般自我效能感对减肥手术后2年手术结果的影响

IF 2.2

Clinical Obesity Pub Date : 2025-03-10 DOI: 10.1111/cob.70009

Maria Jaensson, Karuna Dahlberg, Yang Cao, Anders Thorell, Johanna Österberg, Ulrica Nilsson, Erik Stenberg

{"title":"Impact of health literacy and general self-efficacy on surgical outcomes 2 years after bariatric surgery","authors":"Maria Jaensson, Karuna Dahlberg, Yang Cao, Anders Thorell, Johanna Österberg, Ulrica Nilsson, Erik Stenberg","doi":"10.1111/cob.70009","DOIUrl":"10.1111/cob.70009","url":null,"abstract":"After bariatric surgery, adherence to lifestyle recommendations is crucial. Health literacy and self-efficacy may impact recovery after surgery. In this multicentre study performed in three hospitals in Sweden, we evaluated any relation between preoperative health literacy and general self-efficacy on the one side and weight loss, health-related quality of life, length of stay, and complications up to 2 years after bariatric surgery on the other. Of 686 included patients, 56% (n = 382) had limited functional health literacy, 42% (n = 278) had limited communicative and critical health literacy, and 40% (n = 266) reported low general self-efficacy. Preoperative functional, communicative and critical health literacy, and general self-efficacy were not associated with the degree of weight loss at 1 or 2 years after surgery. However, limited health literacy and low general self-efficacy scores were associated with both reduced quality of life and obesity-related problems postoperatively. Further, a higher proportion of those with inadequate health literacy had a prolonged length of stay. Although patients with limited health literacy and self-efficacy may experience similar maximum weight loss after bariatric surgery as other patients, they still might have reduced health-related quality of life in terms of obesity-related problems. Increased awareness of this association as well as patient-centered support before and after bariatric surgery may be of benefit.","PeriodicalId":10399,"journal":{"name":"Clinical Obesity","volume":"15 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cob.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0