Factors that influence weight regain in patients after bariatric surgery: na integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i9.32193

Keywords:

Bariatric Surgery; Obesity; Weight gain.

Abstract

Obesity is a chronic disease considered as one of the main public health problems in the world due to its damage to health, among the methods for weight loss is bariatric surgery, however, despite the success of the procedure, there is a high percentage of regain weight in the later period, preventing the achievement of its therapeutic goal. Objective: To identify and analyze the scientific evidence available in the literature about the factors that influence weight regain in patients after bariatric surgery. Methodology: This is an integrative review research, meeting the PRISMA recommendations and developed in six stages: 1) identification of the theme and formulation of the guiding question; 2) literature search; 3) categorization of studies; 4) evaluation of included studies; 5) interpretation of results; 6) synthesis of knowledge. The search was performed in Pubmed databases; Bireme; Cochrane Library; MedLine, LILACS and SciELO. Published from March 2016 to May 2022. Results: 231,369 articles were found, of which eight articles were selected that met the established criteria. The factors identified in the literature were eating habits and disorders, low adherence to physical activity, behaviors and lifestyle habits, metabolism and psychological factors. Conclusion: It is considered extremely important to identify the factors that may influence weight regain after bariatric surgery, in order to understand the reasons involved in the unfavorable outcomes and achieve multidisciplinary care in the fight against obesity, whose focus is the patient fully assisted.

References

Abidi, W., Nestoridi, E., Feldman, H., Stefater, M., Clish, C., Thompson, C. C., & Stylopoulos, N. (2019). Differential Metabolomic Signatures in Patients with Weight Regain and Sustained Weight Loss After Gastric Bypass Surgery: A Pilot Study. Digestive Diseases and Sciences, 65(4), 1144–54. https://doi.org/10.1007/s10620-019-05714-3

Amundsen, T., Strømmen, M., & Martins, C. (2016). Suboptimal Weight Loss and Weight Regain after Gastric Bypass Surgery—Postoperative Status of Energy Intake, Eating Behavior, Physical Activity, and Psychometrics. Obesity Surgery, 27(5), 1316–23. https://doi.org/10.1007/s11695-016-2475-7

Ansari, W., & Elhag, W. (2021). Weight Regain and Insufficient Weight Loss After Bariatric Surgery: Definitions, Prevalence, Mechanisms, Predictors, Prevention and Management Strategies, and Knowledge Gaps—a Scoping Review. Obesity Surgery. https://doi.org/10.1007/s11695-020-05160-5

Bardal, A. G., Ceccatto, V., & Mezzomo, T. R. (2016). Fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica. Scientia Medica, 26(4), 24224. https://doi.org/10.15448/1980-6108.2016.4.24224

Brode, C. S., & Mitchell, J. E. (2019). Problematic Eating Behaviors and Eating Disorders Associated with Bariatric Surgery. Psychiatric Clinics of North America, 42(2), 287–97. https://doi.org/10.1016/j.psc.2019.01.014

Busetto, L., Bettini, S., Makaronidis, J., Roberts, C. A., Halford, J. C. G., & Batterham, R. L. (2021). Mechanisms of weight regain. European Journal of Internal Medicine, 93, 3–7. https://doi.org/10.1016/j.ejim.2021.01.002

Costa, B. M. P. da, Farias, R. R. S. de, Souza, S. C., & Branco, G. M. P. C. (2021). Os impactos psicológicos de pacientes pós-bariátricas: uma revisão de literatura. Research, Society and Development, 10(17), e54101724081. https://doi.org/10.33448/rsd-v10i17.24081

Furtado, M. C. M. B., Vermeulen, K. M., Bellot, P. E. N. R., Godoy, C. M. de A., Coelho, D., Godoy, E. P. de, Oliveira, A. M. G. de., & Campos, J. M. (2018). Evaluation of factors that may influence in the insufficient weight loss in patients after two years of Roux-en-Y gastric bypass. Nutrición Hospitalaria, 35(5), 1100. https://doi.org/10.20960/nh.1814

Jumbe, S., Hamlet, C., & Meyrick, J. (2017). Psychological Aspects of Bariatric Surgery as a Treatment for Obesity. Current Obesity Reports, 6(1), 71–78. https://doi.org/10.1007/s13679-017-0242-2

Kaouk, L., Hsu, A. T., Tanuseputro, P., & Jessri, M. (2020). Modifiable factors associated with weight regain after bariatric surgery: a scoping review. F1000Research, 8, 615. https://doi.org/10.12688/f1000research.18787.2

Kortchmar, E., Merighi, M. A. B., Conz, C. A., Jesus, M. C. P. de, & Oliveira, D. M. de. (2018). Reganho de peso após a cirurgia bariátrica: um enfoque da fenomenologia social. Acta Paulista de Enfermagem, 31(4), 417–22. https://doi.org/10.1590/1982-0194201800058

Lupoli, R., Lembo, E., Saldalamacchia, G., Avola, C. K., Angrisani, L., & Capaldo, B. (2017). Bariatric surgery and long-term nutritional issues. World Journal of Diabetes, 8(11), 464. https://doi.org/10.4239/wjd.v8.i11.464

Maleckas, A., Gudaitytė, R., Petereit, R., Linas Venclauskas, & Džilda Veličkienė. (2016). Weight regain after gastric bypass: etiology and treatment options. Gland Surgery, 5(6), 61724–61624. https://doi.org/10.21037%2Fgs.2016.12.02

Mapa da obesidade. (n.d.). Abeso. https://abeso.org.br/obesidade-e-sindrome-metabolica/mapa-da-obesidade

Masood, A., Alsheddi, L., Alfayadh, L., Bukhari, B., Elawad, R., & Alfadda, A. A. (2019). Dietary and Lifestyle Factors Serve as Predictors of Successful Weight Loss Maintenance Postbariatric Surgery. Journal of Obesity, 2019, 1–6. https://doi.org/10.1155/2019/7295978

Mauro, M. F. F. P., Papelbaum, M., Brasil, M. A. A., Carneiro, J. R. I., Coutinho, E. S. F., Coutinho, W., & Appolinario, J. C. (2019). Is weight regain after bariatric surgery associated with psychiatric comorbidity? A systematic review and meta‐analysis. Obesity Reviews, 20(10), 1413–25. https://doi.org/10.1111/obr.12907

Mendes, J. M. S., Lotufo Neto, F., Queiroga, M. C., Lima, A. B. A. C. de, Abrantes, M. S. de A. P., & Fonseca, E. N. R. da. (2021). Perfil psicopatológico dos indivíduos bariátricos tardio e sua associação com o reganho de peso. Research, Society and Development, 10(11), e521101119872. https://doi.org/10.33448/rsd-v10i11.19872

Mulla, C. M., Middelbeek, R. J. W., & Patti, M.-E. (2017). Mechanisms of weight loss and improved metabolism following bariatric surgery. Annals of the New York Academy of Sciences, 1411(1), 53–64. https://doi.org/10.1111/nyas.13409

Nymo, S., Lundanes, J., Aukan, M., Sandvik, J., Johnsen, G., Græslie, H., Larsson, I., & Martins, C. (2022). Diet and physical activity are associated with suboptimal weight loss and weight regain 10–15 years after Roux-en-Y gastric bypass: A cross-sectional study. Obesity Research & Clinical Practice. https://doi.org/10.1016/j.orcp.2022.03.006

Palacio, A., Luna, C., Maíz, C., & Blanco, E. (2021). Nutritional and behavioral factors related to weight gain after bariatric surgery. Revista Médica de Chile, 149(1), 30–36. https://doi.org/10.4067/s0034-98872021000100030

Pedro, J., Neves, J., Ferreira, M., Guerreiro, V., Salazar, D., Viana, S., Mendonça, F., Silva, M., Brandão, I., Belo, S., Freitas, P., Varela, A., & Carvalho, D. (2020). Impact of Depression on Weight Variation after Bariatric Surgery: A Three-Year Observational Study. Obesity Facts, 13(2), 213–20. https://doi.org/10.1159/000506404

Representante da OPAS/OMS no Brasil faz chamado à ação para acabar com estigma, prevenir e controlar obesidade - OPAS/OMS | Organização Pan-Americana da Saúde. (n.d.). https://www.paho.org/pt/noticias/5-3-2021-representante-da-opasoms-no-brasil-faz-chamado-acao-para-acabar-com-estigma

Sánchez, F.B, de León, L. G., Luján, R.C & Rodríguez, B.O, (2021). Physical exercise and loss of weight and body mass index in bariatric surgery: a systematic review. Nutrición Hospitalaria. https://doi.org/10.20960/nh.03746

Tavares, T. B., Nunes, S. M., & Santos, M. de O. (2010). Obesidade e qualidade de vida: revisão da literatura. Rev Med Minas Gerais; 20(3): 359-66 http://rmmg.org/artigo/detalhes/371

Tolvanen, L., Christenson, A., Surkan, P. J., & Lagerros, Y. T. (2022). Patients’ Experiences of Weight Regain After Bariatric Surgery. Obesity Surgery, 32(5), 1498–1507. https://doi.org/10.1007/s11695-022-05908-1

World Health Organization. (2021, June 9). Obesity and Overweight. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Published

19/07/2022

How to Cite

SILVA, L. H. S.; PAES, N. C.; BRANDÃO, Y. S. T.; SOUZA, A. M. A. de; COELHO, J. A. P. de M.; COMASSETTO, I.; GONÇALVES, A. M. de L.; NASCIMENTO, G. C. R. do; MALTA, G. O. de A.; SILVA, R. R. S. M. da. Factors that influence weight regain in patients after bariatric surgery: na integrative review . Research, Society and Development, [S. l.], v. 11, n. 9, p. e56511932193, 2022. DOI: 10.33448/rsd-v11i9.32193. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32193. Acesso em: 5 nov. 2024.

Issue

Section

Health Sciences