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Behavioral weight management interventions in metabolic and bariatric surgery: A systematic review and meta-analysis investigating optimal delivery timing.

Author(s): Julien CA, Lavoie KL, Ribeiro PAB, Dragomir AI, Mercier LA, Garneau PY, Pescarus R, Bacon SL...

Metabolic and bariatric surgery (MBS) yields unprecedented clinical outcomes, though variability is high in weight change and health benefits. Behavioral weight management (BWM) interventions may o...

Article GUID: 33403754
Obesity and ageing: Two sides of the same coin.

Author(s): Tam BT, Morais JA, Santosa S

Obes Rev. 2020 Feb 05;: Authors: Tam BT, Morais JA, Santosa S

Article GUID: 32020741
Addressing weight bias and discrimination: moving beyond raising awareness to creating change.

Author(s): Ramos Salas X, Alberga AS, Cameron E, Estey L, Forhan M, Kirk SFL, Russell-Mayhew S, Sharma AM

Obes Rev. 2017 11;18(11):1323-1335 Authors: Ramos Salas X, Alberga AS, Cameron E, Estey L, Forhan M, Kirk SFL, Russell-Mayhew S, Sharma AM

Article GUID: 28994243
From neutrophils to macrophages: differences in regional adipose tissue depots.

Author(s): Dam V, Sikder T, Santosa S

Obes Rev. 2016 Jan;17(1):1-17 Authors: Dam V, Sikder T, Santosa S

Article GUID: 26667065
Title:Behavioral weight management interventions in metabolic and bariatric surgery: A systematic review and meta-analysis investigating optimal delivery timing.
Authors:Julien CA,  Lavoie KL,  Ribeiro PAB,  Dragomir AI,  Mercier LA,  Garneau PY,  Pescarus R,  Bacon SL
Link:https://www.ncbi.nlm.nih.gov/pubmed/33403754
DOI:10.1111/obr.13168
Category:Obes Rev
PMID:33403754
Dept Affiliation: HKAP
1 Department of Psychology, University of Quebec at Montreal, Montréal, Canada.
2 Montreal Behavioural Medicine Centre, Montreal North Island Integrated Health and Social Services University Centre (CIUSSS-NIM), Montréal, Canada.
3 Department of Surgery, University of Montreal, Montréal, Canada.
4 General and Bariatric Surgery Division, Montreal North Island Integrated Health and Social Services University Centre (CIUSSS-NIM), Montréal, Canada.
5 Department of Health, Kinesiology & Applied Physiology, Concordia University, Montréal, Canada.

Description:

Behavioral weight management interventions in metabolic and bariatric surgery: A systematic review and meta-analysis investigating optimal delivery timing.

Obes Rev. 2021 Jan 06; :

Authors: Julien CA, Lavoie KL, Ribeiro PAB, Dragomir AI, Mercier LA, Garneau PY, Pescarus R, Bacon SL

Abstract

Metabolic and bariatric surgery (MBS) yields unprecedented clinical outcomes, though variability is high in weight change and health benefits. Behavioral weight management (BWM) interventions may optimize MBS outcomes. However, there is a lack of an evidence base to inform their use in practice, particularly regarding optimal delivery timing. This paper evaluated the efficacy of BWM conducted pre- versus post- versus pre- and post-MBS. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and included pre- and/or post-operative BWM interventions in adults reporting anthropometric and/or body composition data. Thirty-six studies (2,919 participants) were included. Post-operative BWM yielded greater decreases in weight (standardized mean difference [SMD] = -0.41; 95% confidence interval [CI]: -0.766 to -0.049, p < 0.05; I2 = 93.5%) and body mass index (SMD = -0.60; 95% CI: -0.913 to -0.289, p < 0.001; I2 = 87.8%) relative to comparators. There was no effect of BWM delivered pre- or joint pre- and post-operatively. The risk of selection and performance bias was generally high. Delivering BWM after MBS appears to confer the most benefits on weight, though there was high variability in study characteristics and risk of bias across trials. This provides insight into the type of support that should be considered post-operatively.

PMID: 33403754 [PubMed - as supplied by publisher]