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Resting Energy Expenditure in Predicting Weight Loss After Gastroplasty
Preoperative Resting Energy Expenditure (REE) As Predictor of Weight Loss After Vertical Banded Gastroplasty
Failure of Pre-Operative Resting Energy Expenditure in Predicting Weight Loss After Gastroplasty
To evaluate the predictive efficacy of preoperative resting energy expenditure (REE) on weight loss after vertical banded gastroplasty (VBG). When subjected to a gastric restriction procedure of similar extent, the patients with higher energy expenditure should experience a greater negative energy balance than those with lower-energy expenditure, and thus, lose more weight, thereby making REE a reliable predictor of weight loss after VBG.
This was a prospective investigation after VBG, taking into account the relationship between preoperative REE values and the results at 1-year follow-up in terms of weight loss and success of the procedure. The correlations were evaluated by multiple and logistic regression analysis.
The weight loss and the outcome at 1 year after vertical banded gastroplasty seemed to be completely independent of preoperative energy expenditure.
These findings suggest that, despite gastric restriction, patients may voluntarily adjust their energy intake, and that the weight outcome after vertical banded gastroplasty is influenced more by behavioral and cognitive variables than by biological or surgical factors.
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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2018 Bariatric-Surgery.Info - Terms - Contact - Information - Resources