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Lookup NU author(s): Professor Falko Sniehotta
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2023 American Society for Metabolic and Bariatric SurgeryBackground: Little is known about longer-term adherence to recommended physical activity (PA) and dietary behaviors after metabolic and bariatric surgery (MBS) and whether adherence is associated with weight recurrence. Objectives: To explore (1) changes in and associations between adherence to PA and general dietary recommendations after MBS and (2) whether PA and dietary behaviors interact to predict weight recurrence. Setting: University hospital; public practice. Methods: Participants completed ActiGraph PA monitoring, dietary questionnaire, and weighing 1 and 5 years after surgery. Parametric and non-parametric tests evaluated changes in and associations between adherence to PA and dietary recommendations. Multiple linear regression explored associations of adherence and weight recurrence 5 years post-surgery. Results: A total of 73 participants (66% loss to follow-up, 80.8% females) were included. From 1 to 5 years after surgery, adherence to PA recommendations did not change (23.5% versus 20.5%, P = .824), whereas adherence to dietary recommendations decreased (P = <.001). Adherence to PA recommendations is positively associated with eating fruits and vegetables and limiting intake of sugar and fat at 1 year (P < .05) and negatively associated with choosing meat with less fat at 5 years (P = .018). Adherence to PA and dietary behaviors did not independently contribute or interact to predict weight recurrence. Conclusions: Adherence to recommendations was poor. Dietary adherence decreased from 1 to 5 years post-surgery, whereas PA adherence remained stable. PA adherence was positively associated with adherence to some dietary recommendations at 1 year but not at 5 years. Neither behavioral adherences were associated with weight recurrence. Additional research is needed to understand how to improve adherence and its relationship with other health outcomes after MBS.
Author(s): Sundgot-Borgen C, Bond DS, Ro O, Sniehotta F, Kristinsson J, Kvalem IL
Publication type: Article
Publication status: Published
Journal: Surgery for Obesity and Related Diseases
Year: 2024
Volume: 20
Issue: 4
Pages: 383-390
Print publication date: 01/04/2024
Online publication date: 27/11/2023
Acceptance date: 12/11/2023
Date deposited: 05/02/2024
ISSN (print): 1550-7289
ISSN (electronic): 1878-7533
Publisher: Elsevier Inc.
URL: https://doi.org/10.1016/j.soard.2023.11.014
DOI: 10.1016/j.soard.2023.11.014
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