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Weight Regain and Its Associated Factors Following Bariatric Surgery in Obese Patients in Gorgan, Iran
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Fatemeh Mohammadzadeh1    , Ahmad Masoumi2 , Somayeh Ghorbani3 , Sina Safamanesh4 , Samira Eshghinia * 5 |
1- Assistant Professor, Metabolic Disorders Research Center, Department of Internal Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
2- Internal Medicine Specialist, Golestan University of Medical Sciences, Gorgan, Iran.
3- Assistant Professor of Biostatistics, Cancer Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
4- Surgeon, Laparoscopic Surgery Fellowship, Department of Laparoscopic Surgery, Rasool-e Akram Hospital, Tehran, Iran.
5- Associate Professor of Nutrition, Metabolic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran. , eshghinia@goums.ac.ir |
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Abstract: (693 Views) |
Background and Objective: Weight regain following bariatric surgery is a significant challenge for this obesity treatment method. This study aimed to identify factors associated with weight regain after bariatric surgeries in obese patients in Gorgan, Iran.
Methods: This longitudinal study included 143 obese individuals (125 women and 18 men) with a mean age of 43.13±9.83 years who underwent bariatric surgery in Gorgan, Iran during 2013-19. Participants were invited to join the study via phone calls. Research variables (type of surgery, blood group, pre-surgery weight, and body mass index [BMI]) were extracted from patient records, and their current weight and waist circumference were measured and recorded. Weight regain was determined based on one of three different criteria: (1) regaining more than 25% of the maximum weight lost post-surgery, (2) regaining more than 10 kg from the minimum weight post-surgery, or (3) an increase of more than 5 BMI units from the lowest BMI post-surgery.
Results: Overall, 33% of individuals experienced weight regain, with 26.6% according to the first definition, 29.4% according to the second definition, and 18.2% according to the third definition. Men had a higher rate of weight regain (P<0.05). Additionally, 93.6% (44 cases) of those with weight regain had abdominal obesity. On average, 79.7% of participants who were 48 months post-bariatric surgery experienced some degree of weight regain. Individuals with a pre-surgery BMI of 50 or higher had a 2.69 times greater chance of weight regain compared to those with BMI lower 50 (P<0.05). The mean weight loss after surgery was significantly higher in individuals who experienced weight regain than those who did not (P<0.05). There was no significant statistical association between weight regain and the type of surgery, age, education level, marital status, or blood group.
Conclusion: Weight regain over time is a reality after bariatric surgery, indicating that this method is not a definitive cure for obesity. Therefore, long-term follow-up for weight control is crucial, especially for individuals with a pre-surgery BMI of 50 or higher or those who experienced significant weight loss post-surgery. |
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Keywords: Obesity [MeSH], Bariatric Surgery [MeSH], Weight regain
Article ID: Vol26-16 |
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Full-Text [PDF 604 kb]
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Type of Study: Original Articles |
Subject:
Endocrinology
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Mohammadzadeh F, Masoumi A, Ghorbani S, Safamanesh S, Eshghinia S. Weight Regain and Its Associated Factors Following Bariatric Surgery in Obese Patients in Gorgan, Iran. J Gorgan Univ Med Sci 2024; 26 (2) :47-54 URL: http://goums.ac.ir/journal/article-1-4434-en.html
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