2026-04-28T22:57:01Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/183122024-11-28T14:53:37Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16927
Repisalud
author
Cornejo-Pareja, Isabel
author
Molina-Vega, María
author
Gómez-Pérez, Ana María
author
Damas-Fuentes, Miguel
author
Tinahones, Francisco J.
authoraffiliation
[Cornejo-Pareja,I; Molina-Vega,M; Gómez-Pérez,AM; Damas-Fuentes,M; Tinahones,FJ] Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, Málaga, Spain. [Cornejo-Pareja,I; Molina-Vega,M; Gómez-Pérez,AM; Damas-Fuentes,M; Tinahones,FJ] Instituto de Investigación Biomédica de Málaga (IBIMA), Virgen de la Victoria University Hospital, Málaga, Spain. [Cornejo-Pareja,I; Tinahones,FJ] Centro de Investigación Biomédica en Red de la Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain.
2024-02-19T15:26:53Z
2024-02-19T15:26:53Z
2021-04-16
http://hdl.handle.net/10668/3657
http://hdl.handle.net/20.500.12105/18312
33923789
10.3390/jcm10081739
2077-0383
Journal of Clinical Medicine
Despite bariatric surgery being the most effective treatment for obesity, some individuals do not respond adequately, especially in the long term. Identifying the predictors of correct weight maintenance in the medium (from 1 to 3 years after surgery) and long term (from 3 years and above) is of vital importance to reduce failure after bariatric surgery; therefore, we summarize the evidence about certain factors, among which we highlight surgical technique, psychological factors, physical activity, adherence to diet, gastrointestinal hormones or neurological factors related to appetite control. We conducted a search in PubMed focused on the last five years (2015-2021). Main findings are as follows: despite Roux-en-Y gastric bypass being more effective in the long term, sleeve gastrectomy shows a more beneficial effectiveness-complications balance; pre-surgical psychological and behavioral evaluation along with post-surgical treatment improve long-term surgical outcomes; physical activity programs after bariatric surgery, in addition to continuous and comprehensive care interventions regarding diet habits, improve weight loss maintenance, but it is necessary to improve adherence; the impact of bariatric surgery on the gut-brain axis seems to influence weight maintenance. In conclusion, although interesting findings exist, the evidence is contradictory in some places, and long-term clinical trials are necessary to draw more robust conclusions.
eng
Bariatric surgery
Weight regain
Surgical technique
Psychological disorders
Physical activity
Diet
Gut hormones
Gut–brain axis
Cirugía bariátrica
Ejercicio físico
Dieta
Factors Related to Weight Loss Maintenance in the Medium-Long Term after Bariatric Surgery: A Review
review article