The Effects of a Structured Diet and Exercise Intervention on Psychological Variables and Fitness Measures in Post-bariatric Surgery Patients PDF Download
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Author: Caroline Anne Carducci
Publisher:
ISBN:
Category :
Languages : en
Pages : 49
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Book Description
Abstract: There is a growing obesity epidemic in the United States and increasing numbers of individuals are turning to bariatric surgery as the solution. Fifty percent of patients regain weight after 48 months and post-surgical programs targeting behavior modification are not available at every surgery site. Project REACH (Relearn how to Eat, increase Activity and Create better Habits) was a newly developed intervention aimed at bariatric surgery patients 2-years post surgery who are struggling to maintain their weight loss. The purpose of this pre-experimental study was to analyze the effects of this 12- week exercise and diet plus counseling intervention on psychosocial and fitness variables. Eight participants self-selected into the program in the winter of 2010 and four completed the posttest. Large effects (Cohen's d) for changes in several variables were found. Social Support for Eating from family, cardiorespiratory endurance (6 min. walk test), and Self-Regulation for Goal-Setting had large positive effects. We concluded postsurgical programs that foster social support, include in-class exercise and counseling, and target self-regulation skills have the potential to prevent regaining weight. Future research should focus on this understudied population and incorporate healthy eating technology, multiple groups, and longer duration into an experimental study.
Author: Caroline Anne Carducci
Publisher:
ISBN:
Category :
Languages : en
Pages : 49
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Book Description
Abstract: There is a growing obesity epidemic in the United States and increasing numbers of individuals are turning to bariatric surgery as the solution. Fifty percent of patients regain weight after 48 months and post-surgical programs targeting behavior modification are not available at every surgery site. Project REACH (Relearn how to Eat, increase Activity and Create better Habits) was a newly developed intervention aimed at bariatric surgery patients 2-years post surgery who are struggling to maintain their weight loss. The purpose of this pre-experimental study was to analyze the effects of this 12- week exercise and diet plus counseling intervention on psychosocial and fitness variables. Eight participants self-selected into the program in the winter of 2010 and four completed the posttest. Large effects (Cohen's d) for changes in several variables were found. Social Support for Eating from family, cardiorespiratory endurance (6 min. walk test), and Self-Regulation for Goal-Setting had large positive effects. We concluded postsurgical programs that foster social support, include in-class exercise and counseling, and target self-regulation skills have the potential to prevent regaining weight. Future research should focus on this understudied population and incorporate healthy eating technology, multiple groups, and longer duration into an experimental study.
Author: James E. Mitchell
Publisher: Taylor & Francis
ISBN: 113662273X
Category : Psychology
Languages : en
Pages : 288
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Book Description
Bariatric surgery plays an important role in the treatment of obesity; in this comprehensive resource the worldwide leaders of the field provide the most up-to-date information on the psychosocial issues that affect their patients. Included is an overview and history of surgical procedures, complete with illustrations, practical advice on topics such as physical activity and nutritional care after surgery, and essential information that allows clinicians to assist their clients as much as possible; for example, how pre-weight loss surgery psychosocial evaluations can serve as clinical interventions in their own right, and how structured interviews and questionnaires can be used in multiple contexts such as screening, treatment planning, and prognostic assessment. A distinctive chapter includes an overview of the special issues present in treating adolescents, who increasingly are the target of bariatric surgery procedures. This book is an essential reference for clinicians from the evaluation through the follow-up and aftercare of bariatric surgery patients.
Author: Jaime Ruiz-Tovar
Publisher: Springer Nature
ISBN: 3031266145
Category : Medical
Languages : en
Pages : 161
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Book Description
Hypocaloric diet and physical exercise are the first therapeutic steps in the treatment of obesity. In morbidly obese patients, physical activity is essential to optimise their preparation for bariatric surgery. But physical activity is essential even after surgery, to avoid loss of muscle mass and the deriving complications. The aim of this book is to present the most current evidence of the effect different physical activity programs on morbidly obese patients before and after bariatric surgery. Written by experts in the field, the book will be a useful tool for all health professionals interested in learning more on this disabling condition.
Author: Christopher Still
Publisher: Springer
ISBN: 149391197X
Category : Medical
Languages : en
Pages : 234
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Book Description
Developed by the American Society for Metabolic and Bariatric Surgery (ASMBS), The ASMBS Textbook of Bariatric Surgery provides a comprehensive guide of information dealing with the ever evolving field of bariatric surgery. Volume II: Integrated Health is divided into 3 sections: bariatric medicine, psychosocial and nutritional aspects of bariatric surgery. The first section deals with the psychosocial issues associated with morbid obesity. The second section deals with the role of bariatric physicians in preoperative and postoperative support of the bariatric patients. The nutritional section discusses the preoperative and postoperative nutritional support for the bariatric patient. The ASMBS Textbook of Bariatric Surgery will be of great value to surgeons, residents and fellows, bariatric physicians, psychologists, psychiatrists and integrated health members that manage the morbidly obese.
Author: Christina Escuder
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 47
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Book Description
Obesity is a chronic disease defined as having a body mass index (BMI) of at least 30 kg/m2. Current data indicate that over 30% of U.S. adults are obese. Obesity is a public health concern due to its considerable increase in recent decades and its adverse effects on physical and psychological wellness. Currently, bariatric surgery is identified as the most effective treatment for obesity and long-term weight loss/weight maintenance despite post-surgical treatment failure rates of up to 30%. Few psychological interventions have been implemented pre- or post-surge1y in order to address treatment failure. The current standard of care includes a pre-surgical psychological evaluation aimed at identifying any factors that may interfere with long-term success. There continues to be a lack of consensus regarding the effects of a pre- or post-psychological intervention on those who undergo bariatric surgery. Therefore, the purpose of this literature review is to clarify which interventions have led to changes in psychosocial or weight loss outcomes in this population. Additionally, this reviewed examined when the intervention was provided, whether it was preoperatively, postoperatively, or both pre and postoperatively. A total of 15 empirical articles met criteria for inclusion in this systematic literature review. Results showed that interventions provided pre or postoperatively resulted in decreased psychological distress, reduced depressive symptoms, increased dietary consistency and physical activity, and improvements in eating disordered behavior and body image. Results from the two studies that examined the benefit of a psychosocial intervention provided to patients both pre and postoperatively did not demonstrate significant changes in weight loss or BMI. Studies that had a relatively short-term follow-up period and did not find statistically significant changes should be interpreted carefully since weight loss is likely to occur rapidly immediately after surgery; often termed the "honeymoon period." Studies that limited their follow-up to this period of time might yield results that may lead consumers to underestimate the value of a psychological intervention in helping the patient to lose weight and improve overall functioning. The lack of standardization among programs, participants, and assessment protocols limits the ability to generalize these findings.Future research should aim to conduct more longitudinal studies with larger samples who underwent surgeries that are more commonly utilized today (e.g., sleeve gastrectomy).Additionally, future studies should work towards standardizing the following: "treatment as usual," assessment measures, duration of intervention, as well as an effort to replicate previous studies so as to bolster support for the effectiveness of psychosocial interventions for change in psych-social outcomes and weight with this population.
Author: Sanjeev Sockalingam
Publisher: Springer
ISBN: 3319425366
Category : Medical
Languages : en
Pages : 351
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Book Description
This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients’ obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease’s prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.
Author: James E. Mitchell
Publisher: Taylor & Francis
ISBN: 0415949661
Category : Medical
Languages : en
Pages : 184
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Book Description
First Published in 2005. Routledge is an imprint of Taylor & Francis, an informa company.
Author: Tanya Ilaine Alonso
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 62
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Book Description
Objective-This literature review investigated whether psychological interventions pre or post bariatric surgery improves weight loss and/or maintenance beyond the weight loss due to surgery alone. The hypothesis is that individuals who undergo a psychological intervention, whether before or after bariatric surgery, will have a larger excess weight loss than their counterparts. Materials and Methods- A systematic literature review was conducted using a university virtual library system that includes the following databases (among others): Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, ProQuest, PsycINFO, and Pubmed Central. Inclusion criteria: randomized controlled trials in which bariatric surgery patients received a psychological/therapy intervention compared with any type of comparison group. Additionally, authors had to report participants' weight after bariatric surgery. Eleven studies met criteria. Results- The findings did not support the hypothesis. None of the psychological interventions, whether given pre or post bariatric surgery, that were not paired with an exercise or nutrition component were found to be any more effective regarding post-surgery weight loss than surgery alone. Conclusion- While psychological/therapy interventions do not appear to improve weight loss after bariatric surgery beyond the weight loss benefit of surgery alone, interventions focusing on improving physical activity may be effective for improved weight loss/maintenance after bariatric surgery. A couple of studies did show, however, that a psychological intervention might benefit weight loss post-surgery for patients who are depressed, and can incite pre-surgical weight loss, but additional research on these topics is needed. Limitations of this literature review include the scarcity of randomized controlled trials on this topic, small sample sizes, short follow-up period, and high attrition rates. Future studies should address these limitations, and also consider including other psychological interventions, and compare various therapy delivery methods.
Author: Thomas A. Wadden
Publisher: Guilford Publications
ISBN: 1462535569
Category : Psychology
Languages : en
Pages : 737
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Book Description
The leading clinical reference work in the field--now significantly revised with 85% new material--this handbook has given thousands of practitioners and students a comprehensive understanding of the causes, consequences, and management of adult and childhood obesity. In concise, extensively referenced chapters from preeminent authorities, the Handbook presents foundational knowledge and reviews the state of the science of evidence-based psychosocial and lifestyle interventions as well as pharmacological and surgical treatments. It provides guidelines for conducting psychosocial and medical assessments and for developing individualized treatment plans. The effects of obesity--and of weight loss--on physical and psychological well-being are reviewed, as are strategies for helping patients maintain their weight loss. New to This Edition *Many new authors and topics; extensively revised and expanded with over 15 years of research and clinical advances, including breakthroughs in understanding the biological regulation of appetite and body weight. *Section on contributors to obesity, with new chapters on food choices, physical activity, sleep, and psychosocial and environmental factors. *Chapters on novel treatments for adults--acceptance and commitment therapy, motivational interviewing, digitally based interventions, behavioral economics, community-based programs, and nonsurgical devices. *Chapters on novel treatments for children and adolescents--school-based preventive interventions, pharmacological treatment, and bariatric surgery. *Chapters on the gut microbiome, the emerging field of obesity medicine, reimbursement for weight loss therapies, and managing co-occurring eating disorders and obesity.
Author: Riccardo Dalle Grave
Publisher: MDPI
ISBN: 3039431129
Category : Medical
Languages : en
Pages : 138
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Book Description
Mens sana in corpore sano (a healthy mind in a healthy body) is a Latin phrase taken from Giovenale (Satire, X, 356) that remains relevant and is supported by today’s data regarding genetics and nutrition, and their contribution to mental health. The purpose of this Special Issue on “Nutrition and Fitness: Mental Health” is to provide an update on the latest evidence regarding the association between nutrition, physical activity (and inactivity) and physical fitness, and the mental health of children, adolescents, and adults. Particularly, papers (reviews and clinical or experimental studies) dealing with the association between nutrition, physical fitness, and mental health both in general and with regard to specific mental disorders, and nutrients and physical activity as agents for prevention, treatment, or augmentation of treatment for mental disorders, will be included.
