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Behavioral interventions to promote adaptive eating behavior and lifestyle changes following surgery for obesity: Results of a two‐year outcome evaluation
Author(s) -
Tucker Jalie A.,
Samo Jill A.,
Rand Colleen S. W.,
Woodward Edward R.
Publication year - 1991
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(199111)10:6<689::aid-eat2260100607>3.0.co;2-6
Subject(s) - psychosocial , psychological intervention , obesity , weight loss , eating behavior , intervention (counseling) , obesity surgery , behavioral therapy , medicine , physical therapy , psychology , clinical psychology , psychiatry , gastric bypass
Bariatric surgery for extreme obesity requires eating behavior and lifestyle changes that behavioral interventions may facilitate. Surgery patients were randomly assigned to a minimal intervention control group (n = 15) or a behavioral treatment group (n = 17), who participated in monthly behavioral consultations and received biweekly weight management materials for 6 months. Interviews assessed subjects' eating behavior, psychosocial functioning, and physical status for 6 months after surgery. Both groups showed significant weight loss during the first year after surgery, but the groups did not differ significantly. Subjects did not lose additional weight by 2 years following surgery. Treatment subjects reported higher postoperative psychosocial functioning and physical activity and consumed less fat and protein than did control subjects. These findings suggest that behavioral interventions enhance postoperative adjustment in behavioral and lifestyle variables, but do not add to the substantial weight losses produced by surgery alone.

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