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A dissonance-based randomized intervention study to improve quality of life and physical activity 24 months post roux-en-y gastric bypass surgery
Department of Public Health Sciences, Karolinska Institutet, Social Medicin, Stockholm, Sweden.ORCID iD: 0000-0002-9066-2168
Department of Public Health Sciences, Karolinska Institutet, Social Medicin, Stockholm, Sweden.
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.ORCID iD: 0000-0002-9567-0773
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2018 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 28, p. 224-224Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: Roux-en-Y gastric bypass (RYGB) surgery is usually followed by great weight loss and improved health related quality of life (HRQoL). However, weight regains are seen in some patients approximately 1-2 years post-surgery, associated with a decrease in HRQoL and physical activity (PA).

Objectives: To investigate if a dissonance-based group intervention post RYGB surgery has an effect on women’s HRQoL, PA and other health-related behaviors: a protocol paper.

Methods: The ongoing RCT is a dissonance-based intervention for female RYGB patients from five Swedish hospitals. Participants are randomized to either control (usual follow-up care) or intervention group (4 sessions, 3 months post-surgery). Main topics of intervention sessions are (1) PA, (2) eating behavior, (3) social and (4) intimate relationships. Participants are asked to wear an accelerometer and complete questionnaires measuring HRQoL (SF-36), social adjustment, eating behavior and body esteem, pre-surgery and 6, 12 and 24 months post-surgery. Planned analysis includes intention to treat and per protocol analysis on differences between intervention and control group. Trial registration number: ISRCTN16417174.

Results: We recruited 259 women (156 intervention and 103 controls). Mean BMI was 40.9 ± 4.7, mean SF36 score was 42.1 ± 9.5 (physical component summary score) and 45.8 ± 11.1 (mental component summary score). Mean time spent in moderate to vigorous PA was 28.8 ± 19.4 min/day and sedentary was 458.3 ± 100.4 min/day.

Conclusions: This trial aims to improve outcomes after RYGB. If the intervention is effective, implementation within the Swedish health care system is possible within the near future.

Place, publisher, year, edition, pages
2018. Vol. 28, p. 224-224
National Category
Other Medical Sciences Surgery
Identifiers
URN: urn:nbn:se:hig:diva-28324ISI: 000445203700223OAI: oai:DiVA.org:hig-28324DiVA, id: diva2:1255957
Available from: 2018-10-15 Created: 2018-10-15 Last updated: 2018-12-04Bibliographically approved

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Willmer, Mikaela

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