Projects per year
Objectives: To evaluate the effect of intensive versus standard pre- and postoperative MDT interventions on health-related outcomes post-surgery in adult bariatric surgery patients.
Methods: Six databases were searched for intervention studies in any language up until July 2018. Study quality was assessed using the Cochrane Risk of Bias tool.
Results: 6,871 records were screened, identifying 25 eligible publications (n=15 trials; n=1,400 participants in total) which mostly had low to unclear risk of bias. Intensive interventions improved upon standard MDT interventions by providing: lifestyle counselling (n=4 trials), physical activity (n=8 trials), or psychological therapy (n=3 trial); which were delivered as preoperative (n=3 trials), postoperative (n=7 trials), or pre- and postoperative interventions (n=5 trials). No trial which concluded intervention delivery before 6-months post-surgery reported any effect compared with control (n=9 trials). All six trials which commenced or continued intensive MDT intervention past 6-months post-surgery reported significant improvements in weight and or fat loss (n=5 trials), insulin resistance (n=1 trial), depression (n=1 trial), or blood pressure (n=1 trial) compared with control.
Conclusion: This review suggests that to improve weight loss and health following barbaric surgery, intensive multidisciplinary interventions should commence at, or continue past, 6-months post-surgery, in addition to standard pre- and post-operative care.
|Publication status||Published - Sep 2019|
|Event||24th International Federation for the Surgery of Obesity and Metabolic Disorders World Congress - Madrid, Spain|
Duration: 3 Sep 2019 → 7 Sep 2019
Conference number: 24th
Bond University Nutrition and Dietetics Research Group Research Collaborations with External Clinical Partners
Marshall, S., Isenring, E., MacKenzie-Shalders, K., Kelly, J., Campbell, K., Van der Meij, B., Cox, G., Reidlinger, D., Mayr, H., Banbury, M., Nucera, R., Jenkins, J., McCray, S., Canavan, R., Parker, B., de Groot, L., Cohen, F., Rich, G., Soni, A., McCarthy, A. L., Mackay, H., Young, A. M., Hickman, I., Wilkinson, S. A., Kiss, N. & Ali, A.
1/01/14 → …
Nutrition for Chronic Disease and Disability: Research to improve health related quality of life and bring forward the under-represented voice
1/01/14 → 31/08/30