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 - Sept 2019|
|Event||24th International Federation for the Surgery of Obesity and Metabolic Disorders World Congress - Madrid, Spain|
Duration: 3 Sept 2019 → 7 Sept 2019
Conference number: 24th
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- 2 Active
Nutrition for Chronic Disease and Disability: Research to improve health related quality of life and bring forward the under-represented voice
Reidlinger, D., Davidson, A., Campbell, K., Kelly, J., Mayr, H., English, C., Odgers-Jewell, K., MacKenzie-Shalders, K., Van der Meij, B., Crichton, M., Marshall, S., Turner, C., Marx, W., Utter, J., Maugeri, B. & Tang, X.
1/01/14 → 31/08/30