APPOINTMENT ATTENDANCE, WEIGHT AT 6-MONTHS, AND SURGERY COMPLETION AMONG ADOLESCENT BARIATRIC SURGERY CANDIDATES

Purpose: To ensure better postoperative outcomes, adolescents seeking bariatric surgery are advised monthly by an interdisciplinary team to establish healthier habits for weight management. Because behavioral changes are adapted slowly, sporadic and limited participation in weight management program...

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Published in:Journal of adolescent health 2021-02, Vol.68 (2S), p.S48
Main Authors: Cheng, Tiffany, Akhiyat, Yasmine, Mehta, Nitisha, Verzijl, Christina, Cunning, Allison, Chermak, Rebecca, DuCoin, Christopher, Mooney, Ashley, Rancourt, Diana, Weiss, Amy
Format: Article
Language:English
Subjects:
Adolescents
Attendance
Behavior change
Body mass index
Candidates
Change agents
Chart reviews
Ethnicity
Gastric restriction surgery
Gastrointestinal surgery
Habits
Interdisciplinary aspects
Postoperative period
Psychosocial factors
Surgery
Weight control
Weight loss
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Summary:Purpose: To ensure better postoperative outcomes, adolescents seeking bariatric surgery are advised monthly by an interdisciplinary team to establish healthier habits for weight management. Because behavioral changes are adapted slowly, sporadic and limited participation in weight management programs is unlikely to produce long-term health benefits and may impact whether adolescents proceed with surgery. The aim of this study was to examine demographic and basic treatment adherence as predictors of pre-surgery weight change and transition to surgery. Methods: Data were collected using retrospective chart review of adolescent bariatric surgery candidates presenting to a tertiary interdisciplinary clinic, ages 13-22 (N - 89; 63% female; 42.2% Hispanic; Mage = 17.44; MBMI = 51.19). Appointment attendance was summed across appointments attended from intake to 6-month follow up. Patient height and weight were measured at intake and 6-month follow up. Linear, negative binomial, and logistic regressions were used to test associations among demographic variables, change in BMI and absolute weight over 6 months, and obtaining bariatric surgery. Results: Of 89 adolescents, 16 received surgery. Sex, age, ethnicity, and BMI at intake were not associated with number of appointments attended (ps > .222). Being female and attending more appointments was significantly associated with decreases in BMI ((3Female = .87, p = .038; PAppt = -0.25, p = .034) and absolute weight (pFemale = 3.36, p = .007; pAppt = -.87, p = .009) at 6-month follow-up. Only number of appointments predicted getting bariatric surgery (3 = .65, p = .004); neither the demographic variables (ps > .08) nor change in BMI (p = .541) were associated with getting bariatric surgery. Conclusions: Number of pre-surgery appointments attended, but not change in BMI, was predictive of following through with surgery. Additional research is needed to understand psychosocial factors that may contribute to success with pre-surgical weight loss and the transition to surgery, as well as whether these factors may also predict post-surgical weight loss success.
ISSN:1054-139X
1879-1972