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23.10.2015
It's high in fiber: If you can believe, just one cup of cooked quinoa offers a 21 percent of your daily recommended fiber. It's a solid source of protein: For vegetarians sick of beans, tofu, and tempeh or anyone who wants to back off meat at every meal, quinoa can be a lifesaver. It makes you feel fuller for longer: If you regularly reach for toast or rice at meal time, swapping it out for quinoa could have big benefits for your waistline. Background: The dumping syndrome that follows Roux-en-Y gastric bypass for morbid obesity is considered to be the primary mechanism of improved weight loss as compared with the purely restrictive vertical banded gastroplasty. JavaScript is currently disabled, this site works much better if you enable JavaScript in your browser. Successful lifestyle change depends on active engagement as well as effective intervention ingredients. BackgroundPrevention trials have shown that lifestyle interventions that achieve and maintain significant weight loss can have a favourable effect on diabetes and cardiovascular risk factors [1, 2]. MethodsQuantitative and qualitative methods were used to identify the factors associated with success in weight loss.
When the three achievement groups were compared, no significant differences were found in their socio-demographic or body weight characteristics at baseline, nor their previous history of weight loss attempts (Table 1).
Background: Ghrelin is a peptide hormone with orexigenic properties, primarily produced by the stomach.
Despite similar initial results on weight loss and metabolic control, with a better feasibility than the Roux-en-Y gastric bypass (RYGBP), the omega loop bypass (OLB) remains controversial. Two groups of consecutive patients who underwent laparoscopic gastric bypass surgery were selected: 20 OLB patients and 61 RYGBP patients. In this short-term study, we observed a greater weight loss with OLB and similar efficiency on metabolic control compared to RYGBP.
It's delicious, nutritious, and filling, all while supporting your healthy weight-loss goals. A high-fiber diet keeps digestion regular and keeps bloat at bay — two essential aspects of a comfortable weight-loss plan. Getting adequate protein is essential for weight-loss success, and quinoa offers a surprisingly high amount of protein for a pseudograin; just one cup offers eight grams. One study out of the British Journal of Nutrition found that participants felt fuller after eating quinoa, buckwheat, or oats than after eating wheat or rice. To evaluate the influence of dumping on post-operative weight loss, severity of dumping was determined using Sigstad's clinical diagnostic index.
In-depth qualitative interviews (na€‰=a€‰24) explored in detail the motivations, actions, pathways to weight loss and circumstances of study participants. Weight loss interventions are likely to be more effective where they can adapt to participantsa€™ differing characteristics and needs, while also providing core elements likely to build success. It is plausible that these lifestyle changes would also have favourable effects on the risk of obesity-related neoplasia.
Leptin and adiponectin are the two adiposity products that participate in body weight control. The aim of this study was to compare the short-term outcomes of the laparoscopic OLB versus the RYGBP in terms of weight loss, metabolic control, and safety. If you're on a mission to shed a few pounds, here's why you should always have a batch ready to enjoy in your fridge.
Methods: One hundred and thirty seven gastric bypass and 19 gastroplasty patients were assessed 18-24 months following surgery. This study aimed to explore the factors associated with success and to identify implications for future programme design. Participants aged 50 to 74 years who had taken part in the Scottish Bowel Screening programme and undergone polypectomy for adenoma were informed about the study in writing.
However, while there were no significant differences in perceptions of current health, super-achievers were significantly less likely than the rest to report that their activities (e.g.
Data concerning weight loss, metabolic outcomes, and complications were collected prospectively.


After adjustment for age, sex, initial BMI, and history of previous bariatric surgery, the OLB procedure was still associated with a significantly greater 1-year EBL%. Sigstad's criteria for the dumping syndrome were met by 75.9% of gastric bypass and no gastroplasty patients. However, significantly fewer reported that their activities were limited by physical and emotional health and they were more likely to perceive their current diet as harmful. The same study also demonstrated that a higher BMI was a stronger risk factor for advanced adenoma recurrences, when compared with non-advanced lesions. Different changes in fasting ghrelin levels have been reported following bariatric surgery. Among gastric bypass patients, no relationships were found between severity of dumping and weight loss, as measured by per cent of excess body weight loss or change in body mass index. Qualitative analyses found no consistent patterns among super-achievers in relation to some factors identified as important in previous studies, such as social support. It is interesting to note that a study from Japan of 1650 subjects diagnosed with an adenoma reported that the subsequent incidence of adenomas was significantly lower in people who lost weight in the one year follow up period than in those who maintained or gained weight [5]. Eligible participants were then posted a more detailed information leaflet and invited to attend their local study centre to provide informed written consent and undergo baseline measures.Baseline and follow up measuresSocio-demographic data on age, gender, ethnicity, marital status, education, employment and postcode were recorded at baseline [15].
In this study, we compare the changes in fasting ghrelin, leptin and adiponectin levels in 3 groups of patients who achieved weight loss by either diet, MacLean vertical banded gastroplasty (VBG) or biliopancreatic diversion with duodenal switch (BPD-DS). However, super-achievers shared several characteristics such as determination and consistency in their engagement with the intervention, receptivity to new information and prompts, previous positive experience of changing health behaviours, being motivated by early success, making changes routine, and an ability to devise and apply strategies for dealing with setback and a€?relapsea€™ triggers. The case for exploring weight reduction strategies in people diagnosed with CRC adenomas is also supported by long term follow up trials of bariatric surgery showing significant reductions in CRC risk [6].In light of the evidence above, the colorectal cancer screening setting has been described as an unexplored opportunity for endorsing changes in health behaviours [7, 8]. Objective measures recorded at baseline, three months and 12 months included height, weight, waist circumference, blood pressure, fasting blood samples and physical activity. Methods: Serum fasting ghrelin, leptin and adiponectin concentration was measured in 40 obese patients who achieved weight loss by either diet (n=14), VBG (n=13) or BPD-DS (n=13), before and after weight loss.
There were three anastomotic ulcers in the OLB group, in smokers, over 60 years old, who were not taking proton pump inhibitor medication. Conclusions: This study fails to demonstrate a significant relationship between dumping severity and weight loss. Participants were assigned scores for fibre, fat and unsaturated fat using the Dietary Instrument for Nutrition Education (DINE) questionnaire [19]. It is inferred that the superior weight loss of gastric bypass compared to gastroplasty has some other etiology. The fibre score (range 3a€“88) was based on the frequency of intake of bread, rice, potatoes, pasta, other starchy foods and fruit and vegetables (including beans and lentils).
While there is increasing evidence that carefully designed programmes can lead to successful weight loss [10], the reasons for the variation in outcomes found in such programmes are not well understood.A number of studies have attempted to shed some light on why some people are more successful at achieving or maintaining weight loss than others. For example, an online survey of participants in a commercial weight loss programme found that success was associated with various types of control over eating, such as greater dietary restraint, less tendency to eat to control mood and emotion, not skipping meals, not keeping snack foods in the house and eating takeaway foods less frequently [11].
Conclusions: Unlike after diet or gastric restrictive surgery, BPD-DS is associated with markedly suppressed ghrelin levels, possibly contributing to the weight-reducing effect of this operation. Similarly, Fuglestad and colleaguesa€™ [12] study of weight loss among individuals who had recently lost substantial weight on their own initiative found that greater regularity and control in eating was associated with greater recent weight loss and greater fruit and vegetable intake. However, neither study investigated the potential contribution of wider factors which might explain why some participants were better able to control their eating than others.A systematic review [13] of the factors reported in quantitative studies which were associated with successful participation in lifestyle behaviour change programmes (not solely focused on weight loss) found that the factors most consistently associated with uptake of lifestyle change related to support from family and friends, transport and other costs, and beliefs about the causes of illness and lifestyle change, with depression and anxiety also appearing influential. However, the review reported that many factors showed inconsistent patterns with respect to uptake and completion of lifestyle change programmes.
Another review, this time focusing on factors identified in qualitative studies [14], found that the most commonly reported influences were those relating to social support (whether provided formally or informally), beliefs (about the self or the causes and management of poor health, and the value of maintaining lifestyle behaviours), and other psychological factors (including attitude, thinking and coping styles, and problem solving skills).
Motivational interviewing techniques explored self-assessed confidence, ambivalence and personal values concerning weight.
The same review notes that influencing factors are interlinked, and that while the literature may help us to identify individual factors associated with successful lifestyle change, there is still a limited understanding of the nature of the relationships between factors and how they differ between individuals.
To assist change in both diet and physical activity, participants were encouraged to focus on one topic (diet or physical activity) during visit one, and the remaining topic on visit two, and were generally advised to begin with the topic where they had the strongest likelihood of success.


Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database. Behaviour change techniques were employed including goal setting, identifying implementation intentions, self-monitoring of body weight (scales were provided) and counsellor feedback about reported diet, physical activity and weight change. The quantitative analysis examined the possible contribution of a range factors thought to be associated with weight loss, including socio-demographic and body weight characteristics, health perceptions, quality of life, self-efficacy and perceptions of lifestyle, while the qualitative study enabled a more open-ended exploration of possible factors. The intervention was delivered in four NHS areas with one lifestyle counsellor in each area, and all counsellors received the same training to ensure consistency in delivery. Secondary outcomes included percentage weight loss, change in BMI and waist circumference, health behaviours (dietary and alcohol habits and physical activity) and self-reported psycho-social variables (self-efficacy and self-assessed health and quality of life).Sub-group analysis of quantitative dataA sub-group analysis was undertaken of the intervention participants who completed the study to compare participants according to their percentage weight loss. Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Descriptive statistics were used to quantify socio-demographic and body weight characteristics, health perceptions, quality of life, self-efficacy and perceptions of lifestyle at baseline, and changes in anthropometry and health behaviours (dietary and alcohol habits and physical activity) at 12 months. Chi-squared tests were used to identify differences in proportions, and analysis of variance with post-hoc Bonferroni tests (to minimise the likelihood of type 1 errors) to detect differences in continuous variables.
Purposeful sampling was employed, stratified by gender, socioeconomic status, and research site and weight loss achieved, with the aim of interviewing participants at all points on the weight loss spectrum. The achieved sample comprised almost equal proportions of males and females (13 and 12 respectively), and included participants across all five Scottish Index of Multiple Deprivation (SIMD) [24] quintiles. Baseline age, weight, BMI and waist circumference were representative of the whole cohort, although a higher proportion of the interviewees were classified as obese. Interviews were conducted in participantsa€™ own homes and lasted an average of 60 min. Five-year outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in a comprehensive bariatric surgery program in Canada.
Written informed consent was provided for participation in the interview and its audio-recording and transcription verbatim. An interview topic guide was developed which investigated the acceptability of the BeWEL programme, the participantsa€™ initial expectations and motivations and the extent to which these were met by their subsequent experiences, and how well participants engaged with the programme.
Factors influencing patientsa€™ willingness and ability to comply with programme advice were explored including lifestyle, attitudinal and other differences which might explain variable response to and engagement with the programme.All transcripts were imported into NVivo (Version 10, QSR International, Melbourne, Australia) to facilitate coding and analysis. Each transcript was read and coded by one of two researchers (JM and MS), with four transcripts read and coded by both researchers. Emerging themes were identified through a process of thorough familiarisation with the texts and discussion between the researchers.
Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. This framework was then expanded to incorporate more detailed examination of the motivators, facilitators and barriers to initiating and sustaining change. A series of matrices were generated which illustrated the pattern of factors for each participant.
Using weight loss outcome data, the 24 participants were then grouped into a€?super-a€™, a€?moderate-a€™ and a€?low-achieversa€™ using the same percentage weight loss cut-offs as in the quantitative analyses. This resulted in 10 super-achievers, six moderate-achievers and eight low-achievers within the qualitative sample. The matrices of motivators, facilitators and barriers were then re-examined for any patterns relating to the three categories of weight loss.
Greater short-term weight loss in women 20-45 versus 55-65 years of age following bariatric surgery.



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