Evidence map›Paper›PMID 23404832›Full record

Trial reportObesity (Silver Spring, Md.)2013

Preoperative lifestyle intervention in bariatric surgery: initial results from a randomized, controlled trial.

M A Kalarchian, M D Marcus, A P Courcoulas, Y Cheng, M D Levine

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 7 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 7 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Eating disorder risk during behavioral weight management in adults with overweight or obesity: A systematic review with meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
    Pooled it
  4. Pooled it
  5. Pooled it
  6. The impact of adult behavioural weight management interventions on mental health: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  7. Pooled it
  8. Trial
  9. Preoperative lifestyle intervention in bariatric surgery: a randomized clinical trial.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2016
    Trial
  10. Trial
  11. Self-report of gastrointestinal side effects after bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
    Trial
  12. Multidisciplinary Therapy to Target Obesity and Its Complications in Adult Population: A Narrative Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  13. Review
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

M A KalarchianWestern Psychiatric Institute and Clinic University of Pittsburgh Medical Center Pittsburgh, Pennsylvania, USA. Kalarchianma@upmc.edu
M D Marcus
A P Courcoulas
Y Cheng
M D Levine
University of Pittsburgh Medical Center · USUniversity of Pittsburgh · US

Funding

Preoperative Lifestyle Intervention in Bariatric SurgeryR01DK077102 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KALARCHIAN, MELISSA A · 2007 to 2011
$1.5M
NIDDK NIH HHS R01 DK077102
6 · The paper itself

Abstract

objectiveTo document preoperative outcomes of a behavioral lifestyle intervention delivered to patients prior to bariatric surgery in comparison to treatment as usual (insurance-mandated physician supervised diet). DESIGN AND

methodsAfter completing a baseline assessment, candidates for surgery were randomized to a 6-month, evidence-informed, manualized lifestyle intervention (LIFESTYLE, n = 121) or to preoperative care as usual (USUAL CARE, n = 119). At 6 months, 187 participants remained candidates for bariatric surgery and were included in the analyses.

resultsLIFESTYLE participants lost significantly more weight than those receiving USUAL CARE [8.3 ± 7.8 kg vs. 3.3 ± 5.5 kg, F(1,183) = 23.6, P < 0.0001], with an effect size of 0.72. Additionally, logistic regression modeling indicated that LIFESTYLE patients were significantly more likely to lose at least 5% of initial body weight than those in USUAL CARE [OR (95% CI) = 2.94 (1.253, 6.903)], as were participants who were heavier [OR (95% CI) = 1.07 (1.001-1.14) for each unit increase in BMI] or with larger improvements in eating behaviors [OR (95% CI) = 1.1 (1.049, 1.145) for each unit increase on the Eating Behavior Inventory).

conclusionsA behavioral lifestyle intervention for severely overweight individuals leads to clinically significant weight loss prior to bariatric surgery. Post-surgery follow-up will allow us to examine the impact of the preoperative intervention on postoperative outcomes.

Indexed as

Bariatric SurgeryLife StylePreoperative CareAdultBody Mass IndexDietFeeding BehaviorFemaleHumansMaleMiddle AgedMotor ActivityMultivariate AnalysisOverweightRegression AnalysisRisk Reduction Behavior

Identifiers

PMID23404832
PMCPMC3610845
OpenAlexW2000613177

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.