Evidence map›Paper›PMID 38664283›Full record

ArticleObesity surgery2024

Anxious Attachment Style Predicts Dietary Adherence 1-Year Post-bariatric Surgery.

Susan Wnuk, Batool Azim, Tim H Guimond, Lorraine Gougeon, Sanjeev Sockalingam

Abstract read
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In one paragraph

Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
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 3 institutions in 1 country.

Susan WnukDepartment of Psychiatry, University of Toronto, 250 College Street, Room 814B, Toronto, ON, M5T 1R8, Canada. susan.wnuk@uhn.ca.ORCID 0000-0002-1321-0547
Batool AzimBariatric Surgery Program, University Health Network, Toronto Western Hospital, 399 Bathurst Street, Main Pavilion 4th Floor, Room 325, Toronto, M5T 2S8, Canada.
Tim H GuimondDepartment of Psychiatry, University of Toronto, 250 College Street, Room 814B, Toronto, ON, M5T 1R8, Canada.
Lorraine GougeonDepartment of Psychiatry, University of Toronto, 250 College Street, Room 814B, Toronto, ON, M5T 1R8, Canada.
Sanjeev SockalingamDepartment of Psychiatry, University of Toronto, 250 College Street, Room 814B, Toronto, ON, M5T 1R8, Canada.
University Health Network · CAUniversity of Toronto · CACentre for Addiction and Mental Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdherence to dietary guidelines is critical for optimizing health and weight outcomes after metabolic and bariatric surgery, yet many patients have difficulty. The purpose of this study was to identify the types and frequency of post-surgery non-adherent dietary behaviors and to determine pre-surgery predictors of adherence at 1-year post-surgery. MATERIALS AND

methodsWe completed a prospective cohort study of 348 adults who underwent sleeve gastrectomy (n = 25) or Roux-en-Y gastric bypass (n = 323) at an academic medical center between 2013 and 2017. Pre- and post-surgery parameters were demographics, adherence to dietary recommendations and mental health symptoms. Descriptive statistics and regression analyses were used.

resultsPre-surgery, 264 (75.9%) participants were classified as adherent to nutrition recommendations by a Registered Dietitian (RD). At 1-year post-surgery, 203 (58.3%) were adherent, a statistically significant decrease (p < 0.05). The three most frequent non-adherent eating behaviors were insufficient protein intake (32.4%), inadequate vitamin intake (26.1%), and grazing (21.1%). Pre-surgery predictors in the bivariate regression analysis were anxious attachment (p = 0.01), poorer emotion regulation (p = 0.01), poorer perceived social support (p = 0.01), and RD disposition of dietary adherence (p = 0.02). In the best subset multivariate regression analysis, anxious attachment emerged as the significant predictor.

conclusionSeveral types of non-adherent eating behaviors were identified. Pre-surgery, anxious attachment style, dietary adherence, emotion regulation, and perceived social support were predictors of adherence to dietary guidelines 1-year post-surgery. These factors should be assessed and patients provided with relevant support and education.

Indexed as

AnxietyFeeding BehaviorObesity, MorbidPatient ComplianceAdultBariatric SurgeryFemaleGastrectomyGastric BypassHumansMaleMiddle AgedProspective StudiesWeight LossAttachmentDietary adherenceEmotion regulationMetabolic and bariatric surgery

Identifiers

PMID38664283
OpenAlexW4395447625

What OpenQuestion holds

Textmetadata
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.