ArticleObesity reviews : an official journal of the International Association for the Study of Obesity2026
Bridging the Gap: Evaluating Tools for Adherence to Dietary-Related Behavioral Recommendations After Metabolic Bariatric Surgery-A Scoping Review.
Article in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Micronutrient Deficiencies in Obese Patients and Risk of Postoperative Fistula: A Forgotten Link in Bariatric and Metabolic Surgery.Nutrients · 2026Review
- Bridging the Gap: Evaluating Tools for Adherence to Dietary-Related Behavioral Recommendations After Metabolic Bariatric Surgery-A Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Article
- Nutritional self-management in chronic diseases: a conceptual analysis.Frontiers in public health · 2025Review
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Authors and funding
7 authors.
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Abstract
BACKGROUND AND
aimsAdherence to dietary-related behavioral recommendations following metabolic bariatric surgery (MBS) is important for achieving optimal surgical outcomes, but standardized definitions and tools are lacking. This scoping review aimed to map existing tools for assessing adherence to dietary-related behavioral recommendations after MBS, evaluate their content and psychometric properties, and identify gaps to guide future research and tool development.
methodsThe review was registered on the Open Science Framework and followed PRISMA-ScR guidelines. Searches were conducted in PubMed and Embase from inception through April 2024, supplemented by hand-searching the reference lists of included reports. The review included studies of adults who underwent MBS, using tools with at least two items assessing adherence to dietary-related recommendations, with detailed tool descriptions, and, when available, information on validity and reliability. Screening and data extraction were performed independently by two reviewers, with discrepancies resolved by a third reviewer.
resultsFrom 3223 publications, 16 reports from 10 countries were included. Tools assessing dietary adherence post-MBS varied widely in content and behavioral targets, with most robust psychometric properties lacking. Reliability was assessed via Cronbach's alpha and test-retest methods and validity via face, content, construct, and criterion measures. Standardized recall periods and comprehensive scoring systems were notably absent.
conclusionsExisting tools for assessing adherence to dietary-related behavioral recommendations after MBS show significant variability, with most lacking standardized psychometric properties and recall periods, limiting their utility. Future research should focus on standardizing dietary-related "core principles," facilitating the development of new instruments in research and clinical settings.
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