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Nutritional and Endoscopy Intervention in the Obesity Treatment

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A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: closed (25 June 2022) | Viewed by 10449

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Special Issue Editor

Dr. Inmaculada Bautista Castaño

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Guest Editor

1. Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, Spain
2. Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria & Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, 35016 Las Palmas de Gran Canaria, Spain
Interests: nutrition; obesity; epidemiology; bariatric endoscopy; public health; health-related quality of life

Special Issue Information

Dear Colleagues,

Dietary education, lifestyle modification, and physical exercise are essential in the treatment of obesity, however there is a high rate of failure. The majority of patients relapse and regain the weight during the intervention, or soon after. On the other hand, bariatric surgery is the most effective therapy for obesity, but only a small proportion of candidates undergo this surgery.

Endoscopic bariatric therapies (EBTs) are evolving to be an effective minimally invasive treatment option for patients with obesity and associated comorbidities. Among EBTs, intragastric balloons (IGBs) and endoscopic gastroplasty (EG) techniques have gained wide popularity and acceptance in recent decades. In the EBT, nutritional and psychological support are very important, and some studies show that nutritional follow-up is the main predictor of weight lost, regardless of other factors.

Nutritional follow-up in the EBT is different, in that conventional and bariatric surgery nutritional interventions and have different steps in relation with the time post-procedure and the adaptation to the endoscopy procedure. We invite authors to submit review articles and original research describing the main bariatric endoscopy techniques, the potential mechanisms for losing weight, nutritional and psychological intervention, and the importance of adequate adherence to nutritional and psychological follow-up to obtain better results in endoscopic bariatric practice.

Dr. Inmaculada Bautista Castaño
Guest Editor

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Keywords

Obesity treatment
Bariatric endoscopy
Obesity nutritional intervention
Obesity psycological intervention
Health-related quality of life
Gastric motility

Published Papers (3 papers)

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Research

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14 pages, 719 KiB

Open AccessArticle

Effectiveness of a 12-Month Online Weight Reduction Program in Cohorts with Different Baseline BMI—A Prospective Cohort Study

by Jakub Woźniak, Katarzyna Garbacz, Olga Wojciechowska, Michał Wrzosek and Dariusz Włodarek

Nutrients 2022, 14(16), 3281; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14163281 - 11 Aug 2022

Cited by 3 | Viewed by 4585

Abstract

The purpose of this article was to answer the question of whether people who want to reduce their body weight can achieve different results depending on their baseline BMI and whether the rate of weight loss is constant over the months of intervention. The study included 400 individuals aged 19 to 55 years with a mean BMI of 31.83 ± 4.77 (min 25.1 max 51.8). Men comprised 190 subjects and women 210 subjects. The participants were divided into three groups with the following BMI: overweight, class 1 obesity, and obesity class > 1 (class 2 and 3 combined). BMI groups were randomized by gender, the number of trainings per week, training time, intervention length, and intervention type. The online intervention consisted of a 15% energy deficit diet and training. Over the 12-month dietary intervention, overweight subjects reduced average body weight by 16.6%. The group with class 1 obesity reduced body weight by 15.7%. The group with obesity class > 1 reduced mean body weight by 15.4%. The relative weight reduction in the overweight group was significantly greater than in the other obesity groups (p = 0.007). In all groups, the rate of weight loss from month-to-month was statistically significant (p = 0.0001), ranging between 0.6 and 2.6% per month. The results indicate that overweight individuals are likely to experience a percent greater weight loss as a result of a comprehensive lifestyle intervention. Regardless of baseline BMI, the observed weight loss was consistent from month-to-month throughout the 12-month period, which may indicate that the diet, as well as, the training plan were properly tailored to the subjects’ needs and that they were highly motivated to participate in the program throughout its course. Properly conducted lifestyle intervention enables significant weight loss regardless of baseline BMI values. Full article

(This article belongs to the Special Issue Nutritional and Endoscopy Intervention in the Obesity Treatment)

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Graphical abstract

13 pages, 934 KiB

Open AccessCommunication

Review about Psychological Barriers to Lifestyle Modification, Changes in Diet Habits, and Health-Related Quality of Life in Bariatric Endoscopy

by Enrique Normand, Alejandro Montero, Gontrand López-Nava and Inmaculada Bautista-Castaño

Nutrients 2022, 14(3), 595; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14030595 - 29 Jan 2022

Cited by 1 | Viewed by 2254

Abstract

Obesity is an expanding disease responsible for significant deterioration in the Health-Related Quality of Life (HRQL) of those who suffer from it. Bariatric Endoscopy (BE) therapies have proven to be an effective treatment for this pathology. A multidisciplinary approach is essential for the successful therapeutic management of BE. This article addresses the multidisciplinary treatment of BE by considering the possible variables that can influence treatment. In particular, the variables that can facilitate or hinder changes in patients’ habits are discussed. These include the neuropsychological, emotional, and social implications that may influence the formation of healthy habits necessary for improvement in a patient’s quality of life; the individual and environmental psychological factors that influence the monitoring of nutritional and physical activity indications; and different psychological disorders such as depression, anxiety, or disorders related to eating. The main objective of BE treatment, except in certain special biological situations, must be to establish a long-term sustainable change in habits such that patients, once they reach a healthy weight, do not revert to the lifestyle that caused their obesity, as well as identifying and addressing major problems that may exist prior to, or arise during, treatment. Full article

(This article belongs to the Special Issue Nutritional and Endoscopy Intervention in the Obesity Treatment)

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Review

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11 pages, 20116 KiB

Open AccessReview

Nutritional Management and Role of Multidisciplinary Follow-Up after Endoscopic Bariatric Treatment for Obesity

by Anuradha Negi, Ravishankar Asokkumar, Rajesh Ravi, Gontrand Lopez-Nava and Inmaculada Bautista-Castaño

Nutrients 2022, 14(16), 3450; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14163450 - 22 Aug 2022

Cited by 5 | Viewed by 2735

Abstract

The prevalence of obesity has risen exponentially, and patients living with obesity suffer from its debilitating consequences. The treatment options for obesity have expanded significantly and include lifestyle changes, pharmacotherapy, endoscopic bariatric therapies (EBTs), and bariatric surgery. Endoscopic bariatric therapies comprise volume-reducing procedures such as endoscopic gastroplasty and gastric space-occupying devices such as intragastric balloons. Because of its minimally invasive nature and ease of delivery, EBTs are increasingly being adopted as a treatment option for obesity in several centers. These procedures mainly achieve weight loss by inducing early satiety and reducing meal volume. While the technical aspects of EBTs have been well explained, the nutritional management surrounding EBTs and the effectiveness of multidisciplinary team for maximizing weight loss is less described. There is considerable variation in post-EBT care between studies and centers. In this paper, we review the existing literature and share our experience on nutrition and the role of multidisciplinary management of obesity following EBT. Full article

(This article belongs to the Special Issue Nutritional and Endoscopy Intervention in the Obesity Treatment)

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