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16. Obesity surgery when combined with an intensive lifestyle intervention program confers a greater advantage over the combination of low energy diet and lifestyle intervention |
Anastasios Papalazarou 1 
, Mary Yannakoulia 1 , Vassiliki Komesidou 2 , Georgios Dimitriadis 3 , Alexandrer Papakonstantinou 4 , Lambros Sintossis 1
1 Department of Nutrition and Dietetics, Harokopio Universtiy, Athens, Greece
2 Department of Nutrition, General Hospital Evangelismos, Athens, Greece
3 2nd Department of Internal Medicine and Research Institute, Athens University Medical School, Attikon University Hospital, Haidari, Greece
4 1st Surgical Department, General Hospital Evangelismos, Athens, Greece
pages: 23-30, doi:1792-4030-2-16
[PDF]
[Volume 2, Issue 1 ] |
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Keywords
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Morbid obesity, surgery, lifestyle intervention, diet
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Abstract
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Aim of the present study was to evaluate the long-term effects of two obesity treatment modalities: lifestyle intervention coupled with surgery and lifestyle intervention coupled with low-energy diet. Material-Methods: A total of 32 morbidly obese women participated in the study. A group of them (n=15) underwent vertical banded gastroplasty and they were assigned to the lifestyle plus surgery group (LS-surgery). The rest of them (n=17) were assigned to the lifestyle plus low-energy-diet group (LS-diet). Results: The LS-surgery group lost significantly more weight after 12 months than the LS-diet group (46.4±3.0 kg vs. 18.5±3.0 kg, P<0.001) and this difference remained significant till the 36-month follow up assessment. Conclusions: Even though the combination of intensive lifestyle intervention along with low-energy-diet resulted in weight loss and maintenance, this effect was less pronounced than the one achieved through the combination of lifestyle modification and surgery.
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