Introduction
The increasing prevalence of extreme obesity among adolescents has prompted the exploration of metabolic and bariatric surgery (MBS) as a viable treatment option. A recent study titled "Twelve-Month Outcomes after Metabolic and Bariatric Surgery among Youths Participating in a Structured Preparation and Follow-Up Program" provides valuable insights into the outcomes of MBS in youths. This blog aims to guide practitioners in implementing these findings to enhance their skills and encourage further research in this critical area.
Understanding the Research
The study conducted as part of the "Youth with Extreme Obesity Study" (YES) involved adolescents and young adults aged 14–24 years with a BMI of 35 kg/m2 or higher. Participants underwent a structured pre- and post-MBS program. The findings highlighted significant weight reduction and high adherence to the program within the first 12 months post-surgery. However, the study also noted a decline in follow-up rates after the structured program concluded.
Key Takeaways for Practitioners
- Structured Programs Enhance Adherence: The study underscores the importance of structured pre- and post-surgery programs. Practitioners should consider implementing similar programs to improve adherence and outcomes.
- Long-term Follow-up is Crucial: While the initial follow-up rates were high, they declined significantly over time. Practitioners should develop strategies to maintain long-term engagement with patients post-surgery.
- Informed Decision Making: The study highlights the role of informed decision-making in the success of MBS. Practitioners should ensure that patients and their families are well-informed about the risks and benefits of surgery.
- Addressing Psychosocial Factors: The study found that psychosocial factors, such as depression and family support, play a significant role in the decision to undergo MBS. Practitioners should incorporate psychological assessments and support into their programs.
Encouraging Further Research
While the study provides valuable insights, it also highlights areas that require further research. Practitioners are encouraged to explore the following:
- Long-term Outcomes: More research is needed to understand the long-term outcomes of MBS in youths, particularly beyond the initial 12 months.
- Impact of Genetic Factors: The study suggests that genetic factors may influence the outcomes of MBS. Further research could explore the role of genetics in treatment efficacy.
- Innovative Follow-up Strategies: Developing innovative follow-up strategies, such as eHealth tools, could help maintain patient engagement over the long term.
Conclusion
The research provides a framework for practitioners to enhance their skills in managing extreme obesity in youths through MBS. By implementing structured programs, focusing on long-term follow-up, and considering psychosocial factors, practitioners can improve patient outcomes. Additionally, further research in this area is essential to address the gaps identified in the study.
To read the original research paper, please follow this link: Twelve-Month Outcomes after Metabolic and Bariatric Surgery among Youths Participating in a Structured Preparation and Follow-Up Program: Results of the Youth with Extreme Obesity Study.
