eprintid: 10206579
rev_number: 7
eprint_status: archive
userid: 699
dir: disk0/10/20/65/79
datestamp: 2025-03-27 09:26:52
lastmod: 2025-03-27 09:26:52
status_changed: 2025-03-27 09:26:52
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Yousefi, Reyhaneh
creators_name: Bacon, Simon L
creators_name: Boucher, Vincent Gosselin
creators_name: Acosta, Patricia FC
creators_name: O'Neill, John
creators_name: Gonzalez-Gonzalez, Manuela
creators_name: Raymond, Florence Coulombe
creators_name: Lorencatto, Fabiana
title: Barriers to and enablers of modifying diet after metabolic bariatric surgery: A systematic review of published literature
ispublished: inpress
divisions: UCL
divisions: B02
divisions: C07
divisions: D05
divisions: F66
keywords: ADHERENCE, barrier, behavior change, BEHAVIOR-CHANGE, diet, enabler, Endocrinology & Metabolism, FOLLOW-UP, GASTRIC BYPASS-SURGERY, IMPACT, Life Sciences & Biomedicine, metabolic bariatric surgery, OUTCOMES, PATIENTS EXPERIENCES, PERSPECTIVES, Science & Technology, SUPPORT, WEIGHT-LOSS
note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
abstract: This is a qualitative systematic review in which we investigated barriers and enablers influencing dietary behavior change after metabolic bariatric surgery (MBS). Database searches retrieved publications reporting perceived factors influencing dietary behavior change post-MBS. Data (quotes, survey results, interpretative summaries) were extracted and analyzed using combined deductive and inductive thematic analyses. The generated barrier/enabler themes mapped to the Theoretical Domains Framework and then behavior change techniques to identify potential strategies to improve post-operative dietary behavior. Thirty-four publications were included. Key barriers fell within the domains of ‘Environmental Context and Resources’ (e.g., insufficient and unreliable healthcare services), ‘Behavioral Regulation’ (e.g., lack of self-discipline), ‘Emotions’ (e.g., eating as a strategy to overcome negative emotions), ‘Beliefs about Consequences’ (e.g., the extent of realistic expectations from MBS), and ‘Social Influences’ (e.g., challenge of eating at social events). Key enablers were also identified within ‘Environmental Context and Resources’ (e.g. self-access internet-based resources), ‘Behavioral Regulation’ (e.g. learning how to develop new dietary strategies), ‘Beliefs about Consequences’ (e.g., positive impacts of surgery-induced food intolerances), and ‘Social Influences’ (e.g., support from social/group sessions). Potential strategies to change postoperative dietary behavior include social support, problem-solving, goal setting, and self-monitoring of behavior. This provides insight into the targets for future post-operative nutrition-focused interventions.
date: 2025-01-15
date_type: published
publisher: Wiley-Blackwell
official_url: https://doi.org/10.1111/obr.13893
full_text_type: other
language: eng
verified: verified_manual
elements_id: 2354996
doi: 10.1111/obr.13893
medium: Print-Electronic
lyricists_name: Lorencatto, Fabiana
lyricists_id: FRLOR99
actors_name: Lorencatto, Fabiana
actors_id: FRLOR99
actors_role: owner
full_text_status: restricted
publication: Obesity Reviews
article_number: e13893
pages: 17
event_location: England
issn: 1467-7881
citation:        Yousefi, Reyhaneh;    Bacon, Simon L;    Boucher, Vincent Gosselin;    Acosta, Patricia FC;    O'Neill, John;    Gonzalez-Gonzalez, Manuela;    Raymond, Florence Coulombe;           Yousefi, Reyhaneh;  Bacon, Simon L;  Boucher, Vincent Gosselin;  Acosta, Patricia FC;  O'Neill, John;  Gonzalez-Gonzalez, Manuela;  Raymond, Florence Coulombe;  Lorencatto, Fabiana;   - view fewer <#>    (2025)    Barriers to and enablers of modifying diet after metabolic bariatric surgery: A systematic review of published literature.                   Obesity Reviews      , Article e13893.  10.1111/obr.13893 <https://doi.org/10.1111/obr.13893>.    (In press).   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10206579/1/Barriers%20to%20and%20enablers%20of%20modifying%20diet%20after%20metabolic%20bariatric%20surgery_A%20systematic%20review%20of%20published%20literature_2025_Obesity%20Reviews.pdf