UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Navigating barriers and facilitators to lifestyle changes after bariatric surgery among Emirati adolescents: a qualitative study

Alries, Baraa A; Papada, Efstathia; Al Momani, Hazem; Jarrar, Amjad H; Al Dhaheri, Ayesha S; Cheikh Ismail, Leila; Stojanovska, Lily; (2025) Navigating barriers and facilitators to lifestyle changes after bariatric surgery among Emirati adolescents: a qualitative study. Frontiers in Public Health , 13 , Article 1702340. 10.3389/fpubh.2025.1702340. Green open access

[thumbnail of fpubh-13-1702340.pdf]
Preview
Text
fpubh-13-1702340.pdf - Published Version

Download (1MB) | Preview

Abstract

Adolescent obesity is a major public health concern, with bariatric surgery emerging as an effective treatment option. However, little is known about adolescents’ long-term adherence to healthy behaviors after surgery, especially in non-Western settings. This qualitative interview study explored lifestyle challenges faced and enablers experienced by adolescents who had undergone bariatric surgery at least one year before the interview, addressing a research gap. Semi-structured interviews were conducted with 15 adolescents (12–19 years) who had undergone bariatric surgery (sleeve gastrectomy: 86.6%; Roux-en-Y gastric bypass: 13.2%) more than a year ago, using the social–ecological model (SEM) to guide data collection and interpretation. The interviews revealed five key themes: Motivations for bariatric surgery, post-surgery barriers to regular physical activity, enablers for overcoming post-surgery challenges, post-bariatric surgery lifestyle change strategies, and suggestions for overcoming post-surgery challenges. Barriers to regular physical activity included family and academic responsibilities, as well as environmental, psychological, and medical factors. Health challenges were more difficult to manage than food or physical activity. Support from healthcare teams played a crucial role in overcoming post-bariatric surgery challenges, especially those related to diet and medication adherence. Participants recommended adapting lifestyle changes and consulting health professionals to overcome post-bariatric surgery challenges.

Type: Article
Title: Navigating barriers and facilitators to lifestyle changes after bariatric surgery among Emirati adolescents: a qualitative study
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fpubh.2025.1702340
Publisher version: https://doi.org/10.3389/fpubh.2025.1702340
Language: English
Additional information: © 2025 Alries, Papada, Al Momani, Jarrar, Al Dhaheri, Cheikh Ismail, Stojanovska and Ali. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/).
Keywords: adolescent, bariatric surgery, qualitative, exercise, social environment, diet, United Arab Emirates
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10219008
Downloads since deposit
3Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item