Division of Minimally Invasive Surgery, Department of Surgery, Center for the Future of Surgery, University of California, 9500 Gilman Drive, MET Building 845, La Jolla, San Diego, CA, 92093-0740, USA.
Division of General Internal Medicine, UCSD Bariatric and Metabolic Institute, University of California San Diego, La Jolla, San Diego, CA, USA.
Surg Endosc. 2023 Aug;37(8):6526-6531. doi: 10.1007/s00464-023-10157-z. Epub 2023 Jun 7.
Multidisciplinary approaches to weight loss have been shown to improve outcomes in bariatric patients. Few studies have been performed assessing the utility and compliance of fitness tracking devices after bariatric surgery. We aim to determine whether use of an activity tracking device assists bariatric patients in improving postoperative weight loss behaviors.
A fitness wearable was offered to patients undergoing bariatric surgery from 2019 to 2022. A telephone survey was conducted to elucidate the impact of the device on the patient's postoperative weight loss efforts 6 to 12 months after surgery. Weight loss outcomes of sleeve gastrectomy (SG) patients receiving the fitness wearable (FW) were compared to those of a group of SG patients who did not receive one (non-FW).
Thirty-seven patients were given a fitness wearable, 20 of whom responded to our telephone survey. Five patients reported not using the device and were excluded. 88.2% reported that using the device had a positive impact on their overall lifestyle. Patients felt that using the fitness wearable to keeping track of their progress helped them both to achieve short-term fitness goals and sustain them in the long run. From the patients that utilized the device, 44.4% of those that discontinued felt like it helped them build a routine that they maintained even after they were no longer using it. Demographic data between FW and non-FW groups (age, sex, CCI, initial BMI, and surgery BMI) did not differ significantly. The FW group trended towards greater %EWL at 1 year post-operation (65.2% versus 52.4%, p = 0.066) and had significantly greater %TWL at 1 year post-operation (30.3% versus 22.3%, p = 0.02).
The use of an activity tracking device enhances a patient's post-bariatric surgery experience, serving to keep patients informed and motivated, and leading to improved activity that may translate to better weight loss outcomes.
多学科方法在减肥方面已经被证明可以改善减重患者的预后。尽管有一些研究评估了减重手术后使用健身追踪设备的效果和依从性，但很少有研究评估其对术后减重行为的影响。本研究旨在探讨使用活动追踪设备是否可以帮助减重患者改善术后减重行为。
从 2019 年至 2022 年，我们向接受减重手术的患者提供了一款健身可穿戴设备。在术后 6-12 个月，我们通过电话调查了解设备对患者术后减重努力的影响。比较接受（FW）和未接受（非-FW）健身可穿戴设备的胃旁路术（SG）患者的减重结果。
共 37 名患者接受了健身可穿戴设备，其中 20 名患者接受了我们的电话调查。5 名患者表示未使用该设备，被排除在外。88.2%的患者表示使用该设备对他们的整体生活方式产生了积极影响。患者认为使用健身可穿戴设备来跟踪自己的进展，既帮助他们实现短期健身目标，又帮助他们长期保持下去。在使用该设备的患者中，44.4%的患者表示，该设备帮助他们建立了一个习惯，即使在不再使用该设备后，他们也能继续保持。FW 组和非-FW 组（年龄、性别、CCI、初始 BMI 和手术 BMI）之间的人口统计学数据没有显著差异。FW 组术后 1 年时的 EWL 百分比（65.2% vs. 52.4%，p=0.066）和术后 1 年时的 TWL 百分比（30.3% vs. 22.3%，p=0.02）有上升趋势。
使用活动追踪设备可以增强患者减重手术后的体验，让患者了解并保持动力，促进更好的活动，可能会转化为更好的减重效果。
