Background

The disease of obesity is associated with many serious comorbidities, and holistic approaches, including bariatric surgery, modified diet, behavioral health, and guided exercise, have earned popularity in treating this disease. This retrospective research aims to identify how much weight loss patients achieve from the integrated interventions and subsequent impacts on patients' function and health at six-month follow-up visits.

Methods

Twenty-eight patients, aged from 24 to 64, a mean BMI of 49.51kg/m2, completed a series of pre-operative treatments and six-month post-operative follow-up visits. The patient’s functional status was measured by the six-minute walk test (6MTW), and health parameters included A1C, LDL, HDL, total cholesterol, and blood pressure before and after the interventions.

Results

A mean of 42.61%, 13.66%, 5.93%, 7.41%, and 4.88%/4.26% reduction was noticed in excess body weight (EBW), A1C, LDL, total cholesterol, and systolic/diastolic blood pressure, respectively. An average increase of 18.71% in 6MWT and 7.08% in HDL was observed. Changes in EBW, 6MWT, and A1C were statistically significant, with a p-value less than 0.001. An increase in 6MWT during pre-operative visits and total improvement in their 6MWT at six month follow-up visit were highly correlated (r:0.72, p-value=0.0002).

Conclusions

Multidisciplinary approaches to treat morbid obesity significantly reduce the EBW of the patients and improve patients' physical function and health.