Reporting Weight Loss 2021: Position Statement of the Dutch Society for Metabolic and Bariatric Surgery (DSMBS)

Arnold W. van de Laar; Marloes Emous; Eric J. Hazebroek; Evert Jan Boerma; Ian F. Faneyte; Simon W. Nienhuijs

doi:10.1007/s11695-021-05580-x

Reporting Weight Loss 2021: Position Statement of the Dutch Society for Metabolic and Bariatric Surgery (DSMBS)

Arnold W. van de Laar^*, Marloes Emous, Eric J. Hazebroek, Evert Jan Boerma, Ian F. Faneyte, Simon W. Nienhuijs

^*Corresponding author for this work

Nutrition and Disease

Research output: Contribution to journal › Article › Academic › peer-review

8 Citations (Scopus)

Abstract

Prevailing recommendations on reporting weight loss after bariatric and metabolic surgery are not evidence-based. They promote the outcome metric percentage excess weight loss (%EWL), sometimes indicated as percentage excess body mass index loss (%EBMIL). Many studies proved that this popular outcome measure, in contrast to other weight loss metrics, is inaccurate and error-sensitive when comparing weight loss within and between studies. It is inappropriate for assessing poor weight loss response and weight regain as well. The percentage (total) weight loss metric is the best alternative. The Dutch Society for Metabolic and Bariatric Surgery (DSMBS) recommends to stop using the %EWL (or %EBMIL) metric as primary outcome measure in all cases and calls on the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) to propagate this evidence-based recommendation. Graphical Abstract: [Figure not available: see fulltext.]

Original language	English
Pages (from-to)	4607-4611
Journal	Obesity Surgery
Volume	31
Issue number	10
Early online date	20 Jul 2021
DOIs	https://doi.org/10.1007/s11695-021-05580-x
Publication status	Published - 2021

Keywords

Alterable weight loss
AWL
Bariatric surgery
DSMBS
EWL
Excess weight loss metric
Outcome
Total weight loss metric
TWL
Weight loss
Weight regain

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s11695-021-05580-x

Cite this

@article{c3c81f3773af4a5e8e09186181ef0f2c,

title = "Reporting Weight Loss 2021: Position Statement of the Dutch Society for Metabolic and Bariatric Surgery (DSMBS)",

abstract = "Prevailing recommendations on reporting weight loss after bariatric and metabolic surgery are not evidence-based. They promote the outcome metric percentage excess weight loss (%EWL), sometimes indicated as percentage excess body mass index loss (%EBMIL). Many studies proved that this popular outcome measure, in contrast to other weight loss metrics, is inaccurate and error-sensitive when comparing weight loss within and between studies. It is inappropriate for assessing poor weight loss response and weight regain as well. The percentage (total) weight loss metric is the best alternative. The Dutch Society for Metabolic and Bariatric Surgery (DSMBS) recommends to stop using the %EWL (or %EBMIL) metric as primary outcome measure in all cases and calls on the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) to propagate this evidence-based recommendation. Graphical Abstract: [Figure not available: see fulltext.]",

keywords = "Alterable weight loss, AWL, Bariatric surgery, DSMBS, EWL, Excess weight loss metric, Outcome, Total weight loss metric, TWL, Weight loss, Weight regain",

author = "{van de Laar}, {Arnold W.} and Marloes Emous and Hazebroek, {Eric J.} and Boerma, {Evert Jan} and Faneyte, {Ian F.} and Nienhuijs, {Simon W.}",

note = "Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2021",

doi = "10.1007/s11695-021-05580-x",

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TY - JOUR

T1 - Reporting Weight Loss 2021

T2 - Position Statement of the Dutch Society for Metabolic and Bariatric Surgery (DSMBS)

AU - van de Laar, Arnold W.

AU - Emous, Marloes

AU - Hazebroek, Eric J.

AU - Boerma, Evert Jan

AU - Faneyte, Ian F.

AU - Nienhuijs, Simon W.

PY - 2021

Y1 - 2021

N2 - Prevailing recommendations on reporting weight loss after bariatric and metabolic surgery are not evidence-based. They promote the outcome metric percentage excess weight loss (%EWL), sometimes indicated as percentage excess body mass index loss (%EBMIL). Many studies proved that this popular outcome measure, in contrast to other weight loss metrics, is inaccurate and error-sensitive when comparing weight loss within and between studies. It is inappropriate for assessing poor weight loss response and weight regain as well. The percentage (total) weight loss metric is the best alternative. The Dutch Society for Metabolic and Bariatric Surgery (DSMBS) recommends to stop using the %EWL (or %EBMIL) metric as primary outcome measure in all cases and calls on the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) to propagate this evidence-based recommendation. Graphical Abstract: [Figure not available: see fulltext.]

AB - Prevailing recommendations on reporting weight loss after bariatric and metabolic surgery are not evidence-based. They promote the outcome metric percentage excess weight loss (%EWL), sometimes indicated as percentage excess body mass index loss (%EBMIL). Many studies proved that this popular outcome measure, in contrast to other weight loss metrics, is inaccurate and error-sensitive when comparing weight loss within and between studies. It is inappropriate for assessing poor weight loss response and weight regain as well. The percentage (total) weight loss metric is the best alternative. The Dutch Society for Metabolic and Bariatric Surgery (DSMBS) recommends to stop using the %EWL (or %EBMIL) metric as primary outcome measure in all cases and calls on the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) to propagate this evidence-based recommendation. Graphical Abstract: [Figure not available: see fulltext.]

KW - Alterable weight loss

KW - AWL

KW - Bariatric surgery

KW - DSMBS

KW - EWL

KW - Excess weight loss metric

KW - Outcome

KW - Total weight loss metric

KW - TWL

KW - Weight loss

KW - Weight regain

U2 - 10.1007/s11695-021-05580-x

DO - 10.1007/s11695-021-05580-x

M3 - Article

AN - SCOPUS:85110861725

VL - 31

SP - 4607

EP - 4611

JO - Obesity Surgery

JF - Obesity Surgery

SN - 0960-8923

IS - 10

ER -

Reporting Weight Loss 2021: Position Statement of the Dutch Society for Metabolic and Bariatric Surgery (DSMBS)

Abstract

Keywords

UN SDGs

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