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Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

Patient perspectives on adherence to micronutrient supplementation after bariatric surgery

Mahawar, Kamal, O'Kane, Mary, Clare, Ken, Graham, Yitka, Callejas-Diaz, Lindes and Carr, William (2019) Patient perspectives on adherence to micronutrient supplementation after bariatric surgery. Obesity Surgery. ISSN 0960-8923

Item Type: Article


Background: Adherence to post-bariatric surgery nutritional supplements can be poor and is associated with higher micronutrient deficiency rates. There is currently no available study specifically seeking patients’ perspectives on the reasons behind poor adherence and how to address it.

Methods: Bariatric surgery patients living in the United Kingdom were invited to take part in an anonymous survey on SurveyMonkey®.

Results: A total of 529 patients (92.61 % females, mean age 47.7 years) took part. Most of these patients had undergone either a Roux-en-Y Gastric Bypass (63.0%) or Sleeve Gastrectomy (24.0 %). Most of the patients were in full-time (49.0 %, n=260/529) or part-time (15.7 %, n=83/529) employment. Approximately 54.0% (n=287/529) of the respondents reported having trouble taking all their supplements. Males were significantly more likely to report complete compliance. The most important reported reason for poor compliance was difficulty in remembering (45.6%), followed by too many tablets (16.4 %), side effects (14.3 %), cost (11.5 %), non-prescribing by GP (10.8%), bad taste (10.1 %), and not feeling the need to take (9.4 %). Patients suggested reducing the number of tablets (41.8 %), patient education (25.7 %), GP education (24.0 %), reducing the cost (18.5 %), and more information from a healthcare provider (12.5 %) or a pharmacist (5.2 %) to improve the compliance.

Conclusion: This study is the first attempt to understand patient perspectives on poor adherence to post-bariatric surgery nutritional recommendation. Patients offered a number of explanations and also provided with suggestions on how to improve it.

Final Clean Manuscript (1) (1).pdf - Accepted Version

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Depositing User: Yitka Graham


Item ID: 10294
Identification Number:
ISSN: 0960-8923
Official URL:

Users with ORCIDS

ORCID for Yitka Graham: ORCID iD

Catalogue record

Date Deposited: 21 Jan 2019 13:24
Last Modified: 16 Jan 2020 03:38


Author: Yitka Graham ORCID iD
Author: Kamal Mahawar
Author: Mary O'Kane
Author: Ken Clare
Author: Lindes Callejas-Diaz
Author: William Carr

University Divisions

Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Nursing

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