title: Cognitive function is linked to adherence to bariatric postoperative guidelines.
abstract: BACKGROUND
  Impairment in cognitive function is found in a significant subset of individuals undergoing bariatric surgery, and recent work shows this impairment is associated with smaller postoperative weight loss. Reduced cognitive function could contribute to poorer adherence to postoperative guidelines, although this has not been previously examined. The present study examined the relationship between cognitive function and adherence to bariatric postoperative guidelines. We expected that higher cognitive function would be associated with better adherence to postoperative guidelines.
  
  
  METHODS
  Thirty-seven bariatric surgery patients completed cognitive testing and a self-report measure of adherence to postoperative bariatric guidelines during their 4- to 6-week postoperative appointment.
  
  
  RESULTS
  Strong correlations were observed between adherence to postoperative guidelines and cognitive indices of attention, executive function, and memory.
  
  
  CONCLUSIONS
  Results show that cognitive performance is strongly associated with adherence to postoperative guidelines shortly after bariatric surgery. Further work is needed to clarify whether this relationship is present at later postoperative stages and the degree to which this relationship mediates postoperative weight loss outcomes.
authors.affiliation: Kent State University, Kent, Ohio; Summa Health System, Akron, Ohio 44242, USA. mspitzna@kent.edu
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Spitznagel
authors.forename: Rachel
authors.initials: R
authors.lastname: Galioto
authors.forename: Kristen
authors.initials: K
authors.lastname: Limbach
authors.forename: John
authors.initials: J
authors.lastname: Gunstad
authors.forename: Leslie
authors.initials: L
authors.lastname: Heinberg
mesh_terms: D000328:Adult; D000368:Aged; D001288:Attention / Q000502:physiology*; D056344:Executive Function / Q000502:physiology*; D005260:Female; D015390:Gastric Bypass / Q000523:psychology*; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008568:Memory / Q000502:physiology*; D008875:Middle Aged; D011182:Postoperative Care; D017410:Practice Guidelines as Topic; D015431:Weight Loss / Q000502:physiology; D055815:Young Adult
keywords: Adherence; Bariatric surgery; Cognition; Executive function; Memory