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Factors Affecting Patient Adherence to Multivitamin Intake After Bariatric Surgery: a Multicentre Survey Study from
H J M Smelt1,2, L Heusschen3, W Theel4
1Department of Surgery, Catharina Hospital, Michelangelolaan 2, P.O. Box 1350, 5602, ZA, Eindhoven, The Netherlands. marieke.smelt@catharinaziekenhuis.nl.
Obesity Surgery
|July 25, 2021
Summary
Many bariatric patients struggle with multivitamin supplement (MVS) adherence due to forgetting, side effects, and cost. Improving adherence requires better patient education and shared decision-making for long-term nutritional health.
Area of Science:
- Bariatric Surgery
- Nutritional Science
- Patient Adherence
Background:
- Lifelong multivitamin supplementation is recommended post-bariatric surgery to prevent nutritional deficiencies.
- Despite recommendations, deficiencies remain common, potentially due to poor adherence to multivitamin supplement (MVS) intake.
Purpose of the Study:
- To identify factors influencing patient adherence to MVS intake following bariatric surgery.
- To understand the reasons behind non-adherence and dissatisfaction with MVS regimens.
Main Methods:
- A questionnaire was administered to 4614 patients from four Dutch bariatric centers.
- Patients were categorized as MVS users (n=4274) or non-users (n=340).
- Data collected included reasons for inconsistent use, non-use, and satisfaction with MVS instructions and care.
Main Results:
- 15.4% reported inconsistent MVS use, and 7.4% were non-users.
- Common reasons for inconsistent use included forgetting (68.3%) and side effects (25.6%).
- Non-users cited side effects (58.5%), cost (13.5%), and perceived absence of deficiency (20.9%) as primary reasons.
Conclusions:
- Bariatric patients often have a negative attitude towards MVS use.
- Improving adherence necessitates accurate information, consideration of personal preferences, shared decision-making, optimized MVS formulations, and reimbursement options.
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