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. 2022 Jun 22;157(8):656–666. doi: 10.1001/jamasurg.2022.2229

Table 1. Model-Based Estimates of Percentage Excess Weight Loss (EWL), Body Mass Index (BMI), Percentage Excess BMI Loss, and Percentage Total Weight Lossa.

Time LSG LRYGB LRYGB vs LSG difference (95% CI) P value
%EWL, No.b,c,d
Baseline 121 119 NA NA
0.5 y 119 111 4.7 (−0.4 to 9.7) NA
1 y 111 108 5.7 (0.6 to 10.8) NA
3 y 108 100 8.6 (3.4 to 13.7) NA
5 y 98 95 8.4 (3.1 to 13.7) NA
7 y 91 91 9.0 (3.6 to 14.3) NA
10 y 98 95 8.4 (3.1 to 13.6) NA
BMI, mean estimate (95% CI)c,e,f
Baseline 47.3 (46.2 to 48.4) 48.4 (47.2 to 49.5)
0.5 y 35.8 (34.7 to 37.0) 35.3 (34.1 to 36.5) −0.5 (−2.1 to 1.1) .54
1 y 34.4 (33.3 to 35.6) 33.6 (32.4 to 34.8) −0.9 (−2.5 to 0.8) .30
3 y 35.3 (34.2 to 36.5) 34.0 (32.8 to 35.2) −1.3 (−2.9 to 0.3) .12
5 y 36.5 (35.4 to 37.7) 35.4 (34.2 to 36.6) −1.1 (−2.8 to 0.6) .19
7 y 37.1 (36.0 to 38.3) 35.8 (34.6 to 37.0) −1.3 (−3.0 to 0.4) .13
10 y 37.8 (36.6 to 39.0) 36.5 (35.3 to 37.7) −1.3 (−3.0 to 0.4) .13
%EBL, mean estimate (95% CI)c,e,g 50.8 (48.0 to 53.7) 58.2 (55.3 to 61.2) 7.4 (3.4 to 11.5) <.001
%TWL, mean estimate (95% CI)c,e,h 23.4 (22.1 to 24.7) 26.9 (25.6 to 28.2) 3.5 (1.6 to 5.4) <.001

Abbreviations: BMI, body mass index; %EBL, percentage excess BMI loss; %EWL, percentage excess weight loss; LSG, laparoscopic sleeve gastrectomy; LRYGB, laparoscopic Roux-en-Y gastric bypass; NA, not applicable; %TWL, percentage total weight loss.

a

All results adjusted for center and diabetes status.

b

Equivalence design was used in the analyses, and equivalence margins were set from −9 to 9.

c

Repeated-measurements analysis of variance.

d

Percentage EWL calculated as (initial weight − follow-up weight) / (initial weight − ideal weight for BMI 25).

e

Superiority design was used in the analysis.

f

P < .001 for operation × time interaction.

g

P = .36 for operation × time interaction; P < .001 for main effect of operation; P < .001 for main effect of time.

h

P = .49 for operation × time interaction; P < .001 for main effect of operation and P < .001 for main effect of time.