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.
All results adjusted for center and diabetes status.
Equivalence design was used in the analyses, and equivalence margins were set from −9 to 9.
Repeated-measurements analysis of variance.
Percentage EWL calculated as (initial weight − follow-up weight) / (initial weight − ideal weight for BMI 25).
Superiority design was used in the analysis.
P < .001 for operation × time interaction.
P = .36 for operation × time interaction; P < .001 for main effect of operation; P < .001 for main effect of time.
P = .49 for operation × time interaction; P < .001 for main effect of operation and P < .001 for main effect of time.