{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:46:41Z","timestamp":1792043201315,"version":"4.4.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["596875"],"award-info":[{"award-number":["596875"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to\u00a0examine changes in dietary intake, physical activity, appetite, and weight following laparoscopic adjustable gastric banding (LAGB), sleeve gastrectomy (SG), Roux\u2010en\u2010Y gastric bypass (RYGB), and dietary intervention in adults with severe obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This prospective, nonrandomized cohort included 57 adults undergoing LAGB (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), SG (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921), RYGB (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097), or dietary intervention (Diet;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200918). Seven assessments over 36\u2009months were analyzed using mixed\u2010effects models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the first 12\u2009months, energy intake declined across groups (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22121322\u2009kJ\/visit; 95% CI: \u22122045, \u2212599;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), without between\u2010group differences in energy or macronutrient trajectories. Vigorous activity increased following SG relative to Diet (interaction\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009+10\u2009min\/day\/visit; 95% CI: 0.1, 20). During 12\u201336\u2009months, energy intake increased in Diet (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009+3089\u2009kJ\/visit;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas surgical groups maintained energy restriction (all interactions\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.006). Changes in macronutrients, calcium intake, and physical activity were modest or transient, although protein intake increased after LAGB relative to Diet (interaction\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009+8.6 percentage points;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006). SG produced sustained appetite reduction (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.013). At 36\u2009months, weight remained 25.1%, 26.4%, and 16.9% below baseline following SG, RYGB, and LAGB, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Interventions demonstrated biphasic dietary and behavioral adaptation. Surgical procedures produced durable energy restriction and weight loss despite modest long\u2010term changes in dietary composition and physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ANZCTR: 12613000188730<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.70329","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:02:26Z","timestamp":1792040546000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Impact of Bariatric Surgery and Dietary Interventions on Weight Loss, Physical Activity, and Food Preferences"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9546-4260","authenticated-orcid":false,"given":"Michael","family":"Do","sequence":"first","affiliation":[{"name":"Department of Endocrinology Blacktown Hospital  Sydney New South Wales Australia"},{"name":"Western Sydney University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9682-2313","authenticated-orcid":false,"given":"Dana","family":"Bliuc","sequence":"additional","affiliation":[{"name":"Garvan Institute of Medical Research  Darlinghurst New South Wales Australia"},{"name":"Bangor University  Bangor Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7162-7471","authenticated-orcid":false,"given":"John A.","family":"Eisman","sequence":"additional","affiliation":[{"name":"Garvan Institute of Medical Research  Darlinghurst New South Wales Australia"},{"name":"Faculty of Medicine University of New South Wales Sydney  Sydney New South Wales Australia"},{"name":"School of Medicine Sydney University of Notre Dame Australia  Sydney New South Wales Australia"},{"name":"Department of Endocrinology St Vincent's Hospital Clinical School  Darlinghurst New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0866-0973","authenticated-orcid":false,"given":"Jerry R.","family":"Greenfield","sequence":"additional","affiliation":[{"name":"Garvan Institute of Medical Research  Darlinghurst New South Wales Australia"},{"name":"Faculty of Medicine University of New South Wales Sydney  Sydney New South Wales Australia"},{"name":"Department of Endocrinology St Vincent's Hospital Clinical School  Darlinghurst New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5278-4527","authenticated-orcid":false,"given":"Jacqueline R.","family":"Center","sequence":"additional","affiliation":[{"name":"Garvan Institute of Medical Research  Darlinghurst New South Wales Australia"},{"name":"Faculty of Medicine University of New South Wales Sydney  Sydney New South Wales Australia"},{"name":"School of Medicine Sydney University of Notre Dame Australia  Sydney New South Wales Australia"},{"name":"Department of Endocrinology St Vincent's Hospital Clinical School  Darlinghurst New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0700-7750","authenticated-orcid":false,"given":"Malgorzata M.","family":"Brzozowska","sequence":"additional","affiliation":[{"name":"Garvan Institute of Medical Research  Darlinghurst New South Wales Australia"},{"name":"Faculty of Medicine University of New South Wales Sydney  Sydney New South Wales Australia"},{"name":"Department of Endocrinology Sutherland Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.peptides.2015.08.013","article-title":"The Effect of Bariatric Surgery on Gastrointestinal and Pancreatic Peptide Hormones","volume":"77","author":"Meek C. 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