{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:52:05Z","timestamp":1781646725403,"version":"3.54.5"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universidade de \u00c9vora"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bariatric surgery is an effective treatment for severe obesity, resulting in significant weight loss and remission of obesity-related diseases. However, weight gain remains a challenge, potentially impacting long-term outcomes. The Swiss-Finnish BARIatric metabolic outcome score (SF-BARI) is a composite tool that integrates percentage total weight loss (%TWL), obesity associated disease remission, and operative complications rates to evaluate surgical optimal clinical response. This study assessed the associations between SF-BARI scores, obesity associated diseases remission, and weight gain 5 years after bariatric surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 81 patients who underwent Roux-en-Y gastric bypass (RYGB) at a Portuguese hospital, with complete 5-year follow-up data. Data on weight, body mass index (BMI), %TWL, weight gain (&gt;\u20095% of nadir weight), and remission of type 2 diabetes mellitus (T2DM), hypertension, dyslipidemia, and obstructive sleep apnea (OSA) were collected at baseline and at 1 year and 5 years post-surgery. SF-BARI scores were calculated to assess outcomes. Statistical analyses included t tests, chi-square tests, and regression models to explore associations between SF-BARI scores, weight gain, and obesity associated diseases remission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 1 year, the mean BMI decreased from 44.8\u2009\u00b1\u20095.1\u00a0kg\/m\u00b2 to 27.7\u2009\u00b1\u20093.8\u00a0kg\/m\u00b2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with a mean SF-BARI score of 103\u2009\u00b1\u200920.3 (good). At 5 years, the BMI increased to 30.6\u2009\u00b1\u20094.7\u00a0kg\/m\u00b2, 57.1% of patients experienced\u2009&gt;\u20095% weight gain, and the SF-BARI score decreased to 93.8\u2009\u00b1\u200925.3 (good). Obesity associated diseases remission was significant, with 60.7% of hypertensive patients, 66.7% of diabetic patients, 50% of dyslipidemic patients, and 66.7% of OSA patients having improved disease control. No significant association was found between weight gain and obesity associated diseases control (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Greater % excess weight loss was the strongest predictor of higher SF-BARI scores (r\u00b2=0.596,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas weight gain and higher BMI were associated with lower scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bariatric surgery yields durable improvements in weight and obesity associated diseases control at 5 years, despite frequent weight gain. The SF-BARI score effectively captures multidimensional outcomes, and the lack of association between weight gain and obesity associated diseases remission suggests weight-independent mechanisms. However, further studies are needed to validate the prognostic value of the SF-BARI in larger cohorts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11695-026-08541-4","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T18:58:04Z","timestamp":1774551484000},"page":"2150-2159","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of the SF-BARI Score for Evaluating long-term Metabolic and Clinical Outcomes after Bariatric Surgery"],"prefix":"10.1007","volume":"36","author":[{"given":"Cl\u00e1udia","family":"Mendes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Greg\u00f3rio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f3nio","family":"Palmeira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"8541_CR1","doi-asserted-by":"publisher","unstructured":"Mingrone G et al. 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