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This study aims to identify demographic factors of weight loss and recurrent weight gain over a 10-year follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective observational study includes 2092 patients for overall trends, 1032 patients for predictors of weight loss, and 605 patients for predictors of recurrent weight gain. Percentage total weight loss (%TWL) trends were measured over 10 years. The rate of weight loss and recurrent weight gain was used as a response variable in multivariate analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After bariatric surgery, mean \u00b1 SD %TWL was greatest at 31.3 \u00b1 10.7 % by 2 years, followed by gradual recurrent weight gain to a %TWL of 25.1 \u00b1 12.6 % at 10 years. Up to 5 years, %TWL was greater with Roux-en-Y gastric bypass (n=1080; 27.9 \u00b1 11.5 %) and one-anastomosis gastric bypass (n=217; 28.3 \u00b1 10.1) had greater %TWL than sleeve gastrectomy (n=795; 22.8 \u00b1 12.5 %) (ANOVA, p &lt; 0.005). Age, sex, preoperative body mass index, diabetes, operation type, and smoking were statistically significant predictors of weight loss up to 2 years (p &lt; 0.05). Age, hypertension, Index of Multiple Deprivation quintile, and early %TWL up to 2 years were statistically significant predictors of recurrent weight gain after 2 years (p &lt; 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Operation type, age, sex, preoperative body mass index, diabetes, operation type and smoking had significant associations with weight loss while age, hypertension, Index of Multiple Deprivation and initial postoperative weight loss had significant associations with recurrent weight gain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11695-026-08900-1","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:04:52Z","timestamp":1787875492000},"page":"5678-5690","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Factors Associated with Weight Loss and Recurrent Weight Gain after Bariatric Surgery: A Longitudinal Study in a UK Public Healthcare Setting"],"prefix":"10.1007","volume":"36","author":[{"given":"Luqman Naim Bin","family":"Aizan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akheel A.","family":"Syed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Alkhaffaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"issue":"3","key":"8900_CR1","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1038\/nrgastro.2016.170","volume":"14","author":"NT Nguyen","year":"2017","unstructured":"Nguyen NT, Varela JE. 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