At 5-year follow-up, LGCP proved to be safe and effective, with 56.8% EBMIL and a low rate of complications.
Background Obesity and associated comorbidities increase the probability of sexual disorders. The present study evaluated sexual satisfaction levels in obese women prior to and following bariatric surgery, utilizing the validated Female Sexual Function Index (FSFI) to also evaluate the sexual satisfaction in obese and non-obese women. Material/Methods 60 obese women (mean initial BMI of 43.7±5.9 kg/m 2 ; mean age of 41.7±10.8 years) were administered the questionnaire on sexual function (FSFI) preceding bariatric surgery (laparoscopic adjustable gastric banding, 22 women; gastric plication, 33 women; and biliopancreatic diversion, 5 women), 6 months and 12 months after the procedure, i.e., following substantial weight reduction (final mean BMI of 35.5±5.5 kg/m 2 ). The control group comprised 60 non-obese women (mean BMI of 22.2±1.9kg/m 2 ; mean age of 36.4±10.7 years). Results Our findings indicate that baseline sexual function in the preoperative obese females was significantly lower than in non-obese women, with p<0.01 in each domain. Data gathered at the 6- and 12-month points following the procedure indicated no significant difference. Before the procedure, 31 obese subjects (51.6%) exceeded the cutoff for FSD, at the 6-month evaluation point, 17 women (39.5%) exceeded the cutoff, and at 12 months postoperatively, 18 subjects (41.9%) exceeded the cutoff, indicative of FSD. Among the non-obese controls, only 9 subjects (15%) exceeded the cutoff threshold. Conclusions These findings show that substantive weight reduction resulting from bariatric surgery results in reduced sexual dysfunction in female subjects.
IntroductionThe study investigates the association between circadian phenotype (CP), its stability (interdaily stability - IS) and physical activity (PA) in a weight loss (WL) programme.MethodsSeventy-five women in WL conservative treatment (BMI ≥ 25 kg/m2) were measured (for about 3 months in between 2016 and 2018) by actigraphy.ResultsWe observed a difference in time of acrophase (p = 0.049), but no difference in IS (p = 0.533) between women who lost and did not lose weight. There was a difference in PA (mesor) between groups of women who lost weight compared to those who gained weight (p = 0.007). There was a relationship between IS and PA parametres mesor: p0.001; and the most active 10 h of a day (M10): p < 0.001 - the more stable were women in their rhythm, the more PA they have. Besides confirming a relationship between PA and WL, we also found a relation between WL and CP based on acrophase. Although no direct relationship was found for the indicators of rhythm stability (IS), they can be considered very important variables because of their close connection to PA – a main factor that contributes to the success of the WL programme.DiscussionAccording to the results of the study, screening of the CP and its stability may be beneficial in the creation of an individualized WL plan.
BackgroundSplitting represents a defense mechanism that describes fragmentation of conscious experience that may occur in various psychopathological conditions. The purpose of this study was to examine the relationship of splitting with disturbed cognitive and affective functions related to impulsivity and intimate partnerships in a group of obese patients indicated for bariatric treatment and compare the results with other obese patients and patients with bulimia nervosa.MethodsIn this clinical study, we assessed 102 young women. The sample was divided into three subgroups: obese women (N=30), obese women indicated for bariatric treatment (N=48), and patients with bulimia nervosa (N=24). The patients were assessed using Splitting Index and Barratt Impulsivity Scale, and selected information about their intimate partnership was documented for all the participants.ResultsThe main results of this study indicate significant differences in the relationship of splitting and impulsivity with difficulties in intimate partnerships. These differences discriminate obese patients indicated for bariatric treatment from other obese patients and patients with bulimia nervosa.ConclusionThese findings may have significant implications for treatment of the obese patients indicated for bariatric treatment and their presurgery psychological evaluations.
Z dostupné literatury vyplývá, že mezi nejvýznamnější bariéry k podstoupení kolonoskopie obecně patří "obava z bolesti a diskomfortu", "obava z přípravy střeva", ale i přímo nesouvisející vlivy jako "nedostatek podpory ze strany rodiny a přátel", "vytížení v rámci rodinných a pracovních záležitostí", "jiné zdravotní problémy" a aktuální "obava z toho, že se v nemocnici nakazí onemocněním covid-19". Pozitivní roli může hrát manželský svazek, naopak negativní předchozí nádorové onemocnění. Důležitým faktorem je i to, že pacienti nejsou o svých bariérách zvyklí hovořit spontánně -vhodným nástrojem je řízený rozhovor. Respondenti této kvalitativní studie ve svých odpovědích zmínili jako významné většinu těchto bariér.
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