Psychosocial Effects of Bariatric Surgery

Hout, Gerbrand van

doi:10.1080/00015458.2005.11679664

“…However, there is a subset of patients that either do not lose a substantial amount of weight or regain the lost weight at long‐term follow‐up (Frank & Crookes, ). Attempts to determine preoperative characteristics of the patients who have a worse outcome have been made, yet few clear predictors of such outcomes have emerged and been replicated (van Hout, ; Livhits et al, ).…”

Section: Introductionmentioning

confidence: 99%

Binge Eating, Binge Eating Disorder and Loss of Control Eating: Effects on Weight Outcomes after Bariatric Surgery

Meany

¹

,

Conceição

²

,

Mitchell

³

2013

Euro Eating Disorders Rev

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There is increasing evidence that patients who have problems with binge eating (BE) or BE disorder (BED) are quite common among the severely obese, including bariatric surgery candidates. The literature suggests that in many cases such eating behaviours improve after bariatric surgery, although this is not uniformly true. The current paper reviews the data on the development of BE, BED and loss of control (LOC) eating after bariatric surgery and the impact of these problems on long-term weight outcome. A search was made of various databases regarding evidence of BE, BED and LOC eating post-operatively in bariatric surgery patients. The data extracted from the literature suggests that 15 research studies have now examined this question. Fourteen of the available 15 studies suggest that the development of problems with BE, BED or LOC eating post-bariatric surgery is associated with less weight loss and/or more weight regain post-bariatric surgery. These data suggests that it is important to identify individuals at high risk for these problems, to follow them post-operatively, and, if appropriate interventions can be developed if such behaviours occur in order to maximize weight loss outcomes.

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“…However, with an increasing number of insurances covering MBS, including Medicaid, the number of minority patients undergoing MBS has increased in recent years. According to research, the absence of medical insurance does not explain the discrepancy in undergoing MBS between ethnic minorities and NHWs when it is medically recommended [20,[32][33][34]36]. In our study, insurance was retained in the model as a confounder.…”

Section: Discussionmentioning

confidence: 71%

“…Previous research has found that health issues and concerns dominate the motivation for MBS completion [57][58][60][61][62][63]. Health concerns included the risks of future health and medical problems [57] [20,[32][33][34]36].…”

Section: Discussionmentioning

confidence: 99%

“…MBS is a safe and effective treatment option indicated for adults with severe obesity or moderate obesity with comorbidities (BMI ³ 40 kg/m 2 , BMI ³ 35 kg/m 2 with ³ 1 comorbidity such as type 2 diabetes mellitus (T2DM) [11][12][13][14][15][16][17][18][19], hyperlipidemia [20], hypertension [20], and other cardiometabolic risk factors, or BMI ³ 30 kg/m 2 with T2DM that is di cult to control with lifestyle and medical therapies) [1,[6][7][8][9][10][21][22][23][24][25][26][27][28][29][30][31]. MBS also improves psychosocial functioning, quality of life, and decreases the risk of premature death [32][33][34]. There has been an increase in the number of MBS procedures performed in the U.S. annually over the past decade [35].…”

Section: Introductionmentioning

confidence: 99%

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The Role of Body Appreciation in the Decision to Complete Metabolic and Bariatric Surgery Among Ethnically Diverse Patients

Kapera

¹

,

Xie

²

,

Marroquin

³

et al. 2022

Preprint

0

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Purpose. Metabolic and bariatric surgery (MBS) is an evidence-based safe, effective treatment for obesity. However, only half of referred or eligible persons complete the procedure for unknown reasons. The proposed study examined the association between the degree of body appreciation and the decision to complete MBS by ethnicity. Methods. This prospective cohort study included 409 participants who had been referred to a bariatric surgeon or an obesity medicine program between August 2019 to May 2022. Participants completed a survey about health behaviors and psychosocial characteristics, including body appreciation by MBS completion status (Y/N). Crude and adjusted odd ratios of predictors of MBS completion were compared by ethnicity using logistic regression. Results. The sample mean age was 47.18 years (SD 11.63), 86% were female. 40% identified as non-Hispanic White (NHW), 37.81% as non-Hispanic Black (NHB), and 18.08% as Hispanic. Over a third of the sample (31.2%, n=127) completed MBS. Overall, body appreciation did not differ between MBS completers and non-completers (p-value=0.70). Hispanic and NHB participants had greater body appreciation compared to NHWs (OR: 1.33, 95% CI: 1.16-1.51, p-value <.001; OR: 1.53, 95% CI: 1.27-1.86, p-value <.001, respectively). Multivariable logistic regression models revealed no significant association between body appreciation and MBS completion. Conclusion. Although NHB and Hispanic MBS candidates had greater body appreciation than NHWs, body appreciation did not correlate with MBS completion. Level of evidence Level III: Evidence obtained from cohort or case-control analytic studies.

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“…MBS is a safe and effective treatment option indicated for adults with severe obesity or moderate obesity with comorbidities (BMI ³ 40 kg/m 2 , BMI ³ 35 kg/m 2 with ³ 1 comorbidity such as type 2 diabetes mellitus (T2DM) [11][12][13][14][15][16][17][18][19], hyperlipidemia [20], hypertension [20], and other cardiometabolic risk factors, or BMI ³ 30 kg/m 2 with T2DM that is di cult to control with lifestyle and medical therapies) [1,[6][7][8][9][10][21][22][23][24][25][26][27][28][29][30][31]. MBS also improves psychosocial functioning, quality of life, and decreases the risk of premature death [32][33][34]. There has been an increase in the number of MBS procedures performed in the U.S. annually over the past decade [35].…”

Section: Introductionmentioning

confidence: 99%

The Role of Body Appreciation in the Decision to Complete Metabolic and Bariatric Surgery Among Ethnically Diverse Patients

Kapera

¹

,

Xie

²

,

Marroquin

³

et al. 2023

View full text Add to dashboard Cite

Purpose. Metabolic and bariatric surgery (MBS) is an evidence-based safe, effective treatment for obesity.However, only half of referred or eligible persons complete the procedure for unknown reasons. The proposed study examined the association between the degree of body appreciation and the decision to complete MBS by ethnicity.Methods. This prospective cohort study included 409 participants who had been referred to a bariatric surgeon or an obesity medicine program between August 2019 to May 2022. Participants completed a survey about health behaviors and psychosocial characteristics, including body appreciation by MBS completion status (Y/N). Crude and adjusted odd ratios of predictors of MBS completion were compared by ethnicity using logistic regression.Results. The sample mean age was 47.18 years (SD 11.63), 86% were female. 40% identi ed as non-Hispanic White (NHW), 37.81% as non-Hispanic Black (NHB), and 18.08% as Hispanic. Over a third of the sample (31.2%, n=127) completed MBS. Overall, body appreciation did not differ between MBS completers and non-completers (p-value=0.70). Hispanic and NHB participants had greater body

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Psychosocial Effects of Bariatric Surgery

Cited by 21 publications

References 0 publications

Binge Eating, Binge Eating Disorder and Loss of Control Eating: Effects on Weight Outcomes after Bariatric Surgery

Binge Eating, Binge Eating Disorder and Loss of Control Eating: Effects on Weight Outcomes after Bariatric Surgery

The Role of Body Appreciation in the Decision to Complete Metabolic and Bariatric Surgery Among Ethnically Diverse Patients

The Role of Body Appreciation in the Decision to Complete Metabolic and Bariatric Surgery Among Ethnically Diverse Patients

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