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Quality of Life in Morbidly Obese Patients after Surgical Weight Loss

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Background

Laparoscopic adjustable gastric banding (LAGB) is seen as a safe surgical procedure in individuals with morbid obesity, with satisfactory weight loss and significant postoperative improvement in quality of life (QoL). The present study investigates the predictive value of various parameters such as age, gender, weight loss, and preoperative psychiatric disorders with regard to QoL after LAGB.

Methods

300 obesity surgery patients were sent questionnaires to assess a variety of personal parameters. QoL was assessed using the Ardelt-Moorehead Quality of Life Questionnaire. Questionnaires were completed by 140 (63%) female patients and 36 (45%) male patients.

Results

Average weight loss in both sexes was 14.7 kg/m2; however, not all patients successfully lost weight. No difference was seen in satisfaction with weight loss among the age groups. Some correlations were seen between the amount of weight loss and QoL scores in females, but not in males. Greater weight loss showed a statistically significant positive correlation to self-esteem, physical activity, social relationships, sexuality, and eating pattern. Obese females with no preoperative psychiatric diagnosis had better self-esteem, more physical activity, and more satisfying social and sexual relationships than those with psychiatric diagnoses at follow-up.

Conclusion

A majority of morbidly obese patients show psychological and interpersonal improvement after surgery. However, some obese patients, particularly those having a preoperative psychiatric or personality disorder, need more individual strategies for psychosocial intervention than do obese individuals with no psychiatric disorder.

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Authors and Affiliations

  1. Department of Psychiatry and Psychotherapy, Innsbruck Medical University Hospital, Anichstrasse 35, A-6020, Innsbruck, Austria

    Johann F. Kinzl MD, Maria Schrattenecker MD, Michaela Fiala MD & Wilfried Biebl MD

  2. Department of Political Science, University of Innsbruck, Innsbruck, Austria

    Christian Traweger PhD

  3. Department of Surgery, Innsbruck Medical University Hospital, Innsbruck, Austria

    Franz Aigner MD

Authors
  1. Johann F. Kinzl MD
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  2. Maria Schrattenecker MD
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  3. Christian Traweger PhD
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  4. Franz Aigner MD
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  5. Michaela Fiala MD
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  6. Wilfried Biebl MD
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Corresponding author

Correspondence to Johann F. Kinzl MD.

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Kinzl, J.F., Schrattenecker, M., Traweger, C. et al. Quality of Life in Morbidly Obese Patients after Surgical Weight Loss. OBES SURG 17, 229–235 (2007). https://doi.org/10.1007/s11695-007-9030-5

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  • DOI: https://doi.org/10.1007/s11695-007-9030-5

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