Original articleChanges in quality of life and body image after gastric bypass surgery
Section snippets
Participants
The study participants included 200 patients who had undergone Roux-en-Y gastric bypass surgery at the Hospital of the University of Pennsylvania from November 2001 to June 2004. We previously reported on the eating behaviors of these patients [4]. The institutional review board of the University of Pennsylvania approved the present study, and all participants provided informed consent before study entry.
Measures
Approximately 4 weeks before surgery, the participants completed a psychosocial/behavioral
Participant characteristics
The demographic and descriptive variables were presented our previous report [4]. They have been summarized in the present report. In brief, the entire sample had a mean preoperative age of 42.6 ± 9.9 years, weight of 146.9 ± 32.3 kg, height of 167.6 ± 9.4 cm, and body mass index of 51.4 ± 9.0 kg/m2. Of the 200 participants, 164 were women. Approximately 87% of all participants were European-American, 9% were African-American, and the remainder were of other ethnic origin. The participants
Discussion
Gastric bypass patients reported significant improvements in several domains of quality of life within the first few months of surgery. Health-related and weight-related quality of life were well maintained through the second postoperative year and, in many cases, were associated with changes in weight. This replicates the recent findings from Kolotkin et al. [11], who also found that after a weight loss of 34.2% after gastric bypass surgery, the patients experienced significant improvements in
Disclosures
Dr. Sarwer has consulting relationships with Allergan, BaroNova, Enteromedics, and Ethicon Endo-Surgery.
References (33)
- et al.
A review of psychosocial outcomes of surgery for morbid obesity
J Psychosom Res
(2002) - et al.
Preoperative eating behavior, postoperative dietary adherence and weight loss following gastric bypass surgery
Surg Obes Relat Dis
(2008) - et al.
Health and health-related quality of life: differences between men and women who seek gastric bypass surgery
Surg Obes Relat Dis
(2008) - et al.
Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls
Surg Obes Relat Dis
(2009) - et al.
Health-related quality of life before and after bariatric surgery in adolescents
J Pediatr Surg
(2008) - et al.
Body image and cosmetic medical treatments
Body Image
(2004) Comment on health and health-related quality of life: differences between men and women who seek gastric bypass surgery
Surg Obes Relat Dis
(2008)- et al.
Does obesity surgery improve psychosocial functioning?A systematic review
Int J Obes Relat Metab Disord
(2003) - et al.
Psychosocial and behavioral aspects of bariatric surgery
Obes Res
(2005) - et al.
Psychological profile of the morbidly obese
Obes Surg
(2004)
Health-related quality of life and symptoms of depression in extremely obese persons seeking bariatric surgery
Obes Surg
Health-related quality of life in patients seeking gastric bypass surgery vs non-treatment-seeking controls
Obes Surg
Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: a brief report
Obes Surg
Swedish obese subjects (SOS)—an intervention study of obesity: two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity
Int J Obes Relat Metab Disord
Binge status and quality of life after gastric bypass surgery: a one-year study
Obes Res
Swedish Obese Subjects Study Scientific GroupLifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery
N Engl J Med
Cited by (148)
Quality of Life After Bariatric and Body Contouring Surgery in the Australian Public Health System
2023, Journal of Surgical ResearchGastrointestinal quality of life before and short- and long-term after Roux-en-Y gastric bypass for severe obesity
2021, Surgery for Obesity and Related DiseasesCitation Excerpt :The evolution of overall QoL after RYGB has been studied by several groups using generic QoL scores like the SF-36 [45] or the RAND-36 [46] questionnaires, or obesity-specific tools such as the Moorehead-Ardeldt [47] QoL questionnaire, the IWQOL-Lite [48] or the OP-scale [49] questionnaires. All authors have shown a marked improvement in overall QoL up to 12 years after RYGB [7–30,50,51]. A greater improvement of QoL has been reported with greater weight loss [17,18,24], better socioeconomic status [18], and better improvement of co-morbidities [20].
Weight loss expectations and weight loss after surgery: the mediating role of body image and weight concerns
2020, Surgery for Obesity and Related DiseasesCitation Excerpt :Partially supporting our hypothesis, more discrepant expectations significantly increased postoperative dissatisfaction with body image which, in turn, was significantly associated with more weight concerns, resulting in a significantly lower percentage of excess weight loss. Weight concerns showed to be the strongest mediator and to act as a single mediator, which brings further support for body dissatisfaction and concerns over bodyweight, a dimension of eating disorder core-psychopathology, to be considered distinct constructs [13]. Patients who fail to meet their preoperative weight loss expectations and keep their demanding weight loss goals may tend to self-criticize [34], feel more disappointed with their body image, and overconcerned about controlling their weight to achieve an unrealistic weight goal.
Supported in part, by a grant from the National Institutes of Health/National Institute of Diabetes, Digestive and Kidney Diseases (grant K23-DK60023) to D.B. Sarwer.