Integrated health articleProspective changes in body image dissatisfaction among adolescent bariatric patients: the importance of body size estimation
Section snippets
Methods
The present investigation used data from a prospective, longitudinal study observing the psychosocial adjustment of adolescents undergoing Roux-en-Y gastric bypass at a large Midwestern pediatric hospital. The hospital institutional review board approved the present study.
Results
Repeated measures analysis of variance with a Greenhouse-Geisser correction revealed a significant change in the current body size estimation over time (F2,24 = 44.19, P <.001). Post hoc tests using the Bonferroni correction revealed a significant decrease in the current body size estimation from baseline to 6 months postoperatively (P <.001), but no difference from 6 to 12 months (Table 1). As hypothesized, there was a quadratic effect with the most substantial reduction in current body size
Discussion
The present study fills a gap in the published data by providing an initial look at changes in BID among adolescent bariatric patients from baseline to 12 months after surgery. These findings can help further our understanding of the association between BID and important postoperative outcomes, such as WRQOL. As hypothesized, adolescent bariatric patients reported a significantly reduced BID (as indicated by a decrease in the discrepancy between the current and ideal figure rating scale
Conclusion
Adolescents undergoing bariatric surgery experience significant reductions in BID within the first 12 months after surgery, most substantially within the first 6 months, as indicated by their current and ideal body size estimation. The size adolescent bariatric patients perceive themselves to be (i.e., perceived current body size estimation) might contribute less to how they feel about themselves at 1 year postoperatively than how closely they come to meeting their body size ideal. The
Disclosures
The lead author (M.B.R.) was supported by funds from the Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA), and Department of Health and Human Services (DHHS), under the T32HP10027 National Research Award. The information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred from, the BHPR, HRSA, DHHS, or the United States Government. This research was
Acknowledgment
We thank Christina Ramey, Lindsay Wilson, Ashley Morgenthal, and Faye Riestenberg for assistance with data collection and participant retention efforts.
References (30)
- et al.
Behavioral assessment of candidates for bariatric surgery: a patient-oriented approach
Surg Obes Relat Dis
(2006) - et al.
Changes in quality of life and body image after gastric bypass surgery
Surg Obes Relat Dis
(2010) - et al.
Body image perception and misperception in patients undergoing bariatric surgery
Surg Obes Relat Dis
(2010) - et al.
Two-year trends in psychosocial functioning after adolescent Roux-en-Y gastric bypass
Surg Obes Relat Dis
(2011) - et al.
Predictors of attrition from a pediatric weight management program
J Pediatr
(2004) - et al.
Obesity, body dissatisfaction, and emotional well-being in early and late adolescence: findings from the project EAT study
J Adolesc Health
(2011) - et al.
Measured body mass index, body weight perception, dissatisfaction and control practices in urban, low-income African American adolescents
BMC Public Health
(2009) - et al.
Impact of bariatric surgery on body image perception and sexuality in morbidly obese patients and their partners
Obes Surg
(1996) - et al.
Body image: Appearance orientation and evaluation in the severely obese: changes with weight loss
Obes Surg
(2002) - et al.
Psychosocial and behavioral aspects of bariatric surgery
Obes Res
(2005)