Patient motivation for bariatric surgery: Characteristics and impact on outcomes

作者: Marije Libeton , John B. Dixon , Cheryl Laurie , Paul E. O'Brien

DOI: 10.1381/096089204322917936

关键词: SurgeryPatient motivationQuality of lifePhysical fitnessPhysical limitationsPhysical therapyObesityMedicineWeight lossDiabetes mellitusEmbarrassment

摘要: Obesity Surgery, 14, 392-398 Background: Motivation for seeking obesity surgery has not been studied. The authors explored the patient’ s motivation selecting and examined a relationship between primary motivating factors weight outcomes. Methods: 208 (177F: 31M) unselected participants followed at least 1 year after Lap-Band ® placement completed short questionnaire. 6 statements were scored 1-6 from most important through to important. Statements included appearance, embarrassment, medical conditions, health concerns, physical fitness limitation. Any additional also sought. Results: Mean age, BMI before 41± 10 years, 129± 16 kg 46± 8 kg/m 2 respectively. Responses appearance embarrassment correlated strongly grouped together. Medical conditions concerns account 52%, 32%, poor limitation 16% of first choices. Those who or (n=67) had lower presenting (44 kg/m2, P=0.03) all but female ( P<0.001). This group reported more depressive symptoms, poorer mental quality life body image preoperatively. Men likely than women be motivated by problems P=0.007). Subjects condition have hypertension diabetes less smoke. tended older. Weight history did influence motivation. choice factor was associated with outcomes 1-3 years following surgery. Conclusion: Health issues dominate do appear affected factor.

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