Predictors of dropout and bariatric surgery in Icelandic morbidly obese female patients.

作者: Audur Benediktsdottir , Thorhallur Ingi Halldorsson , Gudrun Jona Bragadottir , Ludvig Gudmundsson , Alfons Ramel

DOI: 10.1016/J.ORCP.2015.03.009

关键词:

摘要: Summary Background Little is known on how morbidly obese individuals who participate in different treatments differ relation to anthropometrical measurements and psychological characteristics. In the present study we investigated attrition treatment choice, i.e., bariatric surgery conservative treatment, of subjects. Methods Data was collected during screening from 292 women participated a weight loss program at an Icelandic rehabilitation center. Information were available body composition, fasting blood samples, characteristics, medication use, drop-out whether patients underwent after Inclusion criteria age between 18 65 years BMI > 35 kg/m 2 , exclusion alcohol- or drug addiction. Results Of finished screening, 113 (39%) dropped out, 100 (34%) 79 (27%) consecutively surgery. According multivariate models with BMI ≥50 kg/m 4.5 times more likely ( P  = 0.003) undergo than . Individuals severe depression 2.4  = 0.01) drop out no depression. Serum glucose (+36% for increase by 1 mmol/L,  = 0.036) use psychotropic (+73%,  = 0.05) also associated higher odds dropout. Conclusion A large proportion center symptoms doubles this risk.

参考文章(32)
G Pigna, M Arca, C Favoccia, Management of statin-intolerant patient. Panminerva Medica. ,vol. 54, pp. 105- 118 ,(2012)
V. G. Athyros, K. Tziomalos, A. Karagiannis, D. P. Mikhailidis, Cardiovascular benefits of bariatric surgery in morbidly obese patients Obesity Reviews. ,vol. 12, pp. 515- 524 ,(2011) , 10.1111/J.1467-789X.2010.00831.X
Jill L Colquitt, Joanna Picot, Emma Loveman, Andrew J Clegg, Surgery for obesity Cochrane Database of Systematic Reviews. ,(2009) , 10.1002/14651858.CD003641.PUB3
I. Moroshko, L. Brennan, P. O'Brien, Predictors of dropout in weight loss interventions: A systematic review of the literature Obesity Reviews. ,vol. 12, pp. 912- 934 ,(2011) , 10.1111/J.1467-789X.2011.00915.X
Richdeep Gill, Shahzeer Karmali, Ghassan Hadi, David Al-Adra, Xinzhe Shi, Daniel Birch, Predictors of attrition in a multidisciplinary adult weight management clinic. Canadian Journal of Surgery. ,vol. 55, pp. 239- 243 ,(2012) , 10.1503/CJS.035710
Kate M. Scott, Magnus A. McGee, J. Elisabeth Wells, Mark A. Oakley Browne, Obesity and mental disorders in the adult general population Journal of Psychosomatic Research. ,vol. 64, pp. 97- 105 ,(2008) , 10.1016/J.JPSYCHORES.2007.09.006
Heena P. Santry, Diane S. Lauderdale, Kathleen A. Cagney, Paul J. Rathouz, John C. Alverdy, Marshall H. Chin, Predictors of patient selection in bariatric surgery. Annals of Surgery. ,vol. 245, pp. 59- 67 ,(2007) , 10.1097/01.SLA.0000232551.55712.B3
Thomas Rutledge, Sarah Adler, Raquel Friedman, A Prospective Assessment of Psychosocial Factors Among Bariatric Versus Non-bariatric Surgery Candidates Obesity Surgery. ,vol. 21, pp. 1570- 1579 ,(2011) , 10.1007/S11695-010-0287-8
Riccardo Dalle Grave, Simona Calugi, Enrico Molinari, Maria Letizia Petroni, Mario Bondi, Angelo Compare, Giulio Marchesini, , Weight loss expectations in obese patients and treatment attrition: an observational multicenter study. Obesity Research. ,vol. 13, pp. 1961- 1969 ,(2005) , 10.1038/OBY.2005.241
Richard D. Bloomberg, Amy Fleishman, Jennifer E. Nalle, Daniel M. Herron, Subhash Kini, Nutritional deficiencies following bariatric surgery: what have we learned? Obesity Surgery. ,vol. 15, pp. 145- 154 ,(2005) , 10.1381/0960892053268264