BACKGROUND: Body image dissatisfaction (BID) is pervasive among patients presenting for bariatric surgery but improves significantly postoperatively. These findings have been determined primarily from studies of adults. The objective of the present study was to examine the changes in BID among adolescents with extreme obesity from baseline/preoperatively to 6 and 12 months after receiving bariatric surgery at a pediatric medical center using body size estimation. METHODS: BID was prospectively assessed among 16 adolescent bariatric patients (mean age 16.3 ± 1.2 years, mean body mass index [BMI] 66.2 ± 12.0, 67% female) using a standard visual/perceptual measure (i.e., Stunkard Figure Rating Scale). Participants identified their current and ideal body size, with a discrepancy score (current minus ideal) indicating BID. The body size estimation ratings were compared with attitudinal (i.e., Impact of Weight on Quality Of Life-Kids: Body Esteem and Self-Perception Profile for Adolescents: Physical Appearance) body image scores, BMI, and total weight-related quality of life. RESULTS: A significant reduction occurred in the current body size (from 7.9 to 6.4, P <.001) from baseline to 6 months but not from 6 to 12 months. The current body size was related to BMI and percentage of excess weight loss but not attitudinal body image at each follow-up point. A smaller discrepancy (current minus ideal) was associated with greater total weight-related quality of life (r = -.68), with a trend toward significance for body esteem (r = -.65) at 12 months. CONCLUSION: Adolescents undergoing bariatric surgery experience a significantly decreased BID within the first 12 months after surgery, with the most substantial change occurring from baseline to 6 months. The postoperative weight-related quality of life is more closely associated with the body size discrepancy than with the current body size.
BACKGROUND: Body image dissatisfaction (BID) is pervasive among patients presenting for bariatric surgery but improves significantly postoperatively. These findings have been determined primarily from studies of adults. The objective of the present study was to examine the changes in BID among adolescents with extreme obesity from baseline/preoperatively to 6 and 12 months after receiving bariatric surgery at a pediatric medical center using body size estimation. METHODS: BID was prospectively assessed among 16 adolescent bariatric patients (mean age 16.3 ± 1.2 years, mean body mass index [BMI] 66.2 ± 12.0, 67% female) using a standard visual/perceptual measure (i.e., Stunkard Figure Rating Scale). Participants identified their current and ideal body size, with a discrepancy score (current minus ideal) indicating BID. The body size estimation ratings were compared with attitudinal (i.e., Impact of Weight on Quality Of Life-Kids: Body Esteem and Self-Perception Profile for Adolescents: Physical Appearance) body image scores, BMI, and total weight-related quality of life. RESULTS: A significant reduction occurred in the current body size (from 7.9 to 6.4, P <.001) from baseline to 6 months but not from 6 to 12 months. The current body size was related to BMI and percentage of excess weight loss but not attitudinal body image at each follow-up point. A smaller discrepancy (current minus ideal) was associated with greater total weight-related quality of life (r = -.68), with a trend toward significance for body esteem (r = -.65) at 12 months. CONCLUSION: Adolescents undergoing bariatric surgery experience a significantly decreased BID within the first 12 months after surgery, with the most substantial change occurring from baseline to 6 months. The postoperative weight-related quality of life is more closely associated with the body size discrepancy than with the current body size.
Authors: Joshua I Hrabosky; Robin M Masheb; Marney A White; Bruce S Rothschild; Carolyn H Burke-Martindale; Carlos M Grilo Journal: Obes Surg Date: 2006-12 Impact factor: 4.129
Authors: Ronette L Kolotkin; Meg Zeller; Avani C Modi; Gregory P Samsa; Nicole Polanichka Quinlan; Jack A Yanovski; Stephen K Bell; David M Maahs; Daniela Gonzales de Serna; Helmut R Roehrig Journal: Obesity (Silver Spring) Date: 2006-03 Impact factor: 5.002
Authors: Jonathan Mond; Patricia van den Berg; Kerri Boutelle; Peter Hannan; Dianne Neumark-Sztainer Journal: J Adolesc Health Date: 2010-09-25 Impact factor: 5.012
Authors: David B Sarwer; Thomas A Wadden; Reneé H Moore; Miriam H Eisenberg; Steven E Raper; Noel N Williams Journal: Surg Obes Relat Dis Date: 2010-08-13 Impact factor: 4.734
Authors: Simone Claire Mölbert; Helene Sauer; Dirk Dammann; Stephan Zipfel; Martin Teufel; Florian Junne; Paul Enck; Katrin Elisabeth Giel; Isabelle Mack Journal: PLoS One Date: 2016-11-22 Impact factor: 3.240
Authors: Jennifer Reiter-Purtill; Sanita Ley; Katherine M Kidwell; Carmen Mikhail; Heather Austin; Eileen Chaves; Dana L Rofey; Todd M Jenkins; Thomas H Inge; Meg H Zeller Journal: Int J Obes (Lond) Date: 2019-06-17 Impact factor: 5.095
Authors: Marco La Marra; Antonietta Messina; Ciro Rosario Ilardi; Maria Staiano; Girolamo Di Maio; Giovanni Messina; Rita Polito; Anna Valenzano; Giuseppe Cibelli; Vincenzo Monda; Sergio Chieffi; Alessandro Iavarone; Ines Villano Journal: Int J Environ Res Public Health Date: 2022-09-13 Impact factor: 4.614
Authors: Jaime M Moore; Jacqueline J Glover; Brian M Jackson; Curtis R Coughlin; Megan M Kelsey; Thomas H Inge; Richard E Boles Journal: Surg Obes Relat Dis Date: 2020-09-16 Impact factor: 4.734