Felix Nickel1, Lukas Schmidt1, Thomas Bruckner2, Markus W Büchler1, Beat-Peter Müller-Stich1, Lars Fischer3. 1. Department of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany. 2. Institute for Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany. 3. Department of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany. Electronic address: lars.fischer@med.uni-heidelberg.de.
Abstract
BACKGROUND: It has been proven that bariatric surgery affects weight loss. Patients with morbid obesity have a significantly lower quality of life (QOL) and body image compared with the general population. OBJECTIVE: To evaluate QOL, body image, and general self-efficacy (GSE) in patients with morbid obesity undergoing bariatric surgery within clinical parameters. SETTINGS: Monocentric, prospective, longitudinal cohort study. METHODS: Patients completed the short form 36 (SF-36) for QOL, body image questionnaire, and GSE scale 3 times: before surgery and within 6 months and 24 months after surgery. Influence of gender, age, and type of procedure, either laparoscopic sleeve gastrectomy (SG) or laparoscopic Roux-en-Y gastric bypass, were analyzed. RESULTS: Thirty patients completed the questionnaires before and within 6 and 24 months after surgery. SF-36 physical summary score improved significantly from 34.3±11.0 before surgery to 46.0±10.4 within 6 months (P<.001) and to 49.8±8.2 within 24 months (P<.001) after surgery. SF-36 mental summary score improved significantly from 42.1±14.7 before surgery to 52.3±8.4 within 6 months (P<.001) and to 48.4±12.2 within 24 months (P<.001) after surgery. There were no significant differences between gender, age, and type of operation. Body image and GSE improved significantly after bariatric surgery (P<.001), and both correlated to the SF-36 mental summary score. CONCLUSION: QOL, body image, and GSE improved significantly within 6 months and remained stable within 24 months after bariatric surgery. Improvements were independent of gender, age, and type of operation. Mental QOL was influenced by body image and GSE.
BACKGROUND: It has been proven that bariatric surgery affects weight loss. Patients with morbid obesity have a significantly lower quality of life (QOL) and body image compared with the general population. OBJECTIVE: To evaluate QOL, body image, and general self-efficacy (GSE) in patients with morbid obesity undergoing bariatric surgery within clinical parameters. SETTINGS: Monocentric, prospective, longitudinal cohort study. METHODS:Patients completed the short form 36 (SF-36) for QOL, body image questionnaire, and GSE scale 3 times: before surgery and within 6 months and 24 months after surgery. Influence of gender, age, and type of procedure, either laparoscopic sleeve gastrectomy (SG) or laparoscopic Roux-en-Y gastric bypass, were analyzed. RESULTS: Thirty patients completed the questionnaires before and within 6 and 24 months after surgery. SF-36 physical summary score improved significantly from 34.3±11.0 before surgery to 46.0±10.4 within 6 months (P<.001) and to 49.8±8.2 within 24 months (P<.001) after surgery. SF-36 mental summary score improved significantly from 42.1±14.7 before surgery to 52.3±8.4 within 6 months (P<.001) and to 48.4±12.2 within 24 months (P<.001) after surgery. There were no significant differences between gender, age, and type of operation. Body image and GSE improved significantly after bariatric surgery (P<.001), and both correlated to the SF-36 mental summary score. CONCLUSION: QOL, body image, and GSE improved significantly within 6 months and remained stable within 24 months after bariatric surgery. Improvements were independent of gender, age, and type of operation. Mental QOL was influenced by body image and GSE.
Authors: Felix Nickel; Lukas Schmidt; Johannes Sander; Christian Tapking; Thomas Bruckner; Beat-Peter Müller-Stich; Lars Fischer Journal: Obes Facts Date: 2018-12-11 Impact factor: 3.942
Authors: Felix Nickel; Javier R de la Garza; Fabian S Werthmann; Laura Benner; Christian Tapking; Emir Karadza; Anna-Laura Wekerle; Adrian T Billeter; Hannes G Kenngott; Lars Fischer; Beat Peter Müller-Stich Journal: Obes Facts Date: 2019-08-15 Impact factor: 3.942
Authors: Hannes Götz Kenngott; Felix Nickel; Philipp Anthony Wise; Felix Wagner; Adrian Theophil Billeter; Johanna Nattenmüller; Diana Nabers; Klaus Maier-Hein; Hans-Ulrich Kauczor; Lars Fischer; Beat Peter Müller-Stich Journal: Obes Surg Date: 2019-12 Impact factor: 4.129
Authors: Felix Nickel; Christian Tapking; Laura Benner; Janina Sollors; Adrian T Billeter; Hannes G Kenngott; Loay Bokhary; Mathias Schmid; Moritz von Frankenberg; Lars Fischer; Sebastian Mueller; Beat P Müller-Stich Journal: Obes Surg Date: 2018-05 Impact factor: 4.129
Authors: Carmela Mento; Maria Catena Silvestri; Maria Rosaria Anna Muscatello; Amelia Rizzo; Laura Celebre; Clemente Cedro; Rocco Antonio Zoccali; Giuseppe Navarra; Antonio Bruno Journal: Eat Weight Disord Date: 2021-07-20 Impact factor: 4.652