Felix Nickel1, Lukas Schmidt2, Johannes Sander3, Christian Tapking2, Thomas Bruckner4, Beat-Peter Müller-Stich2, Lars Fischer5. 1. Department of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany, felix.nickel@med.uni-heidelberg.de. 2. Department of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany. 3. Obesity Clinic, Schoen Klinik Hamburg Eilbek, Hamburg, Germany. 4. Institute for Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany. 5. Department of General and Visceral Surgery, Hospital Mittelbaden, Baden-Baden, Germany.
Abstract
OBJECTIVE: Obesity surgery provides sustainable weight loss, improvement of comorbidities, and improved quality of life (QOL). There is few evidence on the patient perspective and goals. This study compared expected and achieved weight loss, body shape, and QOL. METHODS: Patients completed the Moorehead-Ardelt QOL questionnaire (MAQOL) and questionnaires on actual and expected weight loss and body shape, comorbidities, and goals of obesity surgery preoperatively and within 24 months postoperatively. RESULTS: 44 patients completed questionnaires pre- and postoperatively. BMI, MAQOL and comorbidities significantly improved postoperatively. Patients' expected weight loss goal corresponded to a postoperative BMI of 32.6 ± 5.6 kg/m2 and was not different from their achieved BMI within 24 months after surgery (33.9 ± 6.3 kg/m2, p = 0.276). Self-reported body shape improved but did not reach preoperatively expected goals. During the weight loss period, patients adapted their weight loss and body shape goals to higher levels. Patients attributed a higher part of their success in weight loss to surgery postoperatively (79.5 ± 22.0 vs. 89.1 ± 18.4%, p = 0.028). CONCLUSION: Patients lost as much weight as they had expected and later modified the goals to even greater weight loss. Body shape improved but did not reach expected levels. QOL improved independently from weight loss and body shape. Patients attributed successful weight loss predominantly to surgery.
OBJECTIVE:Obesity surgery provides sustainable weight loss, improvement of comorbidities, and improved quality of life (QOL). There is few evidence on the patient perspective and goals. This study compared expected and achieved weight loss, body shape, and QOL. METHODS:Patients completed the Moorehead-Ardelt QOL questionnaire (MAQOL) and questionnaires on actual and expected weight loss and body shape, comorbidities, and goals of obesity surgery preoperatively and within 24 months postoperatively. RESULTS: 44 patients completed questionnaires pre- and postoperatively. BMI, MAQOL and comorbidities significantly improved postoperatively. Patients' expected weight loss goal corresponded to a postoperative BMI of 32.6 ± 5.6 kg/m2 and was not different from their achieved BMI within 24 months after surgery (33.9 ± 6.3 kg/m2, p = 0.276). Self-reported body shape improved but did not reach preoperatively expected goals. During the weight loss period, patients adapted their weight loss and body shape goals to higher levels. Patients attributed a higher part of their success in weight loss to surgery postoperatively (79.5 ± 22.0 vs. 89.1 ± 18.4%, p = 0.028). CONCLUSION:Patients lost as much weight as they had expected and later modified the goals to even greater weight loss. Body shape improved but did not reach expected levels. QOL improved independently from weight loss and body shape. Patients attributed successful weight loss predominantly to surgery.
Authors: Jennifer L Kuk; Chris I Ardern; Timothy S Church; Arya M Sharma; Raj Padwal; Xuemei Sui; Steven N Blair Journal: Appl Physiol Nutr Metab Date: 2011-08-14 Impact factor: 2.665
Authors: Beat P Müller-Stich; Jonas D Senft; René Warschkow; Hannes G Kenngott; Adrian T Billeter; Gianmatteo Vit; Stefanie Helfert; Markus K Diener; Lars Fischer; Markus W Büchler; Peter P Nawroth Journal: Ann Surg Date: 2015-03 Impact factor: 12.969
Authors: Felix Nickel; Lukas Schmidt; Thomas Bruckner; Markus W Büchler; Beat-Peter Müller-Stich; Lars Fischer Journal: Surg Obes Relat Dis Date: 2016-08-18 Impact factor: 4.734
Authors: Adrian T Billeter; Jonas Senft; Daniel Gotthardt; Philipp Knefeli; Felix Nickel; Thilo Schulte; Lars Fischer; Peter P Nawroth; Markus W Büchler; Beat P Müller-Stich Journal: Obes Surg Date: 2016-08 Impact factor: 4.129
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; Svenja Schüler; Gregor B Ottawa; Katja Krug; Beat P Müller-Stich; Lars Fischer Journal: Obes Surg Date: 2019-07 Impact factor: 4.129
Authors: Christian Tapking; Laura Benner; Matthes Hackbusch; Svenja Schüler; Danny Tran; Gregor B Ottawa; Katja Krug; Beat P Müller-Stich; Lars Fischer; Felix Nickel Journal: Obes Surg Date: 2020-08-09 Impact factor: 4.129