Albert Lecube1,2, Enric Sánchez3, Ana Andrés4, Carmina Saldaña5, Maria José Morales6, Alfonso Calañas7, Inka Miñambres8, Silvia Pellitero9,10, Fernando Cordido11, Marta Bueno3, Assumpta Caixàs12, Nuria Vilarrasa9,13. 1. Endocrinology and Nutrition Department, University Hospital Arnau de Vilanova, Obesity, Diabetes and Metabolism Research Group (ODIM), IRBLleida, University of Lleida, Av. Rovira Roure 80, 25198, Lleida, Catalonia, Spain. alecube@gmail.com. 2. Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. alecube@gmail.com. 3. Endocrinology and Nutrition Department, University Hospital Arnau de Vilanova, Obesity, Diabetes and Metabolism Research Group (ODIM), IRBLleida, University of Lleida, Av. Rovira Roure 80, 25198, Lleida, Catalonia, Spain. 4. Faculty of Psychology, Education Sciences and Sport Blanquerna, Universitat Ramon Llull, Blanquerna, Barcelona, Catalonia, Spain. 5. Department of Clinical Psychology and Psicobiology, Institut de Neurociències, Universitat de Barcelona, Barcelona, Catalonia, Spain. 6. Endocrinology and Nutrition Department, Complexo Hospitalario Universitario de Vigo, Vigo, Galicia, Spain. 7. Endocrinology and Nutrition Department, Hospital Universitario Reina Sofia, Córdoba, Andalucía, Spain. 8. Endocrinology and Nutrition Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain. 9. Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. 10. Endocrinology and Nutrition Department, University Hospital and Health Science Research Institute Germans Trias i Pujol, Badalona, Catalonia, Spain. 11. Department of Endocrinology, Hospital Universitario A Coruña, A Coruña, Galicia, Spain. 12. Endocrinology and Nutrition Department, Hospital Universitari Parc Taulí, Sabadell, Catalonia, Spain. 13. Endocrinology and Nutrition Department, Hospital Universitari de Bellvitge-IDIBELL, L'Hospitalet de Llobregat, Barcelona, Catalonia, Spain.
Abstract
INTRODUCTION/ PURPOSE: The assessment of the patients' motivation as a predictor of behavioral change via five stages (pre-contemplation, contemplation, preparation, action, and maintenance) and four processes (emotional re-evaluation, weight management actions, environmental restructuring, and weight consequences evaluation) of change. MATERIALS/ METHODS: A total of 542 participants (251 waiting for bariatric surgery (BS), 90 undergoing BS, and 201 controls) completed the Stages (S-Weight) and Processes (P-Weight) of Change in Overweight and Obese People questionnaires in a multicenter cross-sectional study. RESULTS: A higher percentage of subjects seeking BS (31.7%) were in the action stage (16.7% of post-BS patients, p < 0.001; 14.9% of controls, p < 0.001). The referred body mass index (BMI) reduction was higher in subjects in active stages (3.6 ± 4.4 kg/m2 in maintenance versus 1.4 ± 1.4 kg/m2 in contemplation, p < 0.001). In the P-Weight questionnaire, patients looking for BS scored significant higher in the four processes of change than controls. In addition, a positive and significantly correlation between BMI and the four processes was observed. In the stepwise multivariate analysis, BMI and the S-Weight allocation were constantly associated with the four processes of change. CONCLUSION: Obesity is accompanied by a modifying behavioral stage, suggesting that subjects before BS are seriously thinking about overcoming excess weight. To identify subjects on the waiting list for BS who will be more receptive to weight lost interventions remains a challenge.
INTRODUCTION/ PURPOSE: The assessment of the patients' motivation as a predictor of behavioral change via five stages (pre-contemplation, contemplation, preparation, action, and maintenance) and four processes (emotional re-evaluation, weight management actions, environmental restructuring, and weight consequences evaluation) of change. MATERIALS/ METHODS: A total of 542 participants (251 waiting for bariatric surgery (BS), 90 undergoing BS, and 201 controls) completed the Stages (S-Weight) and Processes (P-Weight) of Change in Overweight and Obese People questionnaires in a multicenter cross-sectional study. RESULTS: A higher percentage of subjects seeking BS (31.7%) were in the action stage (16.7% of post-BS patients, p < 0.001; 14.9% of controls, p < 0.001). The referred body mass index (BMI) reduction was higher in subjects in active stages (3.6 ± 4.4 kg/m2 in maintenance versus 1.4 ± 1.4 kg/m2 in contemplation, p < 0.001). In the P-Weight questionnaire, patients looking for BS scored significant higher in the four processes of change than controls. In addition, a positive and significantly correlation between BMI and the four processes was observed. In the stepwise multivariate analysis, BMI and the S-Weight allocation were constantly associated with the four processes of change. CONCLUSION: Obesity is accompanied by a modifying behavioral stage, suggesting that subjects before BS are seriously thinking about overcoming excess weight. To identify subjects on the waiting list for BS who will be more receptive to weight lost interventions remains a challenge.
Entities:
Keywords:
Bariatric surgery; Motivation stages; Obesity; Processes of change; Weight loss
Authors: Albert Lecube; Susana Monereo; Miguel Ángel Rubio; Purificación Martínez-de-Icaya; Amelia Martí; Javier Salvador; Lluís Masmiquel; Alberto Goday; Diego Bellido; Empar Lurbe; José Manuel García-Almeida; Francisco José Tinahones; Pedro Pablo García-Luna; Enrique Palacio; Manuel Gargallo; Irene Bretón; Salvador Morales-Conde; Assumpta Caixàs; Edelmiro Menéndez; Manel Puig-Domingo; Felipe F Casanueva Journal: Endocrinol Diabetes Nutr Date: 2016-08-16
Authors: Albert Lecube; Enric Sánchez; Susana Monereo; Gema Medina-Gómez; Diego Bellido; José Manuel García-Almeida; Purificación Martínez de Icaya; Maria Mar Malagón; Albert Goday; Francisco José Tinahones Journal: Obes Facts Date: 2020-07-14 Impact factor: 3.942
Authors: Enric Sánchez; Albert Lecube; Diego Bellido; Susana Monereo; María M Malagón; Francisco J Tinahones Journal: Nutrients Date: 2021-03-10 Impact factor: 5.717