Weight loss and body shape expectations of laparoscopic sleeve gastrectomy candidates in Newfoundland and Labrador

Price, Hilary Irene (2013) Weight loss and body shape expectations of laparoscopic sleeve gastrectomy candidates in Newfoundland and Labrador. Masters thesis, Memorial University of Newfoundland.

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Background: Laparoscopic sleeve gastrectomy (LSG) is a restrictive type bariatric surgery that promotes significant, sustainable weight loss in obese individuals (body mass index (BMI) ≥ 40 kg/m² or BMI 35.0-39.9 kg/m² with major comorbidity) resulting in 45-60% excess weight loss (%EWL). Unrealistic expectations have been consistently reported in the literature of individuals seeking both non-surgical and surgical weight loss interventions. It has been argued that they may negatively impact treatment adherence and weight loss outcomes. -- Purpose: To examine the postoperative weight loss and body shape expectations of LSG candidates in Newfoundland and Labrador (NL). -- Methods: The 'Goals and Relative Weights Questionnaire' and 'Stunkard Figure Rating Scale' were administered to 84 consecutive LSG candidates. They reported postoperative weight loss and body shape expectations in four categories: (1) dream (whatever you wanted); (2) happy (would be happy to achieve); (3) acceptable (could accept even if not happy with); and (4) disappointed (would not view as successful in any way) before the start of a bariatric surgery education session. Body image dissatisfaction (BID) was scored. -- Results: Of the 84 candidates, 69 were women and 15 were men (age 43.7 ± 8.7 years; BMI 49.0 ± 7.0 kg/m²). Expectations for their dream (71.1 ± 11.7 kg), happy (80.0 ± 14.2 kg), acceptable (86.2 ± 17.0 kg) and disappointed (105.6 ± 21.0 kg) weights equated to higher %EWLs (88.7 ± 11 .3 %EWL; 76.4 ± 12.8% EWL; 68.2 ± 16.1 %EWL; and 40.6 ± 21.0 %EWL) than are clinically expected from LSG. %EWLs were significantly different (p<0.05-p<0.003) between all weight loss categories, except goal and dream weights. Men and women were dissatisfied with their current body image (BID score= 4.1± 1.3) and had unrealistic postoperative body shape expectations. -- Conclusions: There is a disconnect between the weight loss expectations of bariatric surgery candidates in NL and what can be clinically expected from LSG surgery. Body shape expectations do not correspond with evidence-based weight loss outcomes from LSG surgery.

Item Type: Thesis (Masters)
URI: http://research.library.mun.ca/id/eprint/11291
Item ID: 11291
Additional Information: Includes bibliographical references (leaves 135-143).
Department(s): Medicine, Faculty of
Date: 2013
Date Type: Submission
Library of Congress Subject Heading: Laparoscopic surgery--Newfoundland and Labrador; Obesity--Surgery--Newfoundland and Labrador; Overweight persons--Newfoundland and Labrador--Attitudes; Body image--Newfoundland and Labrador.
Medical Subject Heading: Obesity--surgery--Newfoundland and Labrador; Attitude to Health; Body Image.

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