Explanations for Unsuccessful Weight Loss Among Bariatric Surgery Candidates
Identifieur interne : 006B23 ( Main/Exploration ); précédent : 006B22; suivant : 006B24Explanations for Unsuccessful Weight Loss Among Bariatric Surgery Candidates
Auteurs : Kevin O. Hwang ; Joseph H. Childs ; G. Ken Goodrick ; Wael A. Aboughali ; Eric J. Thomas ; Craig W. Johnson ; Sherman C. Yu ; Elmer V. BernstamSource :
- Obesity surgery [ 0960-8923 ] ; 2008.
Abstract
Our objective was to analyze subjective explanations for unsuccessful weight loss among bariatric surgery candidates.
This was a retrospective analysis of 909 bariatric surgery candidates (78.2% female, average body mass index [BMI] 47.3) at a university center from 2001 to April 2007 who answered an open-ended question about why they were unable to lose weight. We generated a coding scheme for answers to the question and established inter-rater reliability of the coding process. Associations with demographic parameters and initial BMI were tested.
The most common categories of answers were nonspecific explanations related to diet (25.3%), physical activity (21.0%), or motivation (19.7%), followed by diet-related motivation (12.7%) and medical conditions or medications affecting physical activity (12.7%). Categories related to time, financial cost, social support, physical environment, and knowledge occurred in less than 4% each. Men were more likely than women to cite a medical condition or medication affecting physical activity (19.2% vs 10.8%,
Our findings suggest that addressing diet, physical activity, and motivation in a comprehensive approach would meet the stated needs of obese patients. Raising patient awareness of under-recognized barriers to weight loss, such as the physical environment and lack of social support, should also be considered. Lastly, anticipating gender-specific attributions may facilitate tailoring of interventions.
Url:
DOI: 10.1007/s11695-008-9573-0
PubMed: 18542846
PubMed Central: 3063089
Affiliations:
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Thomas</name></author><author><name sortKey="Johnson, Craig W" sort="Johnson, Craig W" uniqKey="Johnson C" first="Craig W." last="Johnson">Craig W. Johnson</name></author><author><name sortKey="Yu, Sherman C" sort="Yu, Sherman C" uniqKey="Yu S" first="Sherman C." last="Yu">Sherman C. Yu</name></author><author><name sortKey="Bernstam, Elmer V" sort="Bernstam, Elmer V" uniqKey="Bernstam E" first="Elmer V." last="Bernstam">Elmer V. 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Hwang</name></author><author><name sortKey="Childs, Joseph H" sort="Childs, Joseph H" uniqKey="Childs J" first="Joseph H." last="Childs">Joseph H. Childs</name></author><author><name sortKey="Goodrick, G Ken" sort="Goodrick, G Ken" uniqKey="Goodrick G" first="G. Ken" last="Goodrick">G. Ken Goodrick</name></author><author><name sortKey="Aboughali, Wael A" sort="Aboughali, Wael A" uniqKey="Aboughali W" first="Wael A." last="Aboughali">Wael A. Aboughali</name></author><author><name sortKey="Thomas, Eric J" sort="Thomas, Eric J" uniqKey="Thomas E" first="Eric J." last="Thomas">Eric J. Thomas</name></author><author><name sortKey="Johnson, Craig W" sort="Johnson, Craig W" uniqKey="Johnson C" first="Craig W." last="Johnson">Craig W. Johnson</name></author><author><name sortKey="Yu, Sherman C" sort="Yu, Sherman C" uniqKey="Yu S" first="Sherman C." last="Yu">Sherman C. Yu</name></author><author><name sortKey="Bernstam, Elmer V" sort="Bernstam, Elmer V" uniqKey="Bernstam E" first="Elmer V." last="Bernstam">Elmer V. Bernstam</name></author></analytic><series><title level="j">Obesity surgery</title><idno type="ISSN">0960-8923</idno><idno type="eISSN">1708-0428</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Our objective was to analyze subjective explanations for unsuccessful weight loss among bariatric surgery candidates.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">This was a retrospective analysis of 909 bariatric surgery candidates (78.2% female, average body mass index [BMI] 47.3) at a university center from 2001 to April 2007 who answered an open-ended question about why they were unable to lose weight. We generated a coding scheme for answers to the question and established inter-rater reliability of the coding process. Associations with demographic parameters and initial BMI were tested.</p></sec><sec id="S3"><title>Results</title><p id="P3">The most common categories of answers were nonspecific explanations related to diet (25.3%), physical activity (21.0%), or motivation (19.7%), followed by diet-related motivation (12.7%) and medical conditions or medications affecting physical activity (12.7%). Categories related to time, financial cost, social support, physical environment, and knowledge occurred in less than 4% each. Men were more likely than women to cite a medical condition or medication affecting physical activity (19.2% vs 10.8%, <italic>P</italic>=0.002, odds ratio [OR]=1.96, 95% confidence interval [CI]=1.28–2.99) but less likely to cite diet-related motivation (7.1% vs 14.2%, <italic>P</italic>=0.008, OR=0.46, 95% CI=0.26–0.82).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our findings suggest that addressing diet, physical activity, and motivation in a comprehensive approach would meet the stated needs of obese patients. Raising patient awareness of under-recognized barriers to weight loss, such as the physical environment and lack of social support, should also be considered. Lastly, anticipating gender-specific attributions may facilitate tailoring of interventions.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Aboughali, Wael A" sort="Aboughali, Wael A" uniqKey="Aboughali W" first="Wael A." last="Aboughali">Wael A. Aboughali</name><name sortKey="Bernstam, Elmer V" sort="Bernstam, Elmer V" uniqKey="Bernstam E" first="Elmer V." last="Bernstam">Elmer V. Bernstam</name><name sortKey="Childs, Joseph H" sort="Childs, Joseph H" uniqKey="Childs J" first="Joseph H." last="Childs">Joseph H. Childs</name><name sortKey="Goodrick, G Ken" sort="Goodrick, G Ken" uniqKey="Goodrick G" first="G. Ken" last="Goodrick">G. Ken Goodrick</name><name sortKey="Hwang, Kevin O" sort="Hwang, Kevin O" uniqKey="Hwang K" first="Kevin O." last="Hwang">Kevin O. Hwang</name><name sortKey="Johnson, Craig W" sort="Johnson, Craig W" uniqKey="Johnson C" first="Craig W." last="Johnson">Craig W. Johnson</name><name sortKey="Thomas, Eric J" sort="Thomas, Eric J" uniqKey="Thomas E" first="Eric J." last="Thomas">Eric J. Thomas</name><name sortKey="Yu, Sherman C" sort="Yu, Sherman C" uniqKey="Yu S" first="Sherman C." last="Yu">Sherman C. Yu</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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