Document Detail


Prospective changes in body image dissatisfaction among adolescent bariatric patients: the importance of body size estimation.
MedLine Citation:
PMID:  22154271     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Body image dissatisfaction (BID) is pervasive among patients presenting for bariatric surgery but improves significantly postoperatively. These findings have been determined primarily from studies of adults. The objective of the present study was to examine the changes in BID among adolescents with extreme obesity from baseline/preoperatively to 6 and 12 months after receiving bariatric surgery at a pediatric medical center using body size estimation.
METHODS: BID was prospectively assessed among 16 adolescent bariatric patients (mean age 16.3 ± 1.2 years, mean body mass index [BMI] 66.2 ± 12.0, 67% female) using a standard visual/perceptual measure (i.e., Stunkard Figure Rating Scale). Participants identified their current and ideal body size, with a discrepancy score (current minus ideal) indicating BID. The body size estimation ratings were compared with attitudinal (i.e., Impact of Weight on Quality Of Life-Kids: Body Esteem and Self-Perception Profile for Adolescents: Physical Appearance) body image scores, BMI, and total weight-related quality of life.
RESULTS: A significant reduction occurred in the current body size (from 7.9 to 6.4, P <.001) from baseline to 6 months but not from 6 to 12 months. The current body size was related to BMI and percentage of excess weight loss but not attitudinal body image at each follow-up point. A smaller discrepancy (current minus ideal) was associated with greater total weight-related quality of life (r = -.68), with a trend toward significance for body esteem (r = -.65) at 12 months.
CONCLUSION: Adolescents undergoing bariatric surgery experience a significantly decreased BID within the first 12 months after surgery, with the most substantial change occurring from baseline to 6 months. The postoperative weight-related quality of life is more closely associated with the body size discrepancy than with the current body size.
Authors:
Megan B Ratcliff; Kate E Eshleman; Jennifer Reiter-Purtill; Meg H Zeller
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.     Date:  2011-11-09
Journal Detail:
Title:  Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery     Volume:  8     ISSN:  1878-7533     ISO Abbreviation:  Surg Obes Relat Dis     Publication Date:    2012 Jul-Aug
Date Detail:
Created Date:  2012-07-30     Completed Date:  2012-11-26     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  101233161     Medline TA:  Surg Obes Relat Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  470-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. megan.ratcliff@cchmc.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Body Image*
Body Size*
Female
Gastric Bypass / psychology*
Humans
Male
Obesity, Morbid / psychology*,  surgery
Patient Satisfaction*
Prospective Studies
Quality of Life
Self Concept
Grant Support
ID/Acronym/Agency:
L40 DK084863-01/DK/NIDDK NIH HHS; R03 DK070889-02/DK/NIDDK NIH HHS; R03 DK0788901/DK/NIDDK NIH HHS; T32HP10027//PHS HHS
Comments/Corrections
Comment In:
Surg Obes Relat Dis. 2013 Jan-Feb;9(1):149-50   [PMID:  22361806 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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