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Patient-related predictors for seeking and receiving obesity surgery.
Obes. Facts 16, 447-456 (2023)
Introduction: The decision for obesity surgery (OS) is complex and strongly driven by patients' preference. This study aimed to examine patients' preference for OS before and after behavioral weight loss treatment (BWLT), associated patient characteristics, its role in predicting the receipt of OS after BWLT, and potential mediators. Methods: Data of N = 431 adults with obesity starting a 1-year routine care obesity BWLT were analyzed. Patients were interviewed before (pre-BWLT) and after BWLT (post-BWLT) regarding their preference for OS, and anthropometric, medical, and psychological data were collected. Results: Only a minority of patients (11.6%) had an explicit preference for OS pre-BWLT. Post-BWLT, the number of patients preferring OS significantly increased (27.4%). Patients with a constant or emerging preference for OS showed less favorable anthropometric, psychological, and medical characteristics than patients without or with a vanishing preference for OS. Patients' pre-BWLT preference for OS significantly predicted receiving OS post-BWLT. This association was mediated by higher body mass index pre- and post-BWLT, but not by less percentage total body weight loss (%TBWL) through BWLT. Conclusion: Although the preference for OS pre-BWLT predicted the receipt of OS post-BWLT, it was not associated with %TBWL during BWLT. Further prospective studies with multiple assessment time points during BWLT may help understand when and why patients' attitude toward OS changes, and identify possible mediators on the association between the preference and receipt of OS.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Bariatric Surgery ; Behavioral Weight Loss Treatment ; Obesity Surgery ; Preference ; Serial Mediation; Bariatric Surgery; Eurohis-qol; Overweight; Validation; Version; Stigma
ISSN (print) / ISBN
1662-4025
e-ISSN
1662-4033
Journal
Obesity Facts
Quellenangaben
Volume: 16,
Issue: 5,
Pages: 447-456
Publisher
Karger
Publishing Place
Allschwilerstrasse 10, Ch-4009 Basel, Switzerland
Non-patent literature
Publications
Reviewing status
Peer reviewed
Institute(s)
Helmholtz Institute for Metabolism, Obesity and Vascular Research (HI-MAG)
Grants
German Research Foundation within the program Open Access Publication Funding
Federal Ministry of Education and Research (BMBF), Germany
Federal Ministry of Education and Research (BMBF), Germany