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Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery v.14 no.1, 2018년, pp.39 - 45   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Bariatric patients' reported motivations for surgery and their relationship to weight status and health

Peacock, Jessica C. (Shenandoah University, Exercise Science Department, Levi Perry, Shenandoah University, Division of Physical Therapy, Winchester, Virginia ) ; Perry, Levi (Shenandoah University, Division of Physical Therapy, Winchester, VA ) ; Morien, Kyle (Shenandoah University, Exercise Science Department, Levi Perry, Shenandoah University, Division of Physical Therapy, Winchester, Virginia ) ;
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    Abstract Background Literature on patient motivation for bariatric surgery remains limited. A few studies have examined relation to outcomes and found no established connection between motivation and weight loss. Setting A retrospective convenience sample of 345 participants was recruited from an obesity support website to complete an online survey. Methods Content analysis was used to describe motivations for surgery, and analysis of variance and covariance were completed to compare groups of participants created from the qualitative analysis on pre- and postsurgical factors like body mass index, number of co-morbidities, and percentage of excess weight loss. Results A primary perceived affective response category for motivation was created that included 3 levels: desperate, tired, and pragmatic. Within these levels participants reported motivations related to quality of life, prevent death, last option, and trigger. Participants in the desperate level exhibited higher presurgical body mass index, greater number of presurgical co-morbidities, more attempted methods for weight loss, and more negative perceptions of health before surgery. Participants in the tired group experienced the greatest percentage of excess weight loss and participants in desperate and tired showed greater weight loss, percentage of weight lost, and percentage of excess weight lost compared with the pragmatic group when controlling for presurgical weight. Conclusions Most participants reported a physical health-related motivation, but participants with greater perceived affective motivational responses cited prevention of death and viewing surgery as their last option to a higher extent. Participants with greater perceived affective response exhibited significantly better weight loss outcomes, indicating that some emotional component to motivation may improve long-term success. Presurgical consultation might incorporate principles from the Transtheoretical Model and Motivational Interviewing to connect the emotional impacts of obesity on patients’ health and well being to health behaviors promoting weight maintenance.


  • 주제어

    Obesity .   Bariatric surgery .   Motivation .   Outcomes.  

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