Predictors of dropout and bariatric surgery in Icelandic morbidly obese female patients.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Halldorsson, Thorhallur Ingi
Bragadottir, Gudrun Jona
MetadataShow full item record
CitationObes Res Clin Pract., 10 (1):63-9
AbstractLittle is known on how morbidly obese individuals who participate in different treatments differ in relation to anthropometrical measurements and psychological characteristics. In the present study we investigated attrition and treatment choice, i.e., bariatric surgery and conservative treatment, of morbidly obese subjects.
Data was collected during screening from 292 morbidly obese women who participated in a weight loss program at an Icelandic rehabilitation center. Information were available on body composition, fasting blood samples, psychological characteristics, medication use, drop-out and whether patients underwent bariatric surgery after the weight loss program at the rehabilitation center. Inclusion criteria were age between 18 and 65 years and BMI>35kg/m(2), exclusion criteria were alcohol- or drug addiction.
Of the 292 women who finished screening, 113 (39%) dropped out, 100 (34%) finished the weight loss program and 79 (27%) finished the weight loss program and consecutively underwent surgery. According to multivariate models individuals with BMI ≥50kg/m(2) were 4.5 times more likely (P=0.003) to undergo bariatric surgery than individuals with BMI <40kg/m(2). Individuals with severe depression were 2.4 times more likely (P=0.01) to drop out than individuals with no depression. Serum glucose (+36% for an increase by 1mmol/L, P=0.036) and use of psychotropic medication (+73%, P=0.05) were also associated with higher odds of dropout.
A large proportion of morbidly obese individuals dropped out of a weight loss program at an Icelandic rehabilitation center and severe depression symptoms more than doubles this risk.
DescriptionTo access publisher's full text version of this article click on the hyperlink at the bottom of the page
RightsArchived with thanks to Obesity research & clinical practice
- Bariatric surgery reduces risk factors for development of type 2 diabetes mellitus in morbidly obese, nondiabetic patients.
- Authors: Nestvold TK, Nielsen EW, Lappegård KT
- Issue date: 2013 Dec
- Prevalence and predictors of self-reported sexual abuse in severely obese patients in a population-based bariatric program.
- Authors: Gabert DL, Majumdar SR, Sharma AM, Rueda-Clausen CF, Klarenbach SW, Birch DW, Karmali S, McCargar L, Fassbender K, Padwal RS
- Issue date: 2013
- Psychological risk may influence drop-out prior to bariatric surgery.
- Authors: Merrell J, Ashton K, Windover A, Heinberg L
- Issue date: 2012 Jul-Aug
- Physical and psychosocial outcome in morbidly obese patients with and without bariatric surgery: a 4 1/2-year follow-up.
- Authors: Buddeberg-Fischer B, Klaghofer R, Krug L, Buddeberg C, Müller MK, Schoeb O, Weber M
- Issue date: 2006 Mar
- Do clinical and behavioural correlates of obese patients seeking bariatric surgery differ from those of individuals involved in conservative weight loss programme?
- Authors: Gradaschi R, Noli G, Cornicelli M, Camerini G, Scopinaro N, Adami GF
- Issue date: 2013 Jul