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dc.contributor.authorBenediktsdottir, Audur
dc.contributor.authorHalldorsson, Thorhallur Ingi
dc.contributor.authorBragadottir, Gudrun Jona
dc.contributor.authorGudmundsson, Ludvig
dc.contributor.authorRamel, Alfons
dc.date.accessioned2016-04-19T10:57:29Zen
dc.date.available2016-04-19T10:57:29Zen
dc.date.issued2016en
dc.date.submitted2016en
dc.identifier.citationObes Res Clin Pract., 10 (1):63-9en
dc.identifier.issn1871-403Xen
dc.identifier.pmid25892541en
dc.identifier.doi10.1016/j.orcp.2015.03.009en
dc.identifier.urihttp://hdl.handle.net/2336/605866en
dc.descriptionTo access publisher's full text version of this article click on the hyperlink at the bottom of the pageen
dc.description.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.
dc.description.abstractData 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.
dc.description.abstractOf 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.
dc.description.abstractA 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.
dc.description.sponsorshipUniversity of Iceland Research Funden
dc.language.isoenen
dc.publisherElsevier SCIen
dc.relation.urlhttp://dx.doi.org/ 10.1016/j.orcp.2015.03.009en
dc.relation.urlhttp://www.obesityresearchclinicalpractice.com/article/S1871-403X%2815%2900041-1/pdfen
dc.rightsArchived with thanks to Obesity research & clinical practiceen
dc.subjectRAM12
dc.subjectNUR12
dc.subject.meshObesity, Morbiden
dc.subject.meshBariatric Surgeryen
dc.subject.meshTherapeuticsen
dc.titlePredictors of dropout and bariatric surgery in Icelandic morbidly obese female patients.en
dc.typeArticleen
dc.contributor.department[ 1 ] Landspitali Natl Univ Hosp, Unit Nutr Res, Eiriksgata 29, IS-101 Reykjavik, Iceland   Organization-Enhanced Name(s)      Landspitali National University Hospital [ 2 ] Univ Iceland, Fac Food Sci & Nutr, Reykjavik, Iceland [ 3 ] Reykjalundur Rehabil Ctr, Mosfellsbaer, Icelanden
dc.identifier.journalObesity research & clinical practiceen
dc.rights.accessNational Consortium - Landsaðganguren
html.description.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.
html.description.abstractData 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.
html.description.abstractOf 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.
html.description.abstractA 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.


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