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- W2002174480 abstract "Review question/objective How does body contouring surgery following bariatric surgery influence quality of life among adults? Background Obesity is one of the greatest public health problems in industrialized countries. In the US, UK and Australia, for instance, the prevalence of obesity (body mass index (BMI) >30kg/m2) has more than doubled in the past 25 years.1 Currently, 67% of the US population is either obese or overweight, and in most European countries the prevalence ranges between 40% and 50%2 Obesity has a severe impact on health, such as, an increased risk of type 2 diabetes, hypertension, cardiovascular disease, dyslipidaemia, depression and anxiety.3 Bariatric surgery refers to a group of surgical interventions which aim to limit the body's ability to consume and absorb food through the reduction of stomach capacity and/or intestinal length.4,5 Bariatric surgery appears to be growing in the UK, according to the NHS health and social care information centre.6 It is estimated that approximately 80% of all bariatric surgery patients are women. A growing number of morbidly obese patients (BMI of 35 kg/m2 or greater with comorbidities) are seeking surgical solutions such as bariatric surgery. Several reviews have concluded that weight loss is associated with improvements in weight related health problems such as type 2 diabetes, hypertension and sleep apnoea.4, 7 Additionally, patients often report increased quality of life (QoL)8-10 and improved physical health following weight loss.11, 12 In the context of extreme weight loss following bariatric surgery however, patients commonly experience body dissatisfaction and QoL challenges due to the resulting excess skin on the abdomen, thighs, face and arms.12, 13, 14 While a high proportion of patients (87%) in one study15 were happy with their weight loss, 70% of respondents considered that excess skin was a negative consequence for appearance and attributed this to 'flappy skin' (53%), an abdominal overhang (47%) and pendulous breasts (42%). The main challenge following bariatric surgery is to manage ongoing comorbidities, assess functional impairment caused by excessive skin and to detect patients who are at risk of ongoing psychological distress. The excess of lax, overstretched skin, may cause physical discomfort and psychosocial problems that interfere with QoL.16 The resulting redundant skin presents new concerns in a range of areas including difficulties with mobility, hygiene problems, skin rashes, decreased activity, body image dissatisfaction and depression.17,18 One outcome study provides evidence to suggest that some patients showed “normalisation” in their levels of body dissatisfaction post weight loss and others continued to experience significantly impaired levels of body dissatisfaction.19 Moreover, while numerous studies have established body dissatisfaction in bariatric surgery patients, some studies have also shown that people who have lost weight through lifestyle changes may also report body dissatisfaction20,21 These concerns have led to an increase in the uptake of post-bariatric “body contouring” procedures.22,23 Patient motivation appears to be akin to “fixing” of the body to uncover true identity, feel “normal” and improve lifestyle and QoL.5 Body contouring after weight loss (or reconstructive body contouring) refers to a series of procedures that eliminate excess skin and fat remaining after previously obese individuals have lost a significant amount of weight in a variety of places including the torso, upper arms, chest and thighs.22 Several recent quantitative studies have investigated psychosocial outcomes of body contouring surgery, reporting on changes in appearance, well-being and QoL. Quality of life outcomes included physical function and feeling of healthiness24, improvements in psychological and mental well-being25, stability in mood17, body image satisfaction26, 27, identity transformation and changed lifestyle28, improved social acceptance24, and greater involvement in the social and cultural performance domain.29 This is the first systematic review to look at QoL amongst adults following body contouring surgery after bariatric surgery." @default.
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- W2002174480 date "2014-07-01" @default.
- W2002174480 modified "2023-09-27" @default.
- W2002174480 title "Quality of life among adults following body contouring surgery after bariatric surgery: a systematic review protocol" @default.
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- W2002174480 doi "https://doi.org/10.11124/jbisrir-2014-1442" @default.
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