Stress as a factor contributing to obesity in patients qualified for bariatric surgery - studies in a selected group of patients (a pilot study).

Abstract

IntroductionRecently, the incidence of obesity, especially extreme obesity, has significantly increased. It is connected with inappropriate lifestyle, including a high calorie diet, psychological and genetic factors, some medications, diseases or infectious factors. Nowadays, the consumption of food is not only to satisfy a physiological need, but also fulfils psychological needs. The most effective method of morbid obesity treatment is metabolic surgery. Moreover, food is considered to be a reward and method of coping with stress. In order to improve the efficiency of the surgical treatment, it seems significant to assess the effects of psychological factors on eating behaviours.AimTo evaluate the effects of stress on eating habits that increase the risk of extreme obesity.Material and methodsThe study included 50 subjects qualified for bariatric surgery. The authors’ own questionnaire and standardised PSS-10 questionnaire by Cohen, Kamarcki and Mermelstein adapted by Juczyński and Ogińska-Bulik were used.ResultsThese questionnaires indicated that patients felt a moderate levels of stress but with a tendency for high levels. The majority of respondents declared an increased appetite due to stress-causing factors. Reasons for snacking most frequently included negative emotions and feeling like eating something. Consumption of additional snacks was a way of coping with stress. Most frequently the subjects ate sweets and salty snacks, but also sandwiches, nuts, fruit and alcohol beverages.ConclusionsPsychological support may help morbidly obese people both to change nutritional habits and to cope with stress.

Laparoscopic sleeve gastrectomy: a study of efficiency in treatment of metabolic syndrome components, comorbidities and influence on certain biochemical markers.

“…The LSG is one of the most effective methods for obesity treatment and stands out to fulfill requirements demanded for appropriate therapy in the whole MS area, in cooperation with diet, psychological treatment, lifestyle modifications and all other supportive therapy methods. Such a conclusion is widely confirmed also in current scientific literature [24][25][26], whereas standalone therapeutic efficiency of mentioned conservative methods usage without bariatric treatment remains unsatisfactory and rarely provides desired positive long-term outcome [27]. When focusing on particular MS components, results achieved in our observation lead to the conclusion that undergoing the LSG operation not only effectively treats existing NIDDM cases, but also enforces normalization of glucose metabolism parameters and prevents development of NIDDM by treating the insulin resistance phenomenon.…”

I Am As Normal As Everyone Now. . . : Examination of Experiences of Patients Undergoing Bariatric Surgery According to Roy’s Adaptation Model: A Qualitative Study

“…Moreover, the patients admitted that they needed psychological support and support for diet and physical activity. It has also been emphasized in the literature that support groups play an important role in weight loss (Hall, 2010; Ruffault et al, 2018) and facilitate adaptation to changes in life-style (Boniecka, Wileńska, Jeznach-Steinhagen, Czerwonogrodzka-Senczyna, Sekuła, & Paśnik, 2017; Følling, Solbjør, & Helvik, 2015; Tarrant et al, 2017). Therefore, it is crucial that nurses should adopt a holistic approach taking account of both physiological and biopsychological needs and determine knowledge needs of the patients.…”

Problems in bariatric patient care - challenges for dieticians.

“…Patients who are emotional eaters should receive special care [ 5 ]. In Boniecka’s research stress was found to be one of the most frequent causes of eating between meals, and moreover a large part of the patients reported an increase in appetite due to stressful situations [ 20 ]. Regular medical checkups before and after surgery as well as family support are essential because dramatic weight loss is a life-changing experience.…”