Using the BODY-Q to Understand Impact of Weight Loss, Excess Skin, and the Need for Body Contouring following Bariatric Surgery

Klassen, Anne F.; Kaur, Manraj; Breitkopf, Trisia; Thoma, Achilleas; Cano, Stefan; Pusic, Andrea L.

doi:10.1097/prs.0000000000004461

Cited by 38 publications

(50 citation statements)

References 30 publications

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“…In contrast to previously published BODY-Q questionnaire-related studies, which are cross-sectional and lack longitudinal assessment, the survey was administered to our patient population 24 hours before, six, and twelve months after their body contouring procedure. [34,39] The limitation of this study was a relatively small number of surveyed patients (30), only females, the possible impact of "no pay" procedure as paid by the National Health Insurance.…”

Section: Discussionmentioning

confidence: 99%

The long-term effect of body contouring procedures on the quality of life in morbidly obese patients after bariatric surgery

Paul

Opyrchał²,

Knakiewicz³

et al. 2020

PLoS ONE

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Section: Discussionmentioning

confidence: 99%

The long-term effect of body contouring procedures on the quality of life in morbidly obese patients after bariatric surgery

Paul

Opyrchał²,

Knakiewicz³

et al. 2020

PLoS ONE

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“…All the women in this study would have liked body contouring surgery (BCS) and desire following bariatric surgery can be as high as 88%, with one of the main drivers being the presence of excess skin [ 62 – 64 ]. However, BCS is considered cosmetic, rather than reconstructive or functional surgery, and is separate from the bariatric pathway [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring the Experiences of Women Who Develop Restrictive Eating Behaviours After Bariatric Surgery

2020

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Objective This study aimed to explore the experiences of women who had developed excessively restrictive eating behaviours following bariatric surgery. Method Five female participants, who were at least nine months post-bariatric surgery and exhibiting restrictive eating behaviours, were recruited from Bariatric Surgery Psychology Services and asked to complete qualitative face-to-face semi-structured interviews. The data was analysed using interpretative phenomenological analysis (IPA). Results Three super-ordinate themes emerged: (1) experiences of weight stigma and weight history on self, (2) the impact of loose skin, (3) thoughts about food and disordered eating patterns. These captured the impact of past weight-related experiences-including weight stigma, intense fears of weight gain, negative cognitions about the self, the impact of excess skin, changes in the way the women thought about food and restrictive eating behaviours. Discussion This study is one of the first to specifically explore restrictive eating disorders after bariatric surgery using a qualitative approach. The findings of this study may offer helpful aspects for professionals to hold in mind when identifying individuals with problematic restrictive eating behaviours following bariatric surgery. Body contouring surgery, internalised weight bias and weight stigma are explored in relation to the post-bariatric surgery treatment pathway. The current diagnostic criterion for anorexia nervosa are discussed to highlight difficulties in diagnosing this presentation in the post-bariatric surgery population, where people can have BMIs over 25 kg/m 2 but are severely restricting energy intake.

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“…It would be interesting to evaluate weight loss outcomes and HRQoL in a larger cohort to increase insight into the relationship between these outcomes. The BODY-Q, a comprehensive and validated patient-reported outcome measure for weight loss and body contouring patients, could be used for this purpose [ 13 , 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Substantial weight loss following bariatric surgery has led to a new population of body-contouring patients with deformities spanning all regions of the body [11]. Excess skin after bariatric surgery appears to be very common and causes psychosocial and functional impairment [12][13][14]. Body contouring surgery (BCS) reduces excess loose skin and has been demonstrated to improve daily impairments associated with excess skin and might therefore strengthen post-bariatric surgery patients in their weight control [15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Body Contouring Surgery on Weight Control and Comorbidities in Patients After Bariatric Surgery

et al. 2019

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Introduction A considerable number of patients experience some long-term weight regain after bariatric surgery. Body contouring surgery (BCS) is thought to strengthen post-bariatric surgery patients in their weight control and maintenance of achieved improvements in comorbidities. Objectives To examine the impact of BCS on long-term weight control and comorbidities after bariatric surgery. Methods We performed a retrospective study in a prospective database. All patients who underwent primary Roux-en-Y gastric bypass (RYGB) and presented for preoperative consultation of BCS in the same hospital were included in the study. Linear and logistic mixed-effect model analyses were used to evaluate the longitudinal relationships between patients who were accepted or rejected for BCS and their weight loss outcomes or changes in comorbidities. Results Of the 1150 patients who underwent primary RYGB between January 2010 and December 2014, 258 patients (22.4%) presented for preoperative consultation of BCS. Of these patients, 126 patients eventually underwent BCS (48.8%). Patients who were accepted for BCS demonstrated significant better ∆body mass index (BMI) on average over time (− 1.31 kg/m 2 /year, 95% confidence interval (CI) −2.52 − −0.10, p = 0.034) and percent total weight loss (%TWL) was significantly different at 36 months (5.79, 95%CI 1.22 – 10.37, p = 0.013) and 48 months (6.78, 95%CI 0.93 – 12.63, p = 0.023) after body contouring consultation. Patients who were accepted or rejected did not differ significantly in the maintenance of achieved improvements in comorbidities. Conclusion BCS could not be associated with the maintenance of achieved improvements in comorbidities after bariatric surgery, whereas it could be associated with improved weight loss maintenance at 36 and 48 months after body contouring consultation. This association should be further explored in a large longitudinal study.

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Using the BODY-Q to Understand Impact of Weight Loss, Excess Skin, and the Need for Body Contouring following Bariatric Surgery

Abstract: Excess skin after bariatric surgery is a disabling problem. Additional research using the BODY-Q is needed to determine improvements that can be achieved following body contouring.

Cited by 38 publications

References 30 publications

The long-term effect of body contouring procedures on the quality of life in morbidly obese patients after bariatric surgery

The long-term effect of body contouring procedures on the quality of life in morbidly obese patients after bariatric surgery

Exploring the Experiences of Women Who Develop Restrictive Eating Behaviours After Bariatric Surgery

The Influence of Body Contouring Surgery on Weight Control and Comorbidities in Patients After Bariatric Surgery

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