Patient motivation for bariatric surgery: characteristics and impact on outcomes

Marije Libeton, John Dixon, Cheryl F Laurie, Paul Edmond O'Brien

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96 Citations (Scopus)


BACKGROUND: Motivation for seeking obesity surgery has not been studied. The authors explored the patient s motivation for selecting surgery and examined for a relationship between primary motivating factors and weight outcomes. METHODS: 208 (177F: 31M) unselected participants followed at least 1 year after Lap-Band placement completed a short questionnaire. 6 statements were scored 1-6 from the most important through to the least important. Statements included appearance, embarrassment, medical conditions, health concerns, physical fitness and physical limitation. Any additional factors were also sought. RESULTS: Mean age, weight and BMI before surgery were 41+/-10 years, 129+/-16 kg and 46+/-8 kg/m(2) respectively. Responses to appearance and embarrassment correlated strongly and were grouped together. Medical conditions and health concerns account for 52 , appearance and embarrassment for 32 , and poor physical fitness and physical limitation for 16 of first choices. Those who scored 1 for appearance or embarrassment (n=67) had a lower presenting BMI (44 kg/m(2), P=0.03) and all but 1 were female (P
Original languageEnglish
Pages (from-to)392 - 398
Number of pages7
JournalObesity Surgery
Issue number3
Publication statusPublished - 2004

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