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      Aspects of quality of life affected in morbidly obese patients who decided to undergo bariatric surgery: A qualitative study to design a native questionnaire

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          Abstract

          Background:

          Obesity is a known prevalent major health issue. The aim of this study is to assay Iranian patients’ problems with obesity and their expectations of bariatric surgery.

          Materials and Methods:

          In this study, we included patients who have used different medical noninvasive treatments and were unsuccessful in losing weight from the obesity clinic in Al Zahra Hospital, Isfahan, from 2014 to 2015. Morbidly obese patients were interviewed using some open-ended questions, and then, directional content analysis of data was done.

          Results:

          Analysis of data showed five main categories including (1) physical health, (2) psychological health, (3) social relationships, (4) environment, and (5) “about the causes of obesity” with some subcategories for each category.

          Conclusion:

          This study is the first step of designing a quality of life questionnaire while we focused on spiritual and cultural states of Iranian people.

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          The Impact of Bariatric Surgery on Psychological Health

          Jeremy F. Kubik, Richdeep S Gill, Michael Laffin … (2013)
          Obesity is associated with a relatively high prevalence of psychopathological conditions, which may have a significant negative impact on the quality of life. Bariatric surgery is an effective intervention in the morbidly obese to achieve marked weight loss and improve physical comorbidities, yet its impact on psychological health has yet to be determined. A review of the literature identified a trend suggesting improvements in psychological health after bariatric surgery. Majority of mental health gain is likely attributed to weight loss and resultant gains in body image, self-esteem, and self-concept; however, other important factors contributing to postoperative mental health include a patient's sense of taking control of his/her life and support from health care staff. Preoperative psychological health also plays an important role. In addition, the literature suggests similar benefit in the obese pediatric population. However, not all patients report psychological benefits after bariatric surgery. Some patients continue to struggle with weight loss, maintenance and regain, and resulting body image dissatisfaction. Severe preoperative psychopathology and patient expectation that life will dramatically change after surgery can also negatively impact psychological health after surgery. The health care team must address these issues in the perioperative period to maximize mental health gains after surgery.
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            Perceived psychosocial outcomes of gastric bypass surgery: a qualitative study.

            Lindsey Bocchieri, Marta Meana, Naomi D L Fisher (2002)
            Attempts to understand postoperative psychosocial changes in the lives of individuals who have undergone gastric bypass surgery for morbid obesity have 1) been guided by constructs emanating from the assumptions of researchers, and 2) have resulted in fragmented conclusions that catalogue changes without theoretically integrating them. Using unstructured and semi-structured interviews and in-depth focus groups, 31 patients were asked in an open-ended fashion about the ways, if any, in which gastric bypass surgery had affected their lives. Grounded theory methodology was utilized in order to identify emergent themes and their interrelations, and build a meaningful, comprehensive theory of life after gastric bypass. Patients' report of a rebirth/transformation was identified as the core process of the theory. The changes marking this process were clearly conceptualized in dichotomous terms comparing pre to postsurgical life. Patients reported changes that they regarded as unequivocally positive, a number of which had not been previously reported in the literature. Unique to this particular study was the finding of numerous life changes that generated tension and posed challenges in various aspects of patients' lives. The grounded theory proposes that the extent to which patients successfully negotiate tension-generating changes may be a major determinant in the long-term outcome of gastric bypass, both weight loss and psychosocial adjustment.
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              Prevalence of overweight and obesity among Iranian preschoolers: Interrelationship with physical fitness

              Hamid Agha-Alinejad, Babak Farzad, Mansoureh Salari … (2015)
              Background: The preschool years are a crucial time to study the determinants of childhood obesity, as it is when eating and physical activity habits are becoming established. The purpose of this study was to compare the prevalence of overweight and obesity among preschoolers living in the capital of Iran and to determine relationships between overweight and obesity and selected motor- and health-related fitness parameters. Materials and Methods: This exploratory cross-sectional study was conducted with 190 boys and 191 girls aged 5−6 years. Study children were selected from the kindergartens in Tehran, the capital of Iran. All children underwent anthropometric, motor- and health-related fitness tests. Height, body mass, body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR) and percentage of body fat (PBF) were measured for anthropometric assessments. Sit-and-reach, modified sit-ups, modified pull-ups, the 4 m × 9 m shuttle run, the 20 m sprint test and the 20 m multistage shuttle run test were measured for motor- and health-related fitness tests. Overweight and obesity prevalence was determined by the International Obesity Task Force, Centers for Disease Control and Prevention and World Health Organization standard criteria. Results: International Obesity Task Force criteria indicate almost 12% (23/190) of boys and 22.5% (43/191) of girls were overweight or obese with 4.73% (9/190) of boys and 10.99% (21/191) of girls in the obese category. Significant correlations were found between modified pull-ups test and body mass, BMI, WC, WHR, WHtR, PBF in boys and modified pull-ups and modified sit-ups tests were significantly correlated with body mass, BMI, WC, WHR, WHtR, and PBF in girls. Compared to their counterparts, overweight and obese boys demonstrated inferior performance in modified pull-ups and predicted VO2max and overweight and obese girls demonstrated inferior performance in modified pull-ups, modified sit-ups, 4 m × 9 m agility shuttle run and predicted VO2max Conclusion: This study highlighted the relatively high prevalence of overweight and obesity in both genders of preschoolers and found that overweight and obesity were associated with poor fitness performances. The findings provided evidence to support the establishment of tailored physical fitness intervention programs to manage and prevent obesity in preschoolers.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Res Med Sci
                Journal ID (iso-abbrev): J Res Med Sci
                Journal ID (publisher-id): JRMS
                Title: Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 1735-1995
                ISSN (Electronic): 1735-7136
                Publication date Collection: 2017
                Publication date (Electronic): 26 April 2017
                Volume: 22
                Electronic Location Identifier: 56
                Affiliations
                [1]Department of General Surgery, Saint Alzahra Hospital, Isfahan, Iran
                [1 ]Isfahan Medical Students’ Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
                [2 ]Department of Pharmacognosy, Isfahan University of Medical Sciences, Isfahan, Iran
                Author notes
                Address for correspondence: Dr. Samira Davashi Jamalouee, Isfahan Medical Students’ Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. E-mail: davashisamira@ 123456gmail.com
                Article
                Publisher ID: JRMS-22-56
                DOI: 10.4103/jrms.JRMS_931_16
                PMC ID: 5426087
                SO-VID: d52c54a8-61c6-4bc4-a3e8-95e22b276599
                Copyright © Copyright: © 2017 Journal of Research in Medical Sciences
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                Date received : 17 November 2016
                Date revision received : 19 December 2016
                Date accepted : 31 January 2017
                Categories
                Subject: Short Communication

                ScienceOpen disciplines: Medicine
                Keywords: bariatric surgery,morbid obesity,qualitative studies,quality of life,questionnaire
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: bariatric surgery, morbid obesity, qualitative studies, quality of life, questionnaire

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