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Psychosocial functioning before and after laparoscopic adjustable gastric banding: a cross-sectional study
Junilla K Larsen1, Rinie Geenen, Bert van Ramshorst
1Department of Health Psychology, Utrecht University, Utrecht, The Netherlands. j.larsen@fss.uu.nl
Obesity Surgery
|August 26, 2003
Summary
Laparoscopic adjustable gastric banding (LAGB) improves physical and mental quality of life (QoL) for severe obesity patients long-term. Social QoL also improves, but remains below average, highlighting the need for psychosocial support.
Area of Science:
- Bariatric Surgery
- Obesity Medicine
- Quality of Life Research
Background:
- Investigating the impact of Laparoscopic Adjustable Gastric Banding (LAGB) on severe obesity patients.
- Assessing short-term and long-term physical, mental, and social Quality of Life (QoL).
Purpose of the Study:
- To evaluate the QoL outcomes following LAGB in patients with severe obesity.
- To understand the long-term effects of LAGB on physical, mental, and social well-being.
Main Methods:
- Cross-sectional study involving 250 patients with severe obesity.
- QoL assessment using questionnaires at baseline, 8-24 months post-LAGB, and 25-68 months post-LAGB.
- Comparison of QoL metrics between pre-surgery and post-surgery groups.
Main Results:
- Patients showed reduced weight and co-morbidities post-LAGB.
- Significant improvements in physical and psychological QoL dimensions were observed.
- Social QoL improved but remained below the age norm; no significant difference between early and late follow-up groups.
- Weight outcome correlations with QoL strengthened after 2 years.
Conclusions:
- LAGB offers a viable long-term solution for morbid obesity, improving both weight and QoL.
- Social QoL is a critical factor in obesity surgery outcomes, necessitating its inclusion in research.
- Longer follow-up, particularly for single patients, requires integrated interventions for weight and psychosocial factors.

