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Body Image and Weight Loss Outcome After Bariatric Metabolic Surgery: a Mixed Model Analysis
Dennis J S Makarawung1,2, Phillip J Dijkhorst3, Claire E E de Vries3
1Department of Surgery, St. Antonius Hospital, Koekoekslaan 1, 3435, CM, Nieuwegein, the Netherlands. d.makarawung@antoniusziekenhuis.nl.
Obesity Surgery
|June 24, 2023
Summary
Body image improves after bariatric surgery, but declines over time. While initial body image impacts early weight loss, it doesn't affect long-term outcomes, highlighting the need for ongoing quality of life assessments.
Area of Science:
- Metabolic and Bariatric Surgery
- Psychological Impact of Surgery
- Longitudinal Health Outcomes
Background:
- Body image is a significant factor influencing weight loss outcomes in nonsurgical populations.
- Understanding the role of body image in post-bariatric surgery weight loss is crucial for patient management.
Purpose of the Study:
- To prospectively assess the association between body image and weight loss up to 3 years after bariatric metabolic surgery.
- To determine if baseline body image or changes in body image predict weight loss trajectories.
Main Methods:
- Utilized the BODY-Q self-report questionnaire to measure body image.
- Employed linear mixed models to analyze associations between body image and weight loss at different time points (1-year and 12-36 months post-surgery).
Main Results:
- Body image scores significantly improved up to 12 months post-surgery, then gradually declined but remained improved compared to baseline.
- Higher baseline body image was associated with slightly less weight loss in the first year (trivial effect size).
- Body image and its changes were not significantly associated with weight loss between 12 and 36 months post-surgery.
Conclusions:
- Bariatric surgery leads to initial improvements in body image, followed by a gradual decline.
- While body image changes are not clinically associated with long-term weight loss, their decline underscores the need for continuous quality of life monitoring.
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