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Experienced Weight Stigma Changes Following Bariatric Surgery: a Systematic Review and Meta-Analysis
Hannah R Farnsworth1, Dakota L Leget2, Lara J LaCaille3
1Department of Physical Medicine and Rehabilitation, University of Utah Health, Salt Lake City, Utah, USA.
Summary
Weight stigma significantly decreases after metabolic bariatric surgery (MBS). However, presurgical weight stigma does not impact post-MBS weight loss outcomes. Further research is needed on long-term effects.
Area of Science:
- Obesity research
- Psychological impacts of weight
Background:
- Weight stigmatization is linked to negative health outcomes, including maladaptive eating and increased weight gain.
- It may also affect outcomes following metabolic bariatric surgery (MBS).
Purpose of the Study:
- To synthesize patient experiences of weight stigmatization before and after MBS.
- To examine the association between presurgical weight stigma and postsurgical weight loss.
Main Methods:
- A meta-analysis following PRISMA guidelines was conducted.
- Data from 41 studies quantitatively measuring presurgical weight stigma in MBS patients were analyzed.
- Random effects models were used to calculate effect sizes.
Main Results:
- Weight stigmatization significantly decreased 6-36 months after MBS (g = 1.16-1.28).
- Presurgical weight stigma showed no association with post-MBS weight loss (r = 0.05).
Conclusions:
- Metabolic bariatric surgery leads to substantial reductions in experienced weight stigma.
- Presurgical weight stigma is not a predictor of weight loss success after MBS.
- More research is needed on long-term associations between stigma, weight loss, and other health outcomes.
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