Effects of dance therapy after gastric bypass on quality of life, self-esteem and self-assessment of body size

2019 ◽  
Vol 11 (1) ◽  
pp. 10207
Author(s):  
Solange Muller-Pinget ◽  
Gregoire Lagger ◽  
Florence Somers ◽  
Lara Allet ◽  
Alain Golay
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Body Size ◽  
Dance Therapy ◽  
Body Esteem ◽  
Self Esteem ◽  
The Body ◽  
Self Assessment

Introduction: In order to motivate patients who have undergone bariatric surgery to take care of themselves and reconstruct their self-image, it proves essential to help them to focus on the body-subject (perceptual and affective sensory feelings). Aim: The aim of this study is to analyze the impact of dance therapy on the patient’s experience of the body, self-esteem, and body esteem, as well as on quality of life and self-assessment of body size after gastric bypass and weight stabilization. Methods: Eleven patients participated in a dance therapy program for 90 minutes per week over 18 weeks. The effects on self-esteem, quality of life, body esteem and body image were measured using self-questionnaires. Results: The results after dance therapy showed an improvement in quality of life p < 0.000. Body esteem and self-esteem improved significantly (p < 0.000). However, a divergence remains, or may even be larger, between actual BMI and self-assessment of body size after gastric bypass, even in patients who are no longer obese after the bariatric surgery. Conclusion: After 18 weeks of dance therapy, patients who attended a patient education preparation course and underwent gastric bypass develop a perception of their experienced body that enables them to significantly improve their quality of life, self-esteem, and body esteem.

scholarly journals Body as subject, body as object: how treatment of the obese patient can be improved by dance therapy

2018 ◽  
Vol 10 (2) ◽  
pp. 20203 ◽  
Author(s):  
Solange Muller-Pinget ◽  
Lara Allet ◽  
Alain Golay
Keyword(s):  
Quality Of Life ◽  
Dance Therapy ◽  
Self Esteem ◽  
The Body ◽  
Therapeutic Education ◽  
Control Group ◽  
Obese Patients ◽  
Self Perception ◽  
Female Patients

Objectives: To give obese patints the motivation to take care of themselves. To help them focus on self perception rather than on their figure and BMI. This study aimed to analyze the impact of dance therapy on the body as subject as experienced by the patient. Methodology: After randomization, 27 female patients undertook a dance therapy program for 16 weeks and were compared against a control group of 19 female patients. The effects on conscious walking, posture, self-esteem and quality of life were measured using questionnaires on self-perception of posture, walk, self-esteem and quality of life. Results: The results after dance therapy showed significant improvement in the body as subject (posture p < 0.02; conscious walking p < 0.001; quality of life p < 0.01; body esteem p < 0.003; and sense of self-worth p < 0.005). The results for the control group had not changed after 16 weeks. Conclusion: after 4 months of dance therapy, obese patients developed a perception of a “body as subject they experience”, which led them to significantly improve their self-esteem and quality of life. Practice implications: Dance therapy should be incorporated into therapeutic education programs to improve the perceptive dimension of our obese patients.

scholarly journals Does Bariatric Surgery Improve Faecal Incontinence? A Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Fardowsa Mohamed ◽  
Megna Jeram ◽  
Christin Coomarasamy ◽  
Melanie Lauti ◽  
Don Wilson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Faecal Incontinence ◽  
Meta Analysis ◽  
One Anastomosis Gastric Bypass ◽  
Significant Difference ◽  
Post Bariatric Surgery

Abstract Introduction Obesity increases the risk of pelvic floor disorders in individuals with obesity, including faecal incontinence. Faecal incontinence (FI) is a condition with important clinical and psychosocial consequences. Though it is associated with obesity, the effect of bariatric surgery on the prevalence and severity of FI is not well reported. Objective To assess the effect of bariatric surgery on the prevalence and severity of FI in adult patients with obesity. Methods This systematic review was conducted in accordance with the PRISMA statement. Two independent reviewers performed a literature search in MEDLINE, PubMed, Cochrane and Embase from 1 January 1980 to 12 January 2019. We included published English-language randomized control trials and observational studies assessing pre- and post-bariatric surgery prevalence or severity of FI. Random-effects models with DerSimonian and Laird’s variance estimator were used for meta-analysis. Results Thirteen studies were included, eight assessing prevalence (678 patients) and 11 assessing severity of FI (992 patients). There was no significant difference in prevalence post-operatively overall, though it trended towards a reduction [pooled OR=0.55; =0.075]. There was a significant reduction of FI prevalence in women post-bariatric surgery [95% CI 0.22 to 0.94, p=0.034]. There was a statistically significant reduction in FI prevalence following Roux-en-Y gastric bypass and one anastomosis gastric bypass [0.46, 95% CI 0.26 to 0.81; p=0.007]. There was no significant reduction of incontinence episodes post-operatively [pooled mean difference =−0.17, 95% CI −0.90 to 0.56; p=0.65]. Quality of life (QOL) was not significantly improved post-bariatric surgery [mean differences for the following facets of QOL: behaviour −0.35, 95% CI −0.94 to 0.24; depression 0.04, 95% CI −0.12 to 0.2; lifestyle −0.33, 95% CI −0.98 to 0.33; p values of 0.25, 0.61 and 0.33, respectively]. Discussion There was a significant reduction in FI prevalence in women and those who underwent Roux-en-Y or one anastomosis gastric bypass. Our results for FI prevalence overall, FI severity and impact on quality of life were not statistically significant. Larger studies are needed in this under-researched area to determine the true effect of bariatric surgery on FI. Graphical abstract

scholarly journals Long-Term Quality of Life Outcomes After Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—a Comparative Study

2020 ◽  
Author(s):  
Cristina Fiorani ◽  
Sophie R. Coles ◽  
Myutan Kulendran ◽  
Emma Rose McGlone ◽  
Marcus Reddy ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Metabolic Effects ◽  
Life Outcomes ◽  
Post Bariatric Surgery ◽  
Comorbidity Resolution

Abstract Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have been shown to improve metabolic comorbidities as well as quality of life (QoL) in the obese population. The vast majority of previous studies have investigated the metabolic effects of bariatric surgery and there is a dearth of studies examining long-term QoL outcomes post bariatric surgery. The outcomes of 43 patients who underwent bariatric surgery were prospectively assessed, using BAROS questionnaires to quantify QoL and metabolic status pre-operatively, at 1 year and at 8 years. Total weight loss and comorbidity resolution were similar between RYGB and SG. The RYGB cohort experienced greater QoL improvement from baseline and had higher BAROS scores at 8 years. RYGB may provide more substantial and durable long-term benefits as compared to SG.

Psychological recommendations in the massive weight loss for patients after bariatric surgery in public service outpatient in Southeast Brazil

2011 ◽  
Vol 26 (S2) ◽  
pp. 732-732 ◽  
Author(s):  
R. Magdaleno ◽  
E.A. Chaim ◽  
E.R. Turato ◽  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Self Esteem ◽  
Massive Weight Loss ◽  
Emotional Experiences ◽  
Psychosocial Counselling ◽  
Psychological Difficulties ◽  
Psychological Evolution ◽  
Results Of Surgery

IntroductionBariatric surgery is a procedure that results in a complex network of emotional experiences. One of the objectives of surgery is to bring about an improvement in the quality of life. Many patients fail because of psychological difficulties, a fact that reinforces the need for specific studies on the psychological dynamic.Objectiveto understand the meanings for patients when undergoing bariatric surgery.MethodClinical-qualitative method.ResultsThe main emotional experiences are social re-insertion, personal acceptance, the risk of disillusion with the results of surgery, recovery of self esteem, improvement in quality of life and in body image.ConclusionsIt is important to identify those aspects of a patients’ psychological make-up which would be expected to improve or worsen their prognosis, and to provide the necessary pre- and post-operative psychosocial counselling. We offer some markers to assist the health professionals, which will allow an appropriate psychosocial plan to be developed and help the health team to identify factors that may affect prognosis. We propose some recommendations for a better psychological evolution: psychotherapy focusing on improving self-esteem; identifying feelings of shame related to a greater exposure; identifying how patients deal with feelings of competitiveness, envy and jealousy; assessing if obesity has defensive function; providing realistic parameters with regards the results of surgery; distinguishing between realistic necessity for plastic surgery and unreal expectations; observation of deviations to other compulsions; acceptance of skin folds and scars; clarifying the misunderstanding between emotional and physical hunger; confidence in own ability to adopt new behavioural models.

scholarly journals Longitudinal assessment of the quality of life of patients after gastric bypass

2020 ◽  
Author(s):  
DEISE SILVA DE MOURA ◽  
LUCIANA DAPIEVE PATIAS ◽  
NATHALY MARIN HERNANDEZ ◽  
RAQUEL PIPPI ANTONIAZZI ◽  
GLAUCO DA COSTA ALVAREZ ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Sf 36 ◽  
Wide Range ◽  
The Impact

Abstract Background Bariatric surgery is currently considered an effective way to lose weight after failure in the clinical treatment over a 2-year period. Severe obesity is associated with a wide range of serious health complications and reduced health-related quality of life and throughout its context has a significant impact on the health, longevity and quality of life of individuals. The objective of this study was to monitor the impact of weight reduction, induced by bariatric gastric bypass surgery, on the quality of life of pre and post-operative patients at 1, 2 and 6 months. Methods Longitudinal observational study conducted from December 2016 to October 2017 in southern Brazil. The convenience sample consisted of 104 obese individuals eligible to undergo bariatric gastric bypass surgery. The quality of life evaluation was performed using the SF-36 self-administered questionnaire (The Medical Outcomes Study Short Form Health Survey). Results Obese patients presented significant weight loss after surgery and in the evaluation of quality of life the mean scores of the 8 domains of the SF-36 obtained a significant improvement (p <0.001) between time 0 and 6, as well as the components of mental health (vitality, social aspects, emotional aspects and mental health) and physical health component (functional capacity, physical aspects, pain and general state of health). Conclusions Patients who underwent gastric bypass bariatric surgery had significant improvements in quality of life during the 6 postoperative months.

scholarly journals KUALITAS HIDUP PEREMPUAN MENOPAUSE

2012 ◽  
Vol 11 (2) ◽  
pp. 1
Author(s):  
Anggia Kargenti Evanurul Marettih
Keyword(s):  
Quality Of Life ◽  
Self Esteem ◽  
The Body ◽  
Self Concept ◽  
Reproductive Disorders ◽  
Emotional Instability ◽  
Estrogen Production ◽  
Menopausal Women ◽  
The Individual

Menopausal problems related to physical and psychological aspects. Physical aspects, declining estrogen production leading to many reproductive disorders such as irregular menstruation (3-4 years before menopause), blooding to vasomotor disturbances that can affect the activities of women experiencing menopause. Psychological, menopausal women will experience emotional instability, along with concerns that might occur in the body with the end of her menstrual period. Emotional stability will be gained back once they get good information about the menopause. Positive self-concept as well as the support given by family and friends will be able to improve the quality of life for postmenopausal women. Consistency of self-concept will increase harmonization within the individual, which in turn will increase the happiness of individuals. Individual's quality of life will improve when there is an integration between self-esteem, self-concept, self-acceptance as well as the individuals of understanding and addressing the problems of life.

scholarly journals IMPACT ON QUALITY OF LIFE, WEIGHT LOSS AND COMORBIDITIES: a study comparing the biliopancreatic diversion with duodenal switch and the banded Roux-en-Y gastric bypass

2014 ◽  
Vol 51 (4) ◽  
pp. 320-327 ◽  
Author(s):  
Maria Ignez Xavier de Toledo DUARTE ◽  
Debora Pastore BASSITT ◽  
Otávio Cansanção de AZEVEDO ◽  
Jaques WAISBERG ◽  
Nagamassa YAMAGUCHI ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Sexual Interest ◽  
Control Group ◽  
Sf 36 ◽  
Significant Difference ◽  
Different Types

Context Few studies have evaluated the results of different types of bariatric surgery using the Medical Outcome Study 36 - Health Survey Short-Form (SF-36) quality of life questionnaire, the Bariatric and Reporting Outcome System (BAROS) and the reviewed Moorehead-Ardelt Quality of Life II Questionnaire (M-A QoLQ II) that is part of BAROS. The Roux-en-Y gastric bypass (RYGB) is the most common morbid obesity surgery worldwide. However, there is evidence indicating that a biliopancreatic diversion with duodenal switch (DS) is more effective than RYGB in weight loss terms. Objectives To evaluate the impact of different types of bariatric surgery on quality of life, comorbidities and weight loss. Methods Two groups of patients who underwent bariatric surgery conventional Banded Roux-en-Y gastric bypass (BRYGB) or DS were evaluated through monitoring at 12 to 36 months after surgery, as well as a control group of obese patients who had not undergone surgery. The tools used for this were SF-36, BAROS and M-A QoLQ II. The DS group consisted of 17 patients and the BRYGB group consisted of 20. The control group comprised 20 independent, morbidly obese individuals. Results The mean age of the patients in the groups was 45.18 in the DS group, 49.75 in the BRYGB group and 44.25 in the control group, with no significant difference. There was no difference in the ratio of men to women in the groups. The patients that had surgery showed a significant improvement in all domains of quality of life vs the control group. Comparing the two groups that underwent surgery, the DS group achieved better quality of life results in terms of “general state of health” and “pain”, according to responses to the SF-36 tool, and in terms of “sexual interest”, according to responses to the M-A QoLQ II tool. There was no significant difference among the three groups regarding the ratio of occurrence of comorbidities. In the groups that had surgery, the resolution of comorbidities was similar. The final classification according to the BAROS Protocol was excellent for the DS group and very good for the BRYGB group, with a statistical difference in favor of the DS group (P = 0.044*). There was no difference in the percentages of excess weight loss between the DS group (82.1%) and the BRYGB group (89.4%) (P = 0.376). Conclusions A comparison of the performance of the groups, which were monitored from 12 to 36 months after surgery, showed that the two types of surgery are effective to improve quality of life, comorbidities and weight loss. The DS surgery produced better results in the quality of life evaluations regarding 2 of 8 domains according to the SF-36, and “sexual interest” according to the M-A QoLQ II. In the groups that had surgery, the patients showed high rates of comorbidity resolution. Weight loss was similar for the two surgical groups.

scholarly journals Aesthetic resources applied to burns: literature review.

2014 ◽  
Vol 12 ◽  
pp. 170
Author(s):  
Érica Pierini ◽  
Flávia Fernanda de Oliveira Assunção
Keyword(s):  
Quality Of Life ◽  
Self Esteem ◽  
The Body ◽  
Burn Injuries ◽  
Cellular Injury ◽  
Local Response ◽  
Vasoactive Agents ◽  
Complete Destruction ◽  
The Subject

Introduction: Burns are injuries to the tissue lining of the body, caused by thermal, chemical, electrical or radioactive agents, which may totally or partially destroying the skin and its annexes, and to reach deeper layers as muscles, tendons and bones. The local response to cellular injury include the release of vasoactive agents (histamine, serotonin, bradykinin, prostaglandins, leukotrienes, platelet activating factors) and an immediate increase in osmolarity of the interstitial being classified into first, second, third and fourth grade (electrical burn ) which involves the complete destruction of all tissues, the specific injury takes varying proportions, depending on the exposure time and the type of the causative agent, the extent and depth of the damaged area. Objective: To investigate and gather through literature Bibliographic aesthetic features that help in the prevention and improvement of sequelae caused by burn injuries. Method: This is a search for bibliographic and descriptive review, consisting of scientific articles and books on the subject aesthetic resources for ‘‘burn injuries’’. The realization of this research was carried out by consulting the papers, looking for topics as ''burn'' and ''aesthetic resources for burn injuries''. To survey the material searches were conducted through the portals: SCIELO; UNIFIA; HSVP; FACISA; ASSETS and PORTALBIOCURSOS and with cross between the words:Burns, injuries and aesthetic resources. Results: eight articles and fifteen books including twenty-three references in this research, published between 1967-2010 found. Ultrasound, manual therapies, Electro resources (Microcurrent, Transcutaneous electrical nerve termination, excitomotor current) and laser therapy: Among the four studies aesthetic features which have good results when applied to burn injuries, they being found. Conclusions: The findings contribute to the understanding and application of aesthetic resources in burn injuries, in order to improve the quality of scars, skin suppleness, increasing self-esteem and quality of life.

IMPACT OF STRABISMUS SURGICAL CORRECTION ON QUALITY OF LIFE IN THE PATIENTS ADMITTED IN DR. M.K. SHAH MEDICAL COLLEGE AND RESEARCH CENTRE, AHMEDABAD

2021 ◽  
pp. 60-62
Author(s):  
Bhumika N Shah ◽  
Kunal G Patel ◽  
Romil N Patel
Keyword(s):  
Quality Of Life ◽  
Interpersonal Relationships ◽  
Bodily Pain ◽  
Self Esteem ◽  
Strabismus Surgery ◽  
Surgical Correction ◽  
Research Centre ◽  
Self Assessment ◽  
Medical College

Background: Patients with strabismus often suffer from several psychosocial and emotional consequences. Strabismus surgery address both the functional and psychosocial complaints as both these parameters affect patients' quality of health. Aims &objectives: To assess change in quality of life after surgical correction Methodology: This prospective study was conducted among 50 patients who underwent strabismus surgery at the Ophthalmology Department of Dr. M.K. Shah Medical College and Research Centre, Ahmedabad. Information regarding selfesteem, self-condence, self-assessment of intelligence, effect on employment options, and interpersonal relationships. Quality of life was measured through SF-8 questionnaire. Assessment was done preoperatively and at three months after surgery for any change in these parameters. Results: Mean age of 37.2 ± 10.2 years were enrolled. About 58.0% were female. Only 5 out of 50 (10.0%) experienced preoperative diplopia. Majority of the patients responded that strabismus caused embarrassment (86.0%), trouble in eye contact (86.0%), negative self-esteem (80.0%), camouage (70.0%). After surgery, 49 (98.0%) patients were satised. Improvement in self-esteem, ability to meet new people, relationship and employment, were reported by 43 (86.0%), 31 (62.0%), 12 (24.0%) and 5 (10.0%) and patients. SF-8 scores subscales (except bodily pain, vitality, role emotional subscales) were statistically signicant differences (P<0.05). The average postoperative utility value was 0.86 ± 0.23 with gain of 0.12 ± 0.14 gain. Conclusion: Patients with strabismus have psychosocial difculties. Strabismus corrective surgery causes signicant psychosocial and functional benets and improve the quality of life.

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