scholarly journals DEPRESSION, ANXIETY, AND BINGE EATING BEFORE AND AFTER BARIATRIC SURGERY: PROBLEMS THAT REMAIN

2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Graziela Aparecida Nogueira de Almeida RIBEIRO ◽  
Helenice Brizolla GIAPIETRO ◽  
Lídia Barbieri BELARMINO ◽  
Wilson SALGADO-JUNIOR
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Binge Eating ◽  
Public Service ◽  
Structured Interview ◽  
The Public ◽  
Elapsed Time ◽  
Before And After ◽  
Anxiety Depression ◽  
Binge Eating Scale

ABSTRACT Background: As the number of surgeries increases and the elapsed time of the realization increases as well, the postoperative evaluations would become increasingly necessary. Aim: To assess the psychological profile before and after surgery. Methods: Were evaluated 281 patients from the public service of bariatric surgery. In this study, 109 patients completed the evaluations before surgery (T0) and up to 23 months after surgery (T1); 128 completed the evaluations in T0 and between 24 months and 59 months after surgery (T2); and 44 completed the evaluations in T0 and 60 months after surgery (T3). A semi-structured interview, the Beck Depression Inventory (BDI), Beck Anxiety (BAI), and the Binge Eating Scale (BES) were used. Results: There was a higher prevalence of female (83%), patients with less than 12 years of education (83%), and patients who have a partner (64%). Analyzing all times of evaluation, regarding anxiety, depression, and binge eating, there was a reduction in all symptoms in T1, pointing to significant improvements in the first 23 months after surgery. Already, in T2 and T3, there was an increase in all indicators of anxiety, depression, and binge eating pointing to the transient impact of weight loss or bariatric surgery on these symptoms. Conclusions: This study shows the importance of the continuous psychological evaluation and needs for the appropriate interventions for these patients who have undergone bariatric surgery, even after weight loss.

scholarly journals PSYCHOLOGICAL PROFILE OF PATIENTS ELIGIBLE FOR BARIATRIC SURGERY

2016 ◽  
Vol 29 (suppl 1) ◽  
pp. 27-30 ◽  
Author(s):  
Graziela Aparecida Nogueira de Almeida RIBEIRO ◽  
Helenice Brizolla GIAMPIETRO ◽  
Lídia Barbieri BELARMINO ◽  
Wilson SALGADO-JÚNIOR
Keyword(s):  
Bariatric Surgery ◽  
Binge Eating ◽  
Average Score ◽  
Psychological Profile ◽  
Psychosocial Characteristics ◽  
The Mean ◽  
Low Levels ◽  
Using Data ◽  
Binge Eating Scale ◽  
To Receive

Abstract Background: The psychologist who works in bariatric surgery has a role to receive, evaluate, prepare and educate the patient who will undergo the surgical procedure. Psychological evaluation becomes important in so far as allows us to obtain data on personal and familiar history and allow tracing of possible psychopathology. Aim: To collect data on psychological evaluations of patients in a bariatric surgery service of a public hospital in order to describe the psychological profile of patients in this service. Method: Data were collected from 827 patients between 2001 and 2015, using data from an interview, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Binge Eating Scale (BES). Results: The mean age of patients before surgery was 39 years+/- 10, the mean BMI was 51 kg/m²+7, and most patients (81%) were female. The average score on the BDI was 14.8+8 and women had significantly higher scores than men. On the BAI the average score was 11+8 and on the ECAP was 14+8, both with no difference between groups. Conclusions: Psychosocial characteristics of the patients points to the significant presence of indicators of depression, with low levels of anxiety and binge eating.

scholarly journals Sleeve Gastrectomy vs. Fundus Resection in Bariatric Surgery (Animal Study)

2020 ◽  
Vol 21 (6) ◽  
Author(s):  
Alimohammad Bananzadeh ◽  
Seyed Vahid Hosseini ◽  
Hajar Khazraei ◽  
Mohammad Mehdi Lashkarizadeh ◽  
Leila Ghahramani ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Body Weight Loss ◽  
Test Results ◽  
Significant Difference ◽  
Before And After ◽  
Total Ghrelin ◽  
The Difference ◽  
High Level

Background: Bariatric surgery has resulted in body weight loss, which claimed by surgery removal specific parts of the stomach with enzyme or sleeve gastrectomy. Objectives: The aim of this study is to determine weight loss and endocrine changes by 12-week fundus resection and sleeve gastrectomy in rabbits. Methods: Twenty-one rabbits, weighing 2.5 - 3.5 kg, were divided into three groups (n = 7): sleeve gastrectomy, experimental fundus resection, and sham group. The weight of rabbits and total ghrelin and leptin levels in the plasma before and after surgery were measured in 12 weeks. Statistical analyses were performed using the Kruskal-Walis test for comparison of the means between the groups, and the difference after months in one group was assayed by Friedman test. Results: The results showed sleeve gastrectomy had a significant weight loss after one month when compared to fundus resection and sham-operated controls (P = 0.008). There was no significant difference in the ghrelin levels after these surgeries, but leptin levels decreased significantly after the fundectomy (P = 0.025). Conclusions: Sleeve gastrectomy is more efficient than the fundus resection in weight loss. It could be suggested as a new option in metabolic disorders due to the high level of leptin.

scholarly journals Quality of Life before and after Sleeve Gastrectomy in Lebanese Population

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Marwan Alkassis ◽  
Fady Gh Haddad ◽  
Joseph Gharios ◽  
Roger Noun ◽  
Ghassan Chakhtoura
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Sexual Pleasure ◽  
Life Questionnaire ◽  
Before And After ◽  
The Mean ◽  
The Impact

Introduction. Obesity is increasing worldwide and in Lebanon with a negative impact on the quality of life. The primary objective of this study is to measure the quality of life in obese subjects before and after bariatric surgery, depending on age, sex, and degree of weight loss. A secondary objective is to determine the impact of bariatric surgery on comorbidities associated with obesity. Materials and methods. Patients undergoing laparoscopic sleeve gastrectomy for BMI ≥ 30 kg/m2 between August 2016 and April 2017 were included. Participants completed the Moorehead-Ardelt Quality of Life Questionnaire II (MA II) prior to operation and one year after. Statistical analysis was carried out using SPSS statistics version 20.0. Results. 75 patients participated in the study. The majority were women (75%), and the mean age was 36.3 years. The mean weight loss was 36.57 kg (16–76). Initially, the total MA II score was −0.33 ± 0.93. Postoperatively, it increased to 1.68 ± 0.62 (p≤0.001). All MA II parameters improved after surgery (p≤0.001), but this improvement was independent of age and sex. Improvement in self-esteem, physical activity, work performance, and sexual pleasure was influenced by the degree of weight loss (p≤0.001). All comorbidities associated with obesity regressed significantly after sleeve gastrectomy (p<0.05) with the exception of gastroesophageal reflux and varicose veins of the lower limbs. Conclusion. Sleeve gastrectomy improves quality of life and allows reduction of comorbidities.

scholarly journals Psychological factors in reducing excess body weight after bariatric surgery

2019 ◽  
Vol 16 (3) ◽  
pp. 62-68
Author(s):  
Aleksandr E. Neimark ◽  
Shushanna A. Eganian ◽  
Maxim I. Galchenko
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Psychological Factors ◽  
Negative Impact ◽  
Psychological State ◽  
Excess Body Weight ◽  
Factors Affecting ◽  
Before And After ◽  
Statistical Programming ◽  
Treatment Of Obesity

BACKGROUND: The relevance of the problem of obesity today is not in doubt. One of the most effective treatments today is bariatric surgery. At the same time, the effectiveness of the surgical method is not always predictable, as it is influenced by various factors, including the psychological state of the patient. AIM: To study the psychological characteristics of patients with obesity before and after surgical (bariatric) treatment and to establish the relationship with weight loss. MATERIALS AND METHOD: The study involved 32 patients with morbid obesity before and a year after laparoscopic longitudinal resection of the stomach with an initial body mass index of 45.36 (+54.90; -33.00). Questionnaire used: Symptom Check List-90-R (L.R. Derogatis). Statistical data processing was carried out using the statistical programming language R. RESULTS: The presence or increase in the level of phobic anxiety (a persistent reaction of fear to certain people, situations and places) and psychotism (isolation, interpersonal isolation, avoidance) in a patient can have a negative impact on the success of weight loss in the postoperative period. CONCLUSIONS. The psychological factors affecting the prognosis of weight loss after bariatric surgery have been identified. Psychological testing and determining the patients psychotype can be predictive in improving the outcome of surgical treatment of obesity.

scholarly journals Nutritional Management in Bariatric Surgery Patients

2021 ◽  
Vol 18 (22) ◽  
pp. 12049
Author(s):  
Andrea Deledda ◽  
Stefano Pintus ◽  
Andrea Loviselli ◽  
Michele Fosci ◽  
Giovanni Fantola ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Life Expectancy ◽  
Diabetes Remission ◽  
Lifestyle Changes ◽  
Nutritional Deficiencies ◽  
Obesity Epidemic ◽  
Sustained Weight Loss ◽  
Before And After ◽  
Reduce Life Expectancy

The obesity epidemic, mainly due to lifestyle changes in recent decades, leads to serious comorbidities that reduce life expectancy. This situation is affecting the health policies of many nations around the world. Traditional measures such as diet, physical activity, and drugs are often not enough to achieve weight loss goals and to maintain the results over time. Bariatric surgery (BS) includes various techniques, which favor rapid and sustained weight loss. BS is a useful and, in most cases, the best treatment in severe and complicated obesity. In addition, it has a greater benefit/risk ratio than non-surgical traditional therapies. BS can allow the obese patient to lose weight quickly compared with traditional lifestyle changes, and with a greater probability of maintaining the results. Moreover, BS promotes improvements in metabolic parameters, even diabetes remission, and in the quality of life. These changes can lead to an increase of life expectancy by over 6 years on average. The nutrition of people before and after BS must be the subject of indications from a trained staff, and patients must be followed in the subsequent years to reduce the risk of malnutrition and the associated problems. In particular, it is still debated whether it is necessary to lose weight prior to surgery, a procedure that can facilitate the surgeon’s work reducing the surgical risk, but at the same time, lengthens preparation times increasing the risks associated with concomitant pathologies. Furthermore, preventing nutritional deficiencies prior to the intervention can improve the results and reduce short- and long-term mortality.

scholarly journals “Break the Corruption Chain: The Philippine Anti-Corruption Initiatives”

2020 ◽  
Vol 5 (8) ◽  
pp. 1365-1369
Author(s):  
Anthony John A. Jimenez
Keyword(s):  
Qualitative Research ◽  
Public Service ◽  
Civil Service ◽  
Good Governance ◽  
Public Trust ◽  
Structured Interview ◽  
The Public ◽  
The Status ◽  
Service Commission ◽  
Philippine Government

Every government seeks to build a public service having the value of excellence and with integrity. Thus, every government should wish to constantly maintains the standard of “a public office is a public trust,” for that being said, they started various programs or initiatives specifically to curb or combat the problem of corruption in our society and encourage good governance and public thrust. This study wants to assess the implementation and monitoring of the different anti-corruption initiatives to promote good governance and enhance public trust. The problem being investigated is the effort of the Philippine Government in the implementation, and monitoring of different anti-corruption initiatives. Expressly, it ought to collect particular answer to the following question: (1) What is the status of the anti-corruption initiatives of the Philippine Government in terms of: 1.1. Implementation; and 1.2. Monitoring. The methodology used was a qualitative research. 10 respondents were chosen from the Philippine civil service commission. A semi-structured interview was utilized. The findings of the study show that the commission is continuously improving its procedure and conducting surprise visit to its satellite office to ensure the public trust, also these anti-corruption initiatives are being monitored to give an assurance to the public that they continuously provide quality, effective, and efficient public service to everyone.

Binge eating scores pre-bariatric surgery and subsequent weight loss: A prospective, 5 years follow-up study

2020 ◽  
Vol 38 ◽  
pp. 146-152
Author(s):  
Natalia Luiza Kops ◽  
Manoela Astolfi Vivan ◽  
Mariana L. Dias de Castro ◽  
Jaqueline D. Correia Horvath ◽  
Fabiana Silva Costa ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Binge Eating ◽  
Follow Up Study
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