scholarly journals Towards Precision Health in Weight Reduction: Thematic Content Analysis of an Open-Ended Survey on Reasons Why Morbidly Obese Patients Want to Lose Weight.

2020 ◽  
Author(s):  
Mazapuspavina Md-Ya ◽  
Ilham Ameera Ismail ◽  
Khasnur Abd Malek ◽  
Khalid Yusoff ◽  
Awang Bulgiba
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Content Analysis ◽  
Weight Reduction ◽  
Extensive Study ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
The Impact

Abstract Background: Addressing individuals’ motivation to lose weight among patients with morbid obesity is an essential entity in weight reduction. Failures to shift motivation into weight loss actions are common. These could be contributed by the inadequacy to identify and subsequently address the key reasons, that are of particular concern to the patient' individual needs. We aimed to understand the motivations better and identify the reasons why morbidly obese patients attending hospital-based weight management programmes (WMP) wanted to lose weight. Methods: The study used a qualitative approach to analyze part of a quantitative questionnaire of a more extensive study to understand factors influencing weight loss among morbidly obese patients. We used thematic content analysis to analyze responses from a self-administered open-ended question "What is the main factor why you want to lose your weight?”. A total of 225 new patients attending obesity clinics in two tertiary hospitals responded to the questionnaire. Results: Patients’ mean BMI was 45.6±8.05 kg/m2. Four themes emerged for the reasons why morbidly obese patients wanted to lose weight. Health was the most commonly inferred theme (84%). Patients were concerned about the impact obesity had on their health. Overcoming obesity was seen as a reward not just for physical health, but also for their psychological wellbeing. Patients regard being functional to care for themselves, their family members, as well as their religious and career needs as the next most crucial theme (25.8%). Patients raised the theme appearance (12.9%), especially with regards to wanting to look and feel beautiful. The last theme was perceived stigmatization for being morbidly obese as they were mocked and laughed at for their appearance (3.1%).Conclusion: Patients with morbid obesity in this study had expressed their main personal motivational reasons to lose weight. Concerns about the impact of morbid obesity on health, physical, social and obligatory function, appearance and perceived stigma warrant detailed exploration by the managing health professionals. Identifying and addressing these unique personal motivations in a focused approach is vital at the beginning and throughout a weight reduction program in this unique group.

scholarly journals Separation and loss: A study on the impact of divorce

2016 ◽  
Vol 10 (supp1) ◽  
pp. 3-9 ◽  
Author(s):  
Janaina Andrade Tenório Araújo ◽  
Albenise de Oliveira Lima
Keyword(s):  
Content Analysis ◽  
Personal Identity ◽  
Critical Period ◽  
Structured Interview ◽  
Men And Women ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
Affective Bond ◽  
The Impact

This article emerged starting of a search that had as aimed to understand the feelings that emerge in men and women when they lose marital bond. It was carried under a qualitative basis and counted on the participation of three men and four women, all divorced. The tool used was the semi-structured interview and the collected data was submitted to the Thematic Content Analysis. This analysis led to the conception of two categories: the emerging emotions and feelings in the loss context due to the divorce and the repercussions of such loss about the personal identity. The results indicated that searching and establishing a new affective bond was a strategy used by the participants involved in the study, in order to strengthen and support the resignification of their personal identity. The majority of the interviewees earned such resignification by becoming independent and capable of developing their own potentialities. About the feelings and emotions lived through the critical period of separation; they ranged from “happiness and peace” to “failure and sadness”.

The Impact of Weight Reduction Surgery on Health-Care Costs in Morbidly Obese Patients

2004 ◽  
Vol 14 (7) ◽  
pp. 939-947 ◽  
Author(s):  
John S. Sampalis ◽  
Moishe Liberman ◽  
Stephane Auger ◽  
Nicolas V. Christou
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Weight Reduction ◽  
Morbidly Obese ◽  
Obese Patients ◽  
The Impact ◽  
Care Costs

scholarly journals Baseline serum folate level may be a predictive factor of weight loss in a morbid-obesity-management programme

2006 ◽  
Vol 96 (5) ◽  
pp. 956-964 ◽  
Author(s):  
J. J. Gorgojo Martínez ◽  
F. Almodóvar Ruiz ◽  
S. Donnay Candil
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Medical Management ◽  
Management Programme ◽  
Serum Folate ◽  
Successful Outcome ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Obesity Management

Prompt identification of responders to non-surgical therapy is of utmost importance in attempting medical treatment in patients with clinically severe obesity before indication of bariatric surgery. The objectives of the present study were to assess the outcome at 1 year of morbidly obese patients undergoing a weight-loss medical programme and to detect baseline predictors of a loss ≥10 % of initial weight at the end of the follow-up. A longitudinal, prospective study of a cohort of morbidly obese patients (n 182; females 78 %; age 40·5 (sd 11·5) years; BMI 45·4 (sd 6·0) kg/m2) enrolled in a 1-year obesity-management programme based on lifestyle changes and pharmacological therapy. Significant laboratory and clinical variables were included in a binary logistic regression model in order to identify baseline independent factors for the prediction of a successful outcome in the programme. At 12 months of follow-up, twenty-one subjects (11·5 % of the initial cohort) had lost ≥10 % of baseline weight. A high serum folic acid level was the only independent predictor of weight loss at 1 year. A rise of 1 ng/ml in serum folate increased the chance of success by 28 % (adjusted odds ratio 1·28; 95 % CI 1·04, 1·58). We concluded that a medical-management programme of morbid obesity obtained limited results at 1 year, in agreement with other intervention studies. Serum folate may be useful as a pre-treatment predictor of response to a medical-management programme in patients with morbid obesity. Patients with low basal serum folate levels probably should be urged to change unhealthy eating patterns.

scholarly journals The Impact of Morbid Obesity on the Health Outcomes of Hospital Inpatients: An Observational Study

2021 ◽  
Vol 10 (19) ◽  
pp. 4382
Author(s):  
Kellie Fusco ◽  
Campbell Thompson ◽  
Richard Woodman ◽  
Chris Horwood ◽  
Paul Hakendorf ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Health Outcomes ◽  
Clinical Outcomes ◽  
Length Of Hospital Stay ◽  
P Value ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Hospitalised Patients ◽  
Nutritional Data ◽  
The Impact

Morbid obesity poses a significant burden on the health-care system. This study determined whether morbid obesity leads to worse health-outcomes in hospitalised patients. This retrospective-study examined nutritional data of all inpatients aged 18–79 years, with a body-mass-index (BMI) ≥ 18.5 kg/m2 admitted over a period of 4 years at two major hospitals in Australia. Patients were divided into 3 groups for comparison: normal/overweight (BMI 18.5–29.9 kg/m2), obese (BMI 30–39.9 kg/m2) and morbidly-obese (BMI ≥ 40 kg/m2). Outcome measures included length-of-hospital-stay (LOS), in-hospital mortality, and 30-day readmissions. Multilevel-mixed-effects regression was used to compare clinical outcomes between the groups after adjustment for potential confounders. Of 16,579 patients, 1004 (6.1%) were classified as morbidly-obese. Morbidly-obese patients had a significantly longer median (IQR) LOS than normal/overweight patients (5 (2, 12) vs. 5 (2, 11) days, p value = 0.012) and obese-patients (5 (2, 12) vs. 5 (2, 10) days, p value = 0.036). After adjusted-analysis, morbidly-obese patients had a higher incidence of a longer LOS than normal/overweight patients (IRR 1.04; 95% CI 1.02–1.07; p value < 0.001) and obese-patients (IRR 1.13; 95% CI 1.11–1.16; p value < 0.001). Other clinical outcomes were similar between the different groups. Morbid obesity leads to a longer LOS in hospitalised patients but does not adversely affect other clinical outcomes.

The Impact of Social Networking Sites (SNSs)-facilitated electronic Word-of-Mouth (eWOM) on Parental Feeding Practices in Thai Millennial Parents: A Study Protocol (Preprint)

2019 ◽  
Author(s):  
Abhirat Supthanasup ◽  
Cathy Banwell ◽  
Matthew Kelly ◽  
Vasoontara Yiengprugsawan ◽  
Jennifer Davis
Keyword(s):  
Content Analysis ◽  
Social Networking ◽  
Survey Data ◽  
Social Networking Sites ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
Parental Feeding Practices ◽  
Parental Feeding ◽  
Healthy Diets ◽  
The Impact

BACKGROUND Social Networking Sites (SNSs) have become a global phenomenon that can provide opportunities for health communication. Thailand’s social media statistics indicate that millennials, who are now of childbearing age, spend more time on the Internet than any other demographic group. How this emerging online community influences Thai millennial parents’ food provisioning for young children, requires investigation. Thai children’s diets are of concern as Thai children have had high levels of malnutrition in the past, and recently, overweight and obesity has become a problem. OBJECTIVE This paper explains a protocol applied in a mixed-methods study with five objectives: (1) to describe the prevalence and characteristics of the users of SNSs about healthy diets for children in Thailand; (2) to investigate the association between the participation on these sites and parents’ perceptions and parental feeding practices; (3) to qualitatively evaluate the content of communication in SNSs communities dedicated to healthy diets for children; (4) to determine whether sampled shared food recipes on these sites provide appropriate nutritionally balanced recipes for the targeted age range; and (5) to explore Thai parents’ perceptions about joining these sites. METHODS This study employs a sequential-explanatory design which begins with a quantitative survey to describe patterns of SNS usage and then applies qualitative inquiry to further explain and interpret these patterns. Quantitative survey data has been collected and analysed to answer objective 1 and 2. Thematic content analysis will be conducted to address objective 3 and 4, and to offer greater insight into the nature of the posts on healthy diets for children-SNSs. The results from both the survey and thematic content analysis will be used as a guide for in-depth semi-structured interviews with Thai parents to address objective 5. RESULTS Survey data collection has been conducted to provide evidence of whether healthy diets for children-SNSs are an emerging phenomenon for social influence in Thai society. The result will be published in 2020. Qualitative analysis is planned to provide a rich understanding of the parents’ concern, the information needs, attitudes, and perceptions around participating in healthy diets for children-SNSs. Results will be reported in subsequent years. CONCLUSIONS SNSs may be a new mechanism for providing information and support for Thai millennial parents about healthy diets for children. The results will generate a picture of the impact of SNSs on the way that Thai millennial parents feed their children to help guide practice and policy among healthcare professionals to better harness this existing online platform more effectively.

scholarly journals The Impact of Hypertension and Metabolic Syndrome on Nitrosative Stress and Glutathione Metabolism in Patients with Morbid Obesity

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Barbara Choromańska ◽  
Piotr Myśliwiec ◽  
Magdalena Łuba ◽  
Piotr Wojskowicz ◽  
Hanna Myśliwiec ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Morbid Obesity ◽  
Nitrosative Stress ◽  
Glutathione Metabolism ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Oxidized Glutathione ◽  
Metabolic Disturbances ◽  
No Formation ◽  
The Impact

In this pathbreaking study, we evaluated nitrosative stress in morbidly obese patients with and without metabolic syndrome. 62 women with class 3 obesity (BMI>40 kg/m2) were divided into three subgroups: obese patients (OB), obese patients with hypertension (OB+HYP), and obese patients with metabolic syndrome (OB+MS). In comparison to the lean patients, OB had increased levels of serum myeloperoxidase (MPO), plasma nitric oxide (NO), S-nitrosothiols, and peroxynitrite (ONOO−), as well as nitrotyrosine, while oxidized glutathione (GSSG) rose only in OB+HYP group. Interestingly, ONOO− was significantly higher in OB+HYP and OB+MS as compared to OB group, while MPO only in OB+MS group. OB+MS had greater nitrotyrosine and S-nitrosothiol values than OB+HYP. Moreover, peroxynitrite could differentiate OB from OB+HYP and OB+MS (AUC 0.9292; p<0.0001; 87.5% sensitivity, 90% specificity) as well as between OB and OB+MS group (AUC 0.9125; p<0.0001; 81.25% sensitivity, 83.33%). In conclusion, we showed that MPO activity, NO formation, and nitrosative damage to proteins parallel the progression of metabolic disturbances of obesity. Evaluation of ONOO− concentrations may help predict the development of hypertension and metabolic syndrome in patients with morbid obesity; however, longer-term studies are required for larger numbers of patients.

scholarly journals Outcomes of Biliointestinal Bypass among Iranian Obese Patients

2018 ◽  
Vol 04 (04) ◽  
pp. e197-e200
Author(s):  
Seyed Naeini ◽  
Alireza Khalaj ◽  
Ali Abbaszadeh-Kasbi ◽  
Seyed Miri
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Surgical Approaches ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Liver Transaminases ◽  
Biliointestinal Bypass ◽  
A Prospective Study

Background There are several surgical approaches to treat obesity not cured with medical approaches. Each method has its advantages and complications. In here, we have conducted a study to evaluate complications of biliointestinal bypass surgery (BIBP). Methods A prospective study was conducted in a private hospital from 2002 to 2016. Those patients, not previously operated for morbid obesity, were eligible. Mean follow-up period was 89 months ( ± 54 months; range: 73–108 months). Main outcome measures were weight, BMI (body mass index), concentrations of blood lipids and glucose, liver transaminases, and obesity-related comorbidities and complications. Results Twenty-three consecutive patients with morbid obesity, including 16 women (69.7%) and seven men (31.3%) with mean age 38.47 ± 10 years (range: 26–57 years) underwent surgery. At the end of follow-up period, a mean BMI reduction of 12.2 kg/m2 kg/m2 (p < 0.001)] was observed. An excess weight loss (EWL) of 63% ( ± 34) was achieved at the end of the study. Additionally, total cholesterol and triglyceride levels decreased postoperative significantly. The main long-term complications were flatulence (60%), borborygmus (47.8%), mal odorous stool (30.4%), and diarrhea (21.7%). Revision rate was 4.34%. There were no cases with irreversible hepatic injury, deaths due to the surgery, or progressive renal failure. Conclusion BIBP seems to be a safe, easily reversible, and one of valid therapeutic approaches in morbidly obese patients. BIBP has the potential to achieve durable weight loss and offers an improved quality of life.

Nitric Oxide, Oxidant Status and Antioxidant Response in Morbidly Obese Patients: the Impact of 1-Year Surgical Weight Loss

2013 ◽  
Vol 23 (11) ◽  
pp. 1858-1863 ◽  
Author(s):  
Adriana Florinela Cătoi ◽  
Alina Pârvu ◽  
Romeo Florin Galea ◽  
Ioana Delia Pop ◽  
Adriana Mureşan ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
Weight Loss ◽  
Antioxidant Response ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Surgical Weight Loss ◽  
Oxidant Status ◽  
The Impact

scholarly journals Lifestyle intervention for morbid obesity: effects on liver steatosis, inflammation, and fibrosis

2018 ◽  
Vol 315 (3) ◽  
pp. G329-G338 ◽  
Author(s):  
Simon Hohenester ◽  
Simon Christiansen ◽  
Jutta Nagel ◽  
Ralf Wimmer ◽  
Renate Artmann ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Liver Fibrosis ◽  
Lifestyle Intervention ◽  
Liver Damage ◽  
Liver Steatosis ◽  
Real Life ◽  
Serum Levels ◽  
Morbidly Obese ◽  
Obese Patients

The prevalence of obesity-related nonalcoholic fatty liver disease (NAFLD) is rising. NAFLD may result in nonalcoholic steatohepatitis (NASH), progressing to liver cirrhosis. Weight loss is recommended to treat obesity-related NASH. Lifestyle intervention may improve NASH; however, pertinent trials have so far focused on overweight patients, whereas patients with obesity are at highest risk of developing NAFLD. Furthermore, reports of effects on liver fibrosis are scarce. We evaluated the effect of lifestyle intervention on NAFLD in a real-life cohort of morbidly obese patients. In our observational study, 152 patients underwent lifestyle intervention, with a follow-up of 52 weeks. Noninvasive measures of obesity, metabolic syndrome, liver steatosis, liver damage, and liver fibrosis were analyzed. Treatment response in terms of weight loss was achieved in 85.1% of patients. Dysglycemia and dyslipidemia improved. The proportion of patients with fatty liver dropped from 98.1 to 54.3% ( P < 0.001). Weight loss >10% was associated with better treatment response ( P = 0.0009). Prevalence of abnormal serum transaminases fell from 81.0 to 50.5% ( P < 0.001). The proportion fibrotic patients, as determined by the NAFLD fibrosis score, dropped from 11.8 to 0% ( P < 0.05). Low serum levels of adiponectin correlated with degree of liver damage, i.e., serum liver transaminases ( r = −0,32, P < 0.05). Serum levels of adiponectin improved with intervention. In conclusion, lifestyle intervention effectively targeted obesity and the metabolic syndrome. Liver steatosis, damage and fibrosis were ameliorated in this real-life cohort of morbidly obese patients, mediated in part by changes in the adipokine profile. Patients with weight loss of >10% seemed to benefit most. NEW & NOTEWORTHY We demonstrate new evidence that lifestyle intervention is effective in treating NAFLD in the important group of patients with (morbid) obesity. Although current guidelines on the therapy of NASH recommend weight loss of 5–7%, weight reduction >10% may be favorable in morbid obesity. Serum levels of adipokines correlate with liver damage, which is indicative of their pathogenetic importance in human NASH. Our study adds to the limited body of evidence that NAFLD-associated liver fibrosis may resolve with lifestyle intervention.

scholarly journals Morbid Obesity Is Associated With Worse Outcomes and Increased Inpatient Mortality in Patients With Alcohol Induced Acute Pancreatitis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A22-A22
Author(s):  
Hafeez Shaka ◽  
Essam Rashad ◽  
Ikechukwu Achebe ◽  
Jennifer Chiagoziem Asotibe ◽  
Emmanuel Palomera ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Acute Pancreatitis ◽  
Negative Impact ◽  
The United States ◽  
Hospital Charges ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Inpatient Mortality ◽  
Nationwide Inpatient Sample Database ◽  
The Impact

Abstract Introduction: The prevalence of obesity in the United States is rising. Obesity is a known comorbidity with various health impacts. Alcohol is a common etiology for acute pancreatitis. Obesity is known to be associated with liver dysfunction. It is unclear to what extent the degree of obesity affects patients with alcohol induced acute pancreatitis (AAP), as nationally representative data are lacking. This study aimed to ascertain the impact of morbid obesity on outcomes of patients with alcohol induced pancreatitis. Methods: Data was obtained from the Nationwide Inpatient Sample database for 2016 and 2017. Hospital discharges of patients 18 years and over with a principal diagnosis of AAP were included. This cohort was divided based on presence of comorbid obesity into nonobese patients, mild-moderately obese patients (MMO) (BMI: 30.0 - 39.9) and morbidly obese patients (MO) (BMI &gt;/=40.0). Primary outcome was inpatient mortality. Secondary outcomes included length of hospital stay (LOS), total hospital charges (THC), discharge diagnoses of hypocalcemia, sepsis, acute renal failure (AKI) and acute respiratory failure (ARF). Multivariate regression analysis was used to adjust for patients’ sociodemographic factors, Charlson comorbidity index as well as hospital characteristics as confounders. Results: A total of 143650 hospitalizations were principally for AAP, with 5.5% and 2.7% of these patients classified as having MMO and MO, respectively. In MO patients, there was increased odds of mortality (aOR=2.99, 95% CI: 1.509 - 5.917, p=0.002) when compared with patients who were nonobese. There was no difference in mortality in patients with MMO (aOR 0.88 95% CI: 0.383 - 2.026, p=0.765) when compared with the nonobese group. MO patients had increased mean LOS of 1.1 days (95% CI: 0.7 - 1.6, p&lt;0.001) as well as THC of $14481 (95% CI: 7894 - 21068, p&lt;0.001), increased odds of hypocalcemia (aOR=1.77, 95% CI: 1.302 - 2.392, p&lt;0.001), sepsis (aOR=1.84, 95% CI: 1.183 - 2.873, p=0.007), AKI (aOR=1.55, 95% CI: 1.257 - 1.912, p&lt;0.001). Conclusion: Morbid obesity has a negative impact on outcomes of patients with AAP. Efforts should be channeled towards promoting alcohol cessation in at-risk patients as a preventative measure, as well as closer monitoring of hospitalized patients with morbid obesity to mitigated these adverse events.

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