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Considering the high prevalence of obesity and the lack of effective response to non-surgical treatments, bariatric surgery (BS) has been established as an increasingly frequent alternative, with implications on the physical, psychological and social level, highlighting the changes related to body image (BI). The objective of this study was to describe changes in BI expressed by young women undergoing BC. Based on a qualitative methodology, in-depth interviews were conducted with 10 women between 18 and 24 years. The results were grouped in Pre-BC: body dissatisfaction as motivation, low awareness of the obesity condition, shame of the body, frustration and difficulties with dressing; and Post-BS: body satisfaction associated with self-confidence, change in peer relations, new aspects of appearance, clothing associated with identity, difficulties in adapting to a new BI, and health team as support for adaptation. It is concluded that body satisfaction is a central aspect that affects individual and social wellbeing. Post-CB begins a process of adaptation to a new body scheme, with greater body satisfaction, but with difficulties related to body perception. Resumen Dada la alta prevalencia de obesidad y la pobre efectividad de los tratamientos no quirurgicos, la cirugia bariatrica (CB) constituye una alternativa cada vez mas frecuente, con implicaciones a nivel fisico, psicologico y social, entre las que destacan aquellas relativas a la imagen corporal (IC). El objetivo de este estudio fue describir los cambios en la IC manifestados por mujeres jovenes sometidas a CB. Con base a una metodologia cualitativa, se llevaron a cabo entrevistas a profundidad a 10 mujeres de entre 18 y 24 anos de edad. Los resultados fueron categorizados en Pre-CB: insatisfaccion corporal como motivacion, baja conciencia de la condicion de obesidad, verguenza por el cuerpo, frustracion y dificultades con la vestimenta; y Post-CB: satisfaccion corporal (SC) asociada a autoconfianza, cambio en las relaciones con pares, nuevos aspectos de la apariencia, vestimenta asociada a identidad, dificultades en la adaptacion a la nueva IC y equipo de salud como apoyo para la adaptacion. Se concluye que la SC es un aspecto central que incide en el bienestar individual y social. Post-CB se inicia un proceso de adaptacion a un nuevo esquema corporal, con mayor SC, pero con dificultades relacionadas a la percepcion corporal.

revista mexicana de trastornos alimentarios

Body image before and after bariatric surgery: Perceptions of young-adults women / Imagen corporal antes y después de cirugía bariátrica: Percepciones de mujeres jóvenes-adultas