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Perceived Onset of Obesity in Sleeve Gastrectomy Candidates
Author(s) -
Robinson Katie,
Rowitz Blair,
Donovan Sharon M.,
TeranGarcia Margarita
Publication year - 2016
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.30.1_supplement.1165.5
Subject(s) - medicine , sleeve gastrectomy , bioelectrical impedance analysis , obesity , body mass index , depression (economics) , cohort , weight gain , anxiety , diabetes mellitus , percentile , weight loss , quality of life (healthcare) , pediatrics , endocrinology , body weight , psychiatry , gastric bypass , statistics , mathematics , nursing , economics , macroeconomics
Sleeve gastrectomy (SG) procedures are becoming increasingly common in response to the rising prevalence of morbid obesity. Post‐operatively, SG patients experience positive outcomes beyond weight loss, including metabolic disease resolution and improved quality of life, which may be impacted by previous life experiences, such as onset and duration of obesity. The degree of influence of these factors is unknown. Therefore, the aim of this research is to describe the characteristics of a cohort of SG candidates and to highlight differences between individuals who reported earlier onset of weight gain and obesity with those who experienced weight gain later in life. Candidates for SG (n=28, 29% male, 46.8 ± 9.0 yrs) completed surveys in which they identified their perceived age of obesity onset and their child body size using a set of child images that represented varying body mass index (BMI) percentiles. Three‐day food logs, physical activity records and body composition via bioelectrical impedance were collected prior to the preoperative diet, on the morning of surgery and one month post‐operatively. At baseline, mean BMI was 48.4 ± 7.4 kg/m2 and body fat percentage was 50.9 ± 5.0%. The most common reported cause of weight gain was poor eating habits (82%), followed by physical inactivity (75%), genetics (46%), stress (36%) and depression (29%). The most common comorbidities were hypertension (54%), hypercholesterolemia (43%), anxiety (36%), type 2 diabetes (32%) and depression (32%). Nine women and two men identified with the child's image that was greater than the 90th percentile (OW). These participants were compared to those who perceived themselves to be normal weight children. Women who reported that they were OW as children had higher BMIs at initial visit (p=0.002). Participants who reported OW as children reported less minutes walking (p=0.05) and no differences in diagnosed comorbidities. Men lost 5.8 ± 1.7 kg and 1.9 ± 0.6 BMI units and women lost 5.5 ± 1.8 kg and 2.0 ± 0.8 BMI units following the two week pre‐operative diet. Men lost significantly more body fat (1.75 ± 2.0 %) than women (0.05 ± 1.3%). Weight loss during pre‐operative diet was not significantly different based on perceived onset of obesity or child body size perception. Although data collection in this cohort is ongoing, our findings suggest that perceived child size and onset of weight gain is associated with adult BMI, however, it does not predict the ability of an individual to lose weight pre‐operatively. Support or Funding Information This research was supported by the Agriculture and Food Research Initiative of the USDA National Institute of Food and Agriculture as part of the AFRI Childhood Obesity Prevention Challenge (2011‐67001‐30101) to the Division of Nutritional Sciences at the University of Illinois.