Dalle Grave Riccardo, Cuzzolaro Massimo, Calugi Simona, Tomasi Franco, Temperilli Flavia, Marchesini Giulio
Unit of Metabolic Diseases, "Alma Mater" University of Bologna, Policlinico S. Orsola, Via Massarenti, 9, I-40138 Bologna, Italy.
Obesity (Silver Spring). 2007 Sep;15(9):2320-7. doi: 10.1038/oby.2007.275.
Body image dissatisfaction is common in treatment-seeking patients with obesity. We aimed to investigate the effects of obesity management on body image in patients with obesity attending Italian medical centers for weight loss programs.
A total of 473 obese patients seeking treatment in 13 Italian medical centers (80% females; age, 45.9 +/- standard deviation 11.0 years; BMI, 36.8 +/- 5.7 kg/m(2)) were evaluated at baseline and after a 6-month weight loss treatment. Body uneasiness, psychiatric distress, and binge eating were tested by Body Uneasiness Test (BUT, Part A), Symptom CheckList-90 (SCL-90), and Binge Eating Scale (BES), respectively.
At 6-month follow-up, the percentage weight loss was significantly higher in men (9.0 +/- 6.3%) than in women (6.8 +/- 7.3%; p = 0.010). Both men and women had a significant improvement in BUT Global Severity Index and in all of the BUT subscales with the exception of the Compulsive Self-Monitoring subscale. Linear regression analysis selected baseline psychological and behavioral measures (global score of BUT and SCL-90) and improved psychiatric distress and binge eating as independent predictors of changes in basal body dissatisfaction in females, whereas in males, changes were associated only with baseline BUT-Global Severity Index score, binge eating, and its treatment-associated improvement. Pre-treatment BMI and BMI changes did not enter the regression.
Obesity treatment, even with a modest degree of weight loss, is associated with a significant improvement of body image, in both females and males. This effect depends mainly on psychological factors, not on the amount of weight loss.
身体形象不满在寻求治疗的肥胖患者中很常见。我们旨在调查肥胖管理对参加意大利医疗中心减肥项目的肥胖患者身体形象的影响。
共有473名在13家意大利医疗中心寻求治疗的肥胖患者（80%为女性；年龄45.9±标准差11.0岁；体重指数36.8±5.7kg/m²）在基线时和经过6个月的减肥治疗后接受评估。分别通过身体不安测试（BUT，A部分）、症状自评量表90（SCL-90）和暴饮暴食量表（BES）对身体不安、精神痛苦和暴饮暴食进行测试。
在6个月的随访中，男性的体重减轻百分比（9.0±6.3%）显著高于女性（6.8±7.3%；p = 0.010）。男性和女性的BUT总体严重程度指数以及除强迫自我监测子量表外的所有BUT子量表均有显著改善。线性回归分析选择基线心理和行为指标（BUT和SCL-90的总体评分）以及改善的精神痛苦和暴饮暴食作为女性基础身体不满变化的独立预测因素，而在男性中，变化仅与基线BUT总体严重程度指数评分、暴饮暴食及其与治疗相关的改善有关。治疗前的体重指数和体重指数变化未纳入回归分析。
肥胖治疗，即使体重减轻程度适中，也与男性和女性身体形象的显著改善相关。这种效果主要取决于心理因素，而非体重减轻的量。
