Fung Michael, Wharton Sean, Macpherson Alison, Kuk Jennifer L
School of Kinesiology, York University, Toronto, ON, Canada M3J 1P3.
School of Kinesiology, York University, Toronto, ON, Canada M3J 1P3; The Wharton Medical Clinic, Hamilton, ON, Canada L8L 5G8.
J Obes. 2016;2016:5372190. doi: 10.1155/2016/5372190. Epub 2016 Jul 19.
Objectives. Bariatric surgery has been shown to be an effective intervention for weight loss and diabetes management. Despite this, many patients qualified for bariatric surgery are not interested in undergoing the procedure. The objective of this study is to determine the factors influencing receptivity to bariatric surgery among those who qualify for the procedure. Methods. Patients attending a publicly funded weight management clinic who qualified for bariatric surgery were asked to complete an elective questionnaire between February 2013 and April 2014. Results. A total of 371 patients (72% female) completed the questionnaire. Only 87 of 371 (23%) participants were interested in bariatric surgery. Individuals interested in bariatric surgery had a higher BMI (48.0 versus 46.2 kg/m(2), P = 0.03) and believed that they would lose more weight with surgery (51 versus 44 kg, P = 0.0069). Those who scored highly on past weight loss success and financial concerns were less likely to be interested in bariatric surgery, whereas those who scored highly on high receptivity to surgery and positive social support were more likely to be interested in bariatric surgery. Conclusion. Although participants overestimated the effect of bariatric surgery on weight loss, most were still not interested in bariatric surgery.
目的。减肥手术已被证明是一种有效的减肥和糖尿病管理干预措施。尽管如此,许多符合减肥手术条件的患者对接受该手术并不感兴趣。本研究的目的是确定影响符合手术条件者对减肥手术接受度的因素。方法。2013年2月至2014年4月期间,要求在一家由公共资金资助的体重管理诊所就诊且符合减肥手术条件的患者填写一份选择性问卷。结果。共有371名患者(72%为女性)完成了问卷。371名参与者中只有87名(23%)对减肥手术感兴趣。对减肥手术感兴趣的个体BMI更高(48.0对46.2kg/m²,P = 0.03),并且认为手术会使他们减轻更多体重(51对44kg,P = 0.0069)。在过去减肥成功和经济担忧方面得分高的人对减肥手术感兴趣的可能性较小,而在对手术接受度高和获得积极社会支持方面得分高的人对减肥手术感兴趣的可能性较大。结论。尽管参与者高估了减肥手术对体重减轻的效果,但大多数人仍然对减肥手术不感兴趣。