Ahmed Hiwa Omer, Ezzat Rajan Fuad
Professor in Metabolic and Bariatric Surgery, Senior Lecturer in College of Medicine, University of Sulaimani, Manager of Hospital for Endoscopic and Bariatric Surgery, Sulaimani City, Kurdistan, Iraq.
General Surgeon, Suliamani Teaching Hospital, Sulaimani City, Kurdistan, Iraq.
Ann Med Surg (Lond). 2018 Nov 24;37:42-46. doi: 10.1016/j.amsu.2018.11.014. eCollection 2019 Jan.
Health-related quality of life of obese patients, before and after weight loss by insertion of BioEnterics Intra-gastric Balloon is studied widely. But the quality of life not related to comorbidity of the obese patients like mood, satisfaction with relationships, achieved goals, self-concepts, and self-perceived ability to cope with one's daily life is not studied on a wide scale.
To evaluates the effect of the obesity on different aspects of life, and to evaluate the influence of weight loss after BIB insertion or Atkins diet on the quality of life regarding mood, satisfaction with relationships, achieved goals, self-concepts, and self-perceived ability to cope with one's daily life.
A prospective randomized study, from a total of 180 patients, 80 patients were selected to enroll in the work, over a period of 4 years from 2008 to 2012 in Hatwan private hospital and the private clinic, the closing date was 1st January 2013.Approval for the current work was obtained from the Ethics Committee of University, College of Medicine. The work has been reported in line with the STROCSS criteria. The study was designed as a descriptive longitudinal study conducted on 40 patients who underwent intra-gastric balloon insertion compared to a matched group (for age, BMI) of 40 patients on Atkin's diet.
Two comparable groups of obese patients were studied, each group consists of 40 female patients, mean age in group A was 27 years (20-39 years) with mean body weight 90 kg (80-100) and mean body mass index 36 (31-39.9) who were treated with insertion of BIB. While mean age in group B was 29 years (20-39 years) with mean body weight 91 kg (80-102) and mean body mass index 36.5 (31-39.9). Statistically important changes occurred in the quality of life of the patients after either method of treatments to different degrees (p-value 0.005917).
The patients lost more weight after insertion of intra-gastric balloon up to 35 kg of body weight, while the patients on Atkins diet lost up to 20 kg body weight. This results in statistically significant improvement of most aspects of QOL. Especially in Feeling happier, more satisfaction with the new body image, Improvement of self-esteem, encouraged for more regular exercises, less nervous, embarrassed less by unimportant matters, have less negative thoughts, and the craving of foods decreased remarkably.
通过植入BioEnterics胃内球囊进行减肥前后肥胖患者的健康相关生活质量已得到广泛研究。但肥胖患者与合并症无关的生活质量，如情绪、人际关系满意度、达成目标情况、自我概念以及自我感知的应对日常生活的能力，尚未得到广泛研究。
评估肥胖对生活不同方面的影响，并评估植入胃内球囊或采用阿特金斯饮食法减肥后，体重减轻对情绪、人际关系满意度、达成目标情况、自我概念以及自我感知的应对日常生活能力等生活质量方面的影响。
一项前瞻性随机研究，从总共180名患者中，选取80名患者参与此项工作，研究时间为2008年至2012年的4年期间，在哈特万私立医院和私人诊所进行，截止日期为2013年1月1日。本研究获得了大学医学院伦理委员会对当前工作的批准。本研究已按照STROCSS标准进行报告。该研究设计为一项描述性纵向研究，对40名接受胃内球囊植入的患者与40名采用阿特金斯饮食法的匹配组（年龄、体重指数匹配）患者进行研究。
对两组可比的肥胖患者进行了研究，每组由40名女性患者组成，A组平均年龄为27岁（20 - 39岁），平均体重90千克（80 - 100千克），平均体重指数36（31 - 39.9），接受胃内球囊植入治疗。而B组平均年龄为29岁（20 - 39岁），平均体重91千克（80 - 102千克），平均体重指数36.5（31 - 39.9）。两种治疗方法后患者的生活质量均发生了不同程度的统计学显著变化（p值0.005917）。
植入胃内球囊的患者体重减轻更多，可达35千克，而采用阿特金斯饮食法的患者体重减轻可达20千克。这导致生活质量的大多数方面在统计学上有显著改善。特别是在感觉更快乐、对新的身体形象更满意、自尊得到提升、更积极进行规律锻炼、不那么紧张、不为琐事感到尴尬、消极想法减少以及对食物的渴望显著降低等方面。
