Gauthier Cyril, Poussier Matthieu, Lloret-Linares Célia, Danan Marc, Nedelcu Anamaria
EMNO Bourgogne, ESPD Nuvee, 4 rue Lounes Matoub, 21000 Dijon, France.
EMNO Drôme-Ardèche, Clinique Kenedy, 26200 Montélimar, France.
J Clin Med. 2025 Jul 7;14(13):4787. doi: 10.3390/jcm14134787.
: Despite losing weight, the majority of subjects retained an obese view of themselves. The aim of the study was to evaluate the usefulness of a 3D modeling tool in improving the body image of patients who have undergone bariatric surgery. : Morbidly obese subjects involved in a medico-surgical obesity management program and having undergone a Roux en Y Gastric Bypass (RYGB) or a sleeve gastrectomy (SG) were prospectively included during their usual postoperative medical follow-up. The figure rating scale (FRS), body image questionnaire, and Hospital Anxiety Depression Scale test were performed. The FRS was assessed before and after visualizing their body image using a 3D modeling tool. Distributions between the groups for gender (female vs. male) and type of surgery (gastric bypass vs. sleeve gastrectomy) were tested with a Pearson's chi independence test. The significance threshold was < 0.05. : We included 140 adults with sleeve gastrectomy (72.9%; = 102) or gastric bypass (27.1%; = 38). The mean time from surgery was 308.3 ± 111.4 days (63-511). Participants were mostly female (77.9%; = 109). Nearly half of the subjects who had undergone bariatric surgery almost one year before modified their body perception after visualizing their avatar thanks to a 3D modeling tool. One third reduced their FRS score ("perceived body") after visualizing their avatar. FRS score and body mass index (BMI) following surgery ("real body") were significantly correlated before and after visualizing the 3D avatar, with a stronger correlation after visualizing the 3D avatar. : A 3D modeling tool may improve body perception after weight loss in subjects with bariatric surgery. Being simple, non-invasive, not expansive, and easy to use during a consultation and to understand for the patient, a regular use of this tool may be largely implemented in clinical practice. Its usefulness in improving body image, mood disorders, and eating disorders and the further success of the surgery should be further evaluated.
尽管体重减轻了，但大多数受试者对自己仍持肥胖的看法。本研究的目的是评估一种三维建模工具在改善接受减肥手术患者身体形象方面的效用。参与药物 - 手术肥胖管理项目并接受了Roux - en - Y胃旁路术（RYGB）或袖状胃切除术（SG）的病态肥胖受试者在其常规术后医学随访期间被前瞻性纳入。进行了形象评分量表（FRS）、身体形象问卷和医院焦虑抑郁量表测试。在使用三维建模工具可视化其身体形象之前和之后对FRS进行评估。使用Pearson卡方独立性检验对性别（女性与男性）和手术类型（胃旁路术与袖状胃切除术）在组间的分布进行检验。显著性阈值为<0.05。我们纳入了140名接受袖状胃切除术（72.9%；n = 102）或胃旁路术（27.1%；n = 38）的成年人。手术平均时间为308.3±111.4天（63 - 511天）。参与者大多为女性（77.9%；n = 109）。在借助三维建模工具可视化其虚拟形象后，近一半在近一年前接受了减肥手术的受试者改变了他们的身体认知。三分之一的受试者在可视化其虚拟形象后降低了他们的FRS评分（“感知身体”）。在可视化三维虚拟形象之前和之后，手术后的FRS评分与体重指数（BMI）（“真实身体”）均显著相关，在可视化三维虚拟形象后相关性更强。一种三维建模工具可能会改善减肥手术后受试者的身体认知。由于该工具简单、无创、成本不高，并且在会诊期间易于使用且患者易于理解，在临床实践中可能会大量实施其常规使用。其在改善身体形象、情绪障碍和饮食失调方面的效用以及手术的进一步成功应进一步评估。
