Psychosocial functioning and quality of life in patients with loose redundant skin 4 to 5 years after bariatric surgery

Ryan J. Marek, Kristine J. Steffen, David R. Flum, Alfons Pomp, Walter J. Pories, J. Peter Rubin, Bruce Wolfe, James E. Mitchell

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Bariatric surgery usually results in substantial weight loss and a reduction in medical comorbidities. Many patients, as a consequence of the weight loss, subsequently evidence loose, redundant skin. Objectives: This investigation seeks to examine the prevalence of body contouring surgery (BCS) by patients approximately 4 to 5 years after Roux-en-Y gastric bypass surgery. Demographics, change in BMI, and psychosocial variables were also used to predict body dissatisfaction, desire for BCS, and patients who reported obtaining BCS. Setting: The clinical sites involved in the Longitudinal Assessment of Bariatric Surgery project, which included 10 hospitals across the United States. Methods: The sample comprised 1159 patients who underwent Roux-en-Y gastric bypass and were enrolled in the Longitudinal Assessment of Bariatric Surgery-2 study. Participants were surveyed using the Excessive Skin Survey and other psychosocial measures at their 4- or 5-year postoperative outcome. The participants were predominately women (80.5%), Caucasian (88.3%), and middle-aged (mean = 46.1 yr, standard deviation = 11.11 yr). Results: Participants reported modest degrees of being bothered by excessive skin, primarily in their waist/abdomen, thighs, and chest/breasts body areas. Only 11.2% of the sample had undergone any BCS procedure, and a majority of those participants paid “out of pocket” for BCS. Desire for BCS and body dissatisfaction 4 to 5 years postsurgery was associated with higher depression scores and poorer quality of life scores. Conclusions: Excessive skin is associated with poorer psychosocial functioning. Despite reporting modest levels of being bothered by excessive skin and body dissatisfaction, only a small fraction of participants underwent BCS. Cost of BCS was reported to be a primary barrier for not obtaining BCS. All rights reserved.

Original languageEnglish (US)
JournalSurgery for Obesity and Related Diseases
DOIs
StateAccepted/In press - Jan 1 2018

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Bariatric Surgery
Quality of Life
Skin
Gastric Bypass
Weight Loss
Thigh
Abdomen
Comorbidity
Breast
Thorax
Demography
Costs and Cost Analysis

Keywords

  • Bariatric surgery
  • Body contouring surgery
  • Excess skin
  • Plastic surgery
  • Psychosocial

ASJC Scopus subject areas

  • Surgery

Cite this

Psychosocial functioning and quality of life in patients with loose redundant skin 4 to 5 years after bariatric surgery. / Marek, Ryan J.; Steffen, Kristine J.; Flum, David R.; Pomp, Alfons; Pories, Walter J.; Rubin, J. Peter; Wolfe, Bruce; Mitchell, James E.

In: Surgery for Obesity and Related Diseases, 01.01.2018.

Research output: Contribution to journalArticle

Marek, Ryan J. ; Steffen, Kristine J. ; Flum, David R. ; Pomp, Alfons ; Pories, Walter J. ; Rubin, J. Peter ; Wolfe, Bruce ; Mitchell, James E. / Psychosocial functioning and quality of life in patients with loose redundant skin 4 to 5 years after bariatric surgery. In: Surgery for Obesity and Related Diseases. 2018.
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abstract = "Background: Bariatric surgery usually results in substantial weight loss and a reduction in medical comorbidities. Many patients, as a consequence of the weight loss, subsequently evidence loose, redundant skin. Objectives: This investigation seeks to examine the prevalence of body contouring surgery (BCS) by patients approximately 4 to 5 years after Roux-en-Y gastric bypass surgery. Demographics, change in BMI, and psychosocial variables were also used to predict body dissatisfaction, desire for BCS, and patients who reported obtaining BCS. Setting: The clinical sites involved in the Longitudinal Assessment of Bariatric Surgery project, which included 10 hospitals across the United States. Methods: The sample comprised 1159 patients who underwent Roux-en-Y gastric bypass and were enrolled in the Longitudinal Assessment of Bariatric Surgery-2 study. Participants were surveyed using the Excessive Skin Survey and other psychosocial measures at their 4- or 5-year postoperative outcome. The participants were predominately women (80.5{\%}), Caucasian (88.3{\%}), and middle-aged (mean = 46.1 yr, standard deviation = 11.11 yr). Results: Participants reported modest degrees of being bothered by excessive skin, primarily in their waist/abdomen, thighs, and chest/breasts body areas. Only 11.2{\%} of the sample had undergone any BCS procedure, and a majority of those participants paid “out of pocket” for BCS. Desire for BCS and body dissatisfaction 4 to 5 years postsurgery was associated with higher depression scores and poorer quality of life scores. Conclusions: Excessive skin is associated with poorer psychosocial functioning. Despite reporting modest levels of being bothered by excessive skin and body dissatisfaction, only a small fraction of participants underwent BCS. Cost of BCS was reported to be a primary barrier for not obtaining BCS. All rights reserved.",
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