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Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study
BACKGROUND: People with morbid obesity (body mass index ≥40) may experience changes in their health after participating in a tailored patient education course. The aims of this study were to assess the changes in physical and mental health in persons with morbid obesity during the 2 years following...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433048/ https://www.ncbi.nlm.nih.gov/pubmed/28506306 http://dx.doi.org/10.1186/s12955-017-0675-z |
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author | Lerdal, Anners Gay, Caryl L. Bonsaksen, Tore Fagermoen, May Solveig |
author_facet | Lerdal, Anners Gay, Caryl L. Bonsaksen, Tore Fagermoen, May Solveig |
author_sort | Lerdal, Anners |
collection | PubMed |
description | BACKGROUND: People with morbid obesity (body mass index ≥40) may experience changes in their health after participating in a tailored patient education course. The aims of this study were to assess the changes in physical and mental health in persons with morbid obesity during the 2 years following an educational course and to explore possible socio-demographic, treatment, and personal predictors of physical and mental health outcomes. METHODS: In this prospective longitudinal cohort study, self-report questionnaire data were collected from people with morbid obesity at the beginning of mandatory educational courses while on a waiting list for gastric surgery and at two-year follow-up. Of the 185 who attended the courses, 142 (77%) volunteered to participate in the study, and the 59 with complete data at the two-year follow-up were included in the analysis. Physical and mental health were measured with the physical and mental component summary scores from the Short Form 12v2. Self-esteem was measured by the Rosenberg Self-Esteem Scale, and self-efficacy by the General Self-Efficacy Scale. RESULTS: The participants reported better physical health at two-year follow-up than at baseline. Mental health did not change significantly over time. Receiving surgical treatment during the study period predicted better physical health at two-year follow-up, even after controlling for physical health at baseline. Mental health at baseline was the only significant baseline predictor of mental health at follow-up. However, increasing self-esteem and self-efficacy over the two-year study period independently predicted better mental health at follow up after controlling for mental health at baseline. CONCLUSION: Our study showed that people with morbid obesity on a waiting list for bariatric surgery improved their physical health during the 2 years after attending a tailored patient educational course. Improving self-esteem and self-efficacy may be important personal factors for maintaining mental health during this period. TRIAL REGISTRATION: NCT01336725. Registered 14 April 2011. |
format | Online Article Text |
id | pubmed-5433048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-54330482017-05-17 Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study Lerdal, Anners Gay, Caryl L. Bonsaksen, Tore Fagermoen, May Solveig Health Qual Life Outcomes Research BACKGROUND: People with morbid obesity (body mass index ≥40) may experience changes in their health after participating in a tailored patient education course. The aims of this study were to assess the changes in physical and mental health in persons with morbid obesity during the 2 years following an educational course and to explore possible socio-demographic, treatment, and personal predictors of physical and mental health outcomes. METHODS: In this prospective longitudinal cohort study, self-report questionnaire data were collected from people with morbid obesity at the beginning of mandatory educational courses while on a waiting list for gastric surgery and at two-year follow-up. Of the 185 who attended the courses, 142 (77%) volunteered to participate in the study, and the 59 with complete data at the two-year follow-up were included in the analysis. Physical and mental health were measured with the physical and mental component summary scores from the Short Form 12v2. Self-esteem was measured by the Rosenberg Self-Esteem Scale, and self-efficacy by the General Self-Efficacy Scale. RESULTS: The participants reported better physical health at two-year follow-up than at baseline. Mental health did not change significantly over time. Receiving surgical treatment during the study period predicted better physical health at two-year follow-up, even after controlling for physical health at baseline. Mental health at baseline was the only significant baseline predictor of mental health at follow-up. However, increasing self-esteem and self-efficacy over the two-year study period independently predicted better mental health at follow up after controlling for mental health at baseline. CONCLUSION: Our study showed that people with morbid obesity on a waiting list for bariatric surgery improved their physical health during the 2 years after attending a tailored patient educational course. Improving self-esteem and self-efficacy may be important personal factors for maintaining mental health during this period. TRIAL REGISTRATION: NCT01336725. Registered 14 April 2011. BioMed Central 2017-05-15 /pmc/articles/PMC5433048/ /pubmed/28506306 http://dx.doi.org/10.1186/s12955-017-0675-z Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Lerdal, Anners Gay, Caryl L. Bonsaksen, Tore Fagermoen, May Solveig Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study |
title | Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study |
title_full | Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study |
title_fullStr | Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study |
title_full_unstemmed | Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study |
title_short | Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study |
title_sort | predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433048/ https://www.ncbi.nlm.nih.gov/pubmed/28506306 http://dx.doi.org/10.1186/s12955-017-0675-z |
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