Detalhes bibliográficos
| Ano de defesa: |
2019 |
| Autor(a) principal: |
Rechia, Giancarlo Cervo |
| Orientador(a): |
Moraes, Cristina Machado Bragança de |
| Banca de defesa: |
Antoniazzi, Raquel Pippi,
Ribeiro, Tiango Aguiar |
| Tipo de documento: |
Dissertação
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Franciscana
|
| Programa de Pós-Graduação: |
Mestrado em Ciências da Saúde e da Vida
|
| Departamento: |
Ciências da Saúde e da Vida
|
| País: |
Brasil
|
| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/817
|
Resumo: |
Morbid obesity is a chronic limiting disease of multifactorial origin that presents itself as a global epidemic and can trigger several comorbidities. Patients who are unsuccessful in weight reduction clinical treatment are candidates for bariatric surgery. The rapid weight reduction from bariatric surgery improves comorbidities, but produces negative changes and modifications in body image. Skin excess compromises body image interfering with quality of life. Data on body contour surgery and quality of life are controversial. Some studies have identified an improvement in quality of life in physical aspects, but not in mental aspects. This cross-sectional study assessed the quality of life and body image of morbidly obese patients prior to bariatric surgery, obese patients undergoing bariatric surgery 6 months ago, post-bariatric patients seeking body contouring surgery and postoperative bariatric patients who underwent body contouring surgery for at least 1 year. Twenty-one patients in each group were matched for Body Mass Index and Age before performing bariatric surgery. Data were collected from May 2018 to May 2019. All study participants had detailed information about the study and were included by signing the informed consent form. Clinical data, body image perception through silhouette scales and health-related quality of life were collected through the SF-36 questionnaire. Patients seeking body contouring surgery had a worse mental health component than patients following bariatric surgery alone, as well as having a larger and overestimated body image. A correlation was found between mental health and age (rs = 0.41, p <0.05), meaning that young patients had worse mental health, and a correlation between weight and body distortion (rs = 0, 56, p <0.001), meaning that patients with higher weight had greater body distortion. Patients undergoing body contouring surgery showed improvement in emotional aspects, but increased body distortion and worsening of mental health components, a finding that suggests a higher incidence of body dysmorphism. Better patient preparation even before bariatric surgery can result in better satisfaction and quality of life after body contouring surgery. |
