Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study
Abstract 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 fo...
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| Format: | Article |
| Language: | English |
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BMC
2017-05-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12955-017-0675-z |
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| author | Anners Lerdal Caryl L. Gay Tore Bonsaksen May Solveig Fagermoen |
| author_facet | Anners Lerdal Caryl L. Gay Tore Bonsaksen May Solveig Fagermoen |
| author_sort | Anners Lerdal |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-13T01:55:31Z |
| format | Article |
| id | doaj.art-ef1c4bd5f54d477a8c11b958001e8061 |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-04-13T01:55:31Z |
| publishDate | 2017-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-ef1c4bd5f54d477a8c11b958001e80612022-12-22T03:07:47ZengBMCHealth and Quality of Life Outcomes1477-75252017-05-011511910.1186/s12955-017-0675-zPredictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up studyAnners Lerdal0Caryl L. Gay1Tore Bonsaksen2May Solveig Fagermoen3Department of Nursing Science, University of Oslo, Faculty of Medicine, Institute of Health and SocietyDepartment for Patient Safety and Research, Lovisenberg Diakonale HospitalDepartment of Occupational Therapy, Prosthetics and Orthotics, Oslo and Akershus University College of Applied Sciences, Faculty of Health SciencesDepartment of Nursing Science, University of Oslo, Faculty of Medicine, Institute of Health and SocietyAbstract 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.http://link.springer.com/article/10.1186/s12955-017-0675-zObesityHealth-related quality of lifePersonal factorsCopingSelf-esteemSelf-efficacy |
| spellingShingle | Anners Lerdal Caryl L. Gay Tore Bonsaksen May Solveig Fagermoen Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study Health and Quality of Life Outcomes Obesity Health-related quality of life Personal factors Coping Self-esteem Self-efficacy |
| 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 | Obesity Health-related quality of life Personal factors Coping Self-esteem Self-efficacy |
| url | http://link.springer.com/article/10.1186/s12955-017-0675-z |
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