Page 92 - When surgery alone won’t cut it - Valerie Maureen Monpellier

Chapter 5
follow-up moments. Weight loss was higher in the D-group when compared to the ND-group: ΔBMI 15.1 kg/m2 versus 12.8 kg/m2 (p<0.001) and TWL 32.6% versus 28.9% (p<0.001). In the BCS-group weight loss was highest; TWL 36.8%.
Table 2:
Demographic characteristics of the three groups, presented in mean ± standard deviation or percentage (no).
ND-group (n=157) Females, % (no.) 68.2% (107) δ
BCS-group (n=65)
D-group (n=368)
93.8% (61) α 45.0±11.4 85.9% (55) 32.6±3.7 43.9±6.1 α 29.8±5.3 α 28.5±4.6 α 27.6±4.5 α 16.3±5.1 89.1±20.1 α 36.8±8.0 α
84.5% (311) β 47.1±10.6 β 87.8% (323) 32.3±3.9 46.2±5.8 β 32.2±5.2 31.2±5.4 31.1±5.6 15.1±4.9 β 73.9±22.6 32.6±9.1 β
Age, years
RYGB, % (no.)
FU, months
BMI before BS, kg/m2 BMI 12-month FU, kg/m2 BMI 24-month FU, kg/m2 Current BMI, kg/m2 ΔBMI, kg/m2
Current EWL, %
Current TWL, %
49.8±10.5 δ 84.7% (133) 32.4±3.7 44.1±6.3 31.6±5.7 31.9±6.0 δ 31.3±5.6 δ 12.8±4.6 δ 69.9±24.7 δ 28.9±9.3 δ
α significant difference compared to D-group, p<0.05; β significant difference compared to ND-group, p<0.05; δ significant difference compared to BCS-group, p<0.05. RYGB: Roux-en-y gastric bypass; FU: follow-up, BMI: body mass index, BS: bariatric surgery, ΔBMI: change in BMI; EWL: excess weight loss; TWL: total weight loss
Body image
The mean BSQ score was 49.5 in the D-group, which was significantly higher com- pared to the BCS-group (40.2; p<0.001) and the ND-group (30.1; p<0.001) (Table 3). The difference between the BCS-group and the ND-group was also significant (p<0.001). There was a marked concern about shape (score above 66) in 15.7% of the D-group; in the ND-group 1.4% had a marked concern and in BCS-group this was 10.0% of the population (p<0.001).
For the MBSRQ-AS, patients in the D-group had a mean score of 2.58 on appearance evaluation, which was significantly lower than the ND-group (mean 3.26, p<0.001) and the BCS-group (mean 3.23, p<0.001) (Table 3). They also had a significantly lower average score on the body area satisfaction scale: 2.68 versus 3.22 in the ND-group and 3.14 in BCS-group (p<0.001 in all). Patients with no desire for BCS scored low- est on the appearance orientation (mean score 3.27) and overweight pre-occupation (mean score 2.41). Patients in the D-group had the highest score (mean 3.86) on the weight classification; the BCS-group scored significantly lower with a mean score of 3.24 (p<0.001).
Depressive symptoms
BDI score was higher in the D-group (14.6), compared to the ND-group (9.1, p<0.001) (Table 3). The BCS-group had a mean score of 12.1; this was not significantly different from either of the other groups. Subsequently, BDI scores were divided into four cate-
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