Quality of Life

  • David B. Sarwer
  • Chanelle T. Bishop-Gilyard
  • Ray Carvajal


This chapter reviews the literature on quality of life and extreme obesity. Quality of life is an “umbrella” term that includes many different domains. These domains include health-related quality of life, weight-related quality of life, as well as other psychological constructs such as body image and sexual functioning, among others. A sizable body of literature has reported on the impairments in quality of life and these other domains associated with obesity. An overview is provided here. Encouragingly, individuals who undergo bariatric surgery and experience significant weight loss typically report improvements in quality of life and related psychosocial domains. These studies are discussed in detail as well.


Bariatric Surgery Gastric Bypass Body Image Sexual Dysfunction Sexual Functioning 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of Interest Statement

Dr. Sarwer discloses that he currently receives grant support from:

The American Society of Metabolic and Bariatric Surgery (“Improvements in Reproductive Status Following Bariatric Surgery”)

National Institutes of Health (RC1-DK086132 “Lifestyle Modification Versus Bariatric Surgery for Type 2 Diabetes”; R01-DK072452-01 “Changes in Sexual Function Following Bariatric Surgery”; and R01-DK080738 “Dietary Intake and Eating Behavior in Adolescents Who Undergo Bariatric Surgery”)

He discloses that he is a consultant with Allergan, BariMD, BaroNova, EnteroMedics, and Ethicon Endo-Surgery and Galderma. These relationships have had no influence on the material in this paper.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • David B. Sarwer
    • 1
  • Chanelle T. Bishop-Gilyard
    • 2
    • 3
  • Ray Carvajal
    • 4
  1. 1.Department of Psychiatry, Director of Clinical Services Center for Weight and Eating DisordersPerelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Department of Psychiatry, Center for Weight and Eating DisordersThe University of PennsylvaniaPhiladelphiaUSA
  3. 3.Perelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA
  4. 4.Department of Psychiatry, Center for Weight and Eating DisordersPerelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA

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