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Studies on Body Image Changes After Bariatric Surgery in Adults

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Body Image, Eating, and Weight

Abstract

After the failure of various nutritional or dietetic treatments, patients with severe obesity frequently approach bariatric surgery for reasons related to both physical (e.g., weight loss, increased life expectancy) and psychological health (e.g., body image, quality of life, psychological well-being). After bariatric surgery, the majority of patients show a rapid weight loss, mainly occurring in the first 6–12 months after the procedure, and most of the time the physical health concerns (e.g., type 2 diabetes, hypertension, sleep apnea) improve. In a similar way, also body shape and its functionality undergo extreme changes.

Body image dissatisfaction is extremely frequent in patients with severe obesity candidates to bariatric surgery, particularly in patients presenting with distinct physical and psychosocial characteristics. Body image dissatisfaction tends in general to improve after surgery, but not in all the cases and not in a way that is always proportional to weight loss. Rapid and large weight loss, with associated skin excess formation, could worse body image dissatisfaction in some patients.

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References

  1. Pecori L, Serra Cavalletti GG, Marinari GM, Migliori F, Adami GF. Attitudes of morbidly obese patients to weight loss and body image following bariatric surgery and body contouring. Obes Surg. 2007;17:68–73.

    Article  Google Scholar 

  2. Faith MS, Butryn M, Wadden TA, Fabricatore A, Nguyen AM, Heymsfield SB. Evidence for prospective association among depression and obesity in population-based studies. Obes Rev. 2011;12:438–53.

    Article  Google Scholar 

  3. Wagenblast AL, Laessoe L, Printzlau A. Self-reported problems and wishes for plastic surgery after bariatric surgery. J Plast Surg Hand Surg. 2014;48:115–21.

    Article  Google Scholar 

  4. Yumuk V, Tsigos C, Fried M, Schindler K, Busetto L, Micic D, Toplak H. European guidelines for obesity management in adults. Obes Facts. 2015;8:402–24.

    Article  Google Scholar 

  5. De Luca M, Angrisani L, Himpens J, Busetto L, Scopinaro N, Weiner R, Sartori A, Stier C, Lakdawala M, Bhasker AG, Buchwald H, Dixon J, Chiappetta S, Kolberg H-C, Frühbeck G, Sarwer DB, Suter M, Soricelli E, Blüher M, Villalonga R, Sharma A, Shijkora S. Indications for surgery for obesity and weight-related diseases: position statements from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Obes Surg. 2016;26:1659–96.

    Article  Google Scholar 

  6. Rubino F, Nathan DM, Eckel RH, Schauer PR, Alberti KGMM, Zimmet PZ, Del Prato S, Ji L, Sadikot SM, Herman WH, Amiel SA, Kaplan LM, Taroncher-Oldenburg G, Cummings DE, Delegates of the 2nd Diabetes Surgery Summit. Metabolic surgery in the treatment algorithm for type 2 diabetes: a joint statement by international diabetes organizations. Diabetes Care. 2016;39:861–77.

    Article  CAS  Google Scholar 

  7. Sjöström L. Review of the key results from the Swedish obese subjects (SOS) trial—a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273:219–34.

    Article  Google Scholar 

  8. Busetto L, Dicker D, Azran C, Batterham RL, Farpour-Lambert N, Fried M, Hjelmesaeth J, Kinzl J, Leitner DR, Makaronidis JM, Schindler K, Toplak H, Yumuk V. Practical recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the post-bariatric surgery medical management. Obes Facts. 2017;10:597–632.

    Article  Google Scholar 

  9. Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H, Scopinaro N. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017;27:2279–89.

    Article  CAS  Google Scholar 

  10. Busetto L, Angrisani L, De Luca M, Forestieri P, Millo P, Santini F. Bariatric surgery. In: Sbraccia P, Nisoli E, Vettor R, editors. Clinical management of overweight and obesity. Recommendations of the Italian Society of Obesity (SIO). Basel: Springer; 2016. p. 53–81.

    Chapter  Google Scholar 

  11. Paillard J. Body schema and body image—a double dissociation in deafferented patients. In: Gantchev GN, Mori S, Massion J, editors. Motor control, today and tomorrow. Sophia: Academic Publishing House; 1999.

    Google Scholar 

  12. Gallagher S. How the body shapes the mind. New York: Oxford University Press; 2005.

    Book  Google Scholar 

  13. Slade PD. What is body image? Behav Res Ther. 1994;32:497–502.

    Article  CAS  Google Scholar 

  14. Fisher S. Sexual images of the self: the psychology of erotic sensations and illusions. Hillsdale: L. Erlbaum Associates; 1989.

    Google Scholar 

  15. Cash TF. Body image: past, present, and future. Body Image. 2004;1:1–5.

    Article  Google Scholar 

  16. Cash TF, Grant JR, Shovlin JM, Lewis RJ. Are inaccuracies in self-reported weight motivated distortions? Percept Mot Skills. 1992;74:209–10.

    Article  CAS  Google Scholar 

  17. Schwartz MB, Brownell KD. Obesity and body image. Body Image. 2004;1:43–56.

    Article  Google Scholar 

  18. Proulx MJ, Todorov OS, Taylor Aiken A, de Sousa AA. Where am I? Who am I? The relation between spatial cognition, social cognition and individual differences in the built environment. Front Psychol. 2016;7:64.

    PubMed  PubMed Central  Google Scholar 

  19. Galati G, Pelle G, Berthoz A, Committeri G. Multiple reference frames used by the human brain for spatial perception and memory. Exp Brain Res. 2010;206:109–20.

    Article  Google Scholar 

  20. Jeannerod M, Jacob P. Visual cognition: a new look at the two-visual systems model. Neuropsychologia. 2005;43:301–12.

    Article  CAS  Google Scholar 

  21. Riva G, Gaudio S, Dakanalis A. I’m in a virtual body: a locked allocentric memory may impair the experience of the body in both obesity and anorexia nervosa. Eat Weight Disord. 2013;19:133–4.

    Article  Google Scholar 

  22. Riva G. Out of my real body: cognitive neuroscience meets eating disorders. Front Hum Neurosci. 2014;8:236.

    PubMed  PubMed Central  Google Scholar 

  23. Lee S. Weight phobia versus fat phobia in anorexia nervosa. Transcult Psychiatr Res Rev. 1995;32:439–40.

    Google Scholar 

  24. Pinto-Gouveia J, Matos M. Can shame memories become a key to identity? The centrality of shame memories predicts psychopathology. Appl Cogn Psychol. 2011;25:281–90.

    Article  Google Scholar 

  25. Dakanalis A, Riva G. Mass media, body image and eating disturbances: the underline mechanism through the lens of the objectification theory. In: Latzer J, Merrick J, Stein D, editors. Body image: gender differences, sociocultural influences and health implication. New York: Nova Science; 2013. p. 217–36.

    Google Scholar 

  26. Friedman M, Brownell KD. Psychological correlates of obesity: moving to the next generation. Psychol Bull. 1995;117:3–20.

    Article  CAS  Google Scholar 

  27. Thompson JK. Body image, eating disorders, and obesity: an integrative guide for assessment and treatment. Washington, DC: American Psychological Association; 1996.

    Google Scholar 

  28. Cash TF, Pruzinsky T. Body image: a handbook of theory, research, and clinical practice. New York: Guilford Press; 2002.

    Google Scholar 

  29. Barry D, Grilo CM, Masheb RM. Gender differences in patients with binge eating disorder. Int J Eating Disord. 2002;31:63–70.

    Article  Google Scholar 

  30. Grilo CM, Masheb RM, Brody M, Burke-Martindale CH, Rothschild BS. Binge eating and self-esteem predict body image dissatisfaction among obese men and women seeking bariatric surgery. Int J Eating Disord. 2005;37:347–51.

    Article  Google Scholar 

  31. Akan G, Grilo CM. Sociocultural influences on eating attitudes and behaviors, body image, and psychological functioning: a comparison of African-American, Asian-American, and Caucasian college women. Int J Eating Disord. 1995;18:181–7.

    Article  CAS  Google Scholar 

  32. de Zwaan M, Mitchell J, Howell L, Monson N, Swan-Kremeier L, Crosby RD, Seim HC. Characteristics of morbidly obese patients before gastric bypass surgery. Compr Psychiatry. 2003;44:428–34.

    Article  Google Scholar 

  33. Matz P, Foster G, Faith M, Wadden TA. Correlate of body image dissatisfaction among overweight women seeking weight loss. J Consult Clin Psychol. 2002;70:1040–4.

    Article  Google Scholar 

  34. Wardle J, Waller J, Rapoport L. Body dissatisfaction and binge eating in obese women: the role of restraint and depression. Obes Res. 2001;1:306–24.

    Google Scholar 

  35. Annis NM, Cash TF, Hrabosky JI. Body image and psychosocial differences among stable average weight, currently overweight, and formerly overweight women: the role of stigmatizing experiences. Body Image. 2004;1:155–67.

    Article  Google Scholar 

  36. Grilo CM, Masheb RM. Correlates of body image dissatisfaction in treatment-seeking men and women with binge eating disorder. Int J Eating Disord. 2005;38:162–6.

    Article  Google Scholar 

  37. Rosenberger PH, Henderson KE, Grilo CM. Correlates of body image dissatisfaction in extremely obese female bariatric surgery candidates. Obes Surg. 2006;16:1331–6.

    Article  Google Scholar 

  38. Dunkley D, Blankstein K, Masheb RM, Grilo CM. Personal standards and evaluative concerns dimensions of “clinical” perfectionism: a reply to Shafran et al (2002, 2003) and Hewitt et al (2003). Behav Res Ther. 2006;44:63–84.

    Article  Google Scholar 

  39. Pratt E, Telch CF, Labouovie EW, Wilson GT, Agras WS. Perfectionism in women with binge eating disorder. Int J Eating Disord. 2001;29:177–86.

    Article  CAS  Google Scholar 

  40. Joiner TE Jr, Heatherton TF, Rudd MD, Schmidt NB. Perfectionism, perceived weight status, and bulimic symptoms: two studies testing a diathesis-stress model. J Abnorm Psychol. 1997;106:145–53.

    Article  Google Scholar 

  41. Bastiani AM, Rao R, Weltzin T, Kaye WH. Perfectionism in anorexia nervosa. Int J Eating Disord. 1995;17:147–52.

    Article  CAS  Google Scholar 

  42. Sarwer DB, Steffen KJ. Quality of life, body image and sexual functioning in bariatric surgery patients. Eur Eat Disorders Rev. 2015;23:504–8.

    Article  Google Scholar 

  43. Nyboe L, Vestergaard CH, Lund H, Møller MK, Videbech P. Metabolic syndrome in first-time hospitalized patients with depression: a 1-year follow-up study. Acta Psychiatr Scand. 2016;133:241–8.

    Article  CAS  Google Scholar 

  44. Forman M, Davis WN. Characteristics of middle-aged women in inpatient treatment for eating disorders. Eat Disord. 2005;13:231–43.

    Article  Google Scholar 

  45. Green AE, Dymek-Valentine M, Pytluk S, Le Grange D, Alverdy J. Psychosocial outcome of gastric bypass surgery for patients with and without binge eating. Obes Surg. 2004;14:975–85.

    Article  Google Scholar 

  46. Jackson TD, Grilo CM, Masheb RM. Teasing history, onset of obesity, current eating disorder psychopathology, body dissatisfaction, and psychological functioning in binge eating disorder. Obes Res. 2000;8:451–8.

    Article  CAS  Google Scholar 

  47. Sarwer DB, Thompson JK, Cash TF. Body image and obesity in adulthood. Psychiatr Clin North Am. 2005;28:68–87.

    Article  Google Scholar 

  48. Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13:639–48.

    Article  Google Scholar 

  49. Libeton M, Dixon JB, Laurie C, O’Brien PE. Patient motivation for bariatric surgery: characteristics and impact on outcomes. Obes Surg. 2004;14:392–8.

    Article  Google Scholar 

  50. Teufel M, Rieber N, Meile T, Giel KE, Sauer H, Hünnemeyer K, Enck P, Zipfel S. Body image after sleeve gastrectomy: reduced dissatisfaction and increased dynamics. Obes Surg. 2012;22:1232–7.

    Article  Google Scholar 

  51. Sarwer DB, Wadden TA, Moore RH, Eisenberg MH, Raper SE, Williams NN. Changes in quality of life and body image after gastric bypass surgery. Surg Obes Relat Dis. 2010;6:608–14.

    Article  Google Scholar 

  52. Hrabosky JI, Masheb RM, White MA, Rothschild BS, Burke-Martindale CH, Grilo CM. A prospective study of body dissatisfaction and concerns in extremely obese gastric bypass patients: 6- and 12-month postoperative outcomes. Obes Surg. 2006;16:1615–21.

    Article  Google Scholar 

  53. Dixon JB, O'Brien PE. Changes in comorbidities and improvements in quality of life after LAP-BAND placement. Am J Surg. 2002;184:51S–4S.

    Article  Google Scholar 

  54. Heitmann C, Germann G. Body contouring surgery after massive weight loss. Part I: abdomen and extremities. Chirurg. 2007;78:273–86.

    Article  CAS  Google Scholar 

  55. Song AY, Rubin JP, Thomas V, Dudas JR, Marra KG, Fernstrom MH. Body image and quality of life in post massive weight loss body contouring patients. Obesity. 2006;14:1626–36.

    Article  Google Scholar 

  56. Pavan C, Marini M, De Antoni E, Scarpa C, Brambullo T, Bassetto F, Mazzotta A, Vindigni V. Psychological and psychiatric traits in post-bariatric patients asking for body-contouring surgery. Aesth Plast Surg. 2017;41:90–7.

    Article  Google Scholar 

  57. Cash TF. The psychology of physical appearance: aesthetics, attributes, and images. In: Cash TF, Prunzinsky T, editors. Body images: development, deviance, and change. New York: Guilford Press; 1990. p. 51–79.

    Google Scholar 

  58. Riva G, Cárdenas-López G, Duran X, Torres-Villalobos GM, Gaggioli A. Virtual reality in the treatment of body image disturbances after bariatric surgery: a clinical case. Stud Health Technol Inform. 2012;181:278–82.

    PubMed  Google Scholar 

  59. Cárdenas-López G, Torres-Villalobos G, Martinez P, Carreño V, Duran X, Dakanalis A, Gaggioli A, Riva G. Virtual reality for improving body image disorders and weight loss after gastric band surgery: a case series. Stud Health Technol Inform. 2014;196:43–7.

    PubMed  Google Scholar 

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Busetto, L., Buongiorno, F., Schiff, S. (2018). Studies on Body Image Changes After Bariatric Surgery in Adults. In: Cuzzolaro, M., Fassino, S. (eds) Body Image, Eating, and Weight. Springer, Cham. https://doi.org/10.1007/978-3-319-90817-5_17

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  • DOI: https://doi.org/10.1007/978-3-319-90817-5_17

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