Introduction: Multidisciplinary obesity services at university hospitals usually treat patients with more complex and severe obesity. In addition, patients with Class 3 obesity, in particular, have different attitudes regarding the choices of therapy. Methods: This explorative study investigated the effect of patient attitudes towards bariatric surgery on body weight change (primary outcome) and psychological improvement (secondary outcomes: quality of life, depression, anxiety, and eating behaviour) in a 6-month moderate behavioural weight loss (BWL) programme in a university outpatient setting. Results: 297 patients with mostly Class 3 obesity participated in the programme. The patients did not yet have any indications for bariatric surgery. Of the participants, 37% had a positive attitude towards bariatric surgery (POS), whereas 38% had a negative attitude (NEG). The drop-out rate was 8%. NEG participants lost significantly more body weight than the POS participants (intention-to-treat population: 4.5 [SD: 6.3] kg versus 0.4 [SD: 5.8] kg; p #x3c; 0.001). In both subgroups, anxiety, depression, the mental score for quality of life, and eating behaviour improved. Conclusion: A BWL treatment in a clinical setting identified 2 distinct groups with different attitudes towards bariatric surgery that were associated with different body weight change outcomes. These groups may require differently targeted programmes to achieve the best body weight loss results.
Obes Facts

中文翻译：

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态度很重要！对减肥手术的态度如何影响行为减肥治疗的效果

简介：大学医院的多学科肥胖服务通常治疗更复杂和严重的肥胖患者。此外，尤其是3级肥胖患者，对治疗选择的态度也各不相同。方法：这项探索性研究调查了患者对减肥手术的态度对 6 个月中等行为减肥的体重变化（主要结果）和心理改善（次要结果：生活质量、抑郁、焦虑和饮食行为）的影响(BWL) 计划在大学门诊环境中进行。结果：297 名大部分为 3 级肥胖的患者参加了该计划。患者尚无任何减肥手术指征。在参与者中，37% 的人对减肥手术 (POS) 持积极态度，而 38% 的人持消极态度 (NEG)。辍学率为8%。NEG 参与者比 POS 参与者减轻的体重明显更多（意向治疗人群：4.5 [SD：6.3] kg 与 0.4 [SD：5.8] kg；p #x3c；0.001）。在这两个亚组中，焦虑、抑郁、生活质量的心理评分和饮食行为都有所改善。结论：临床环境中的 BWL 治疗确定了 2 个不同的群体，他们对减肥手术的态度不同，这些群体与不同的体重变化结果相关。这些群体可能需要不同的针对性计划来达到最佳的减肥效果。
肥胖事实