Investigation of The Life Experiences of Obese Patients


Abstract views: 130 / PDF downloads: 65

Authors

DOI:

https://doi.org/10.5281/zenodo.11373989

Keywords:

Bariatric Surgery, Metabolic Surgery, Obesity, Obesity Management

Abstract

Objective: The aim of this study was to determine the life experiences of obese patients and the reasons for their decision to undergo metabolic surgery.

Methods: This research is of qualitative phenomenological type. The research sample consisted of nine individuals with a body mass index of 30 and above, obese for at least one year, who decided to undergo metabolic surgery. Data were collected by face-to-face interviews using a participant identification form and a semi-structured data collection form. Consolidated Criteria for Reporting Qualitative Studies (COREQ) guidelines were used as a guide.

Results: The youngest of the nine participants was 20 years old and the oldest was 51 years old. When analyzed in terms of gender, it was determined that six of them were female, one of them was married and they worked in different professions. Other characteristics were that all but one of them lived with their families, all but two of them had obese individuals in their families, most of them had a stressful life according to their own statements, and all but one of them had tried dieting many times until the metabolic surgery and had not been successful. Three themes were determined by examining the statements of the patients followed up with a diagnosis of obesity regarding their experiences. These themes are social isolation, effects of obesity and surgical process.

Conclusion: Based on the data obtained in this study, it can be considered that obese individuals experience social isolation, psychological disorders, restriction of clothing preferences, feeling unhealthy and limitations in physical activity due to their excess weight. In addition, it was determined that the participants tried diet therapy many times, but they were not successful, so they considered metabolic surgery as a last resort.

References

Angelidi, A.M., Belanger, M.J., Kokkinos, A., Koliaki, C.C., Mantzoros, C.S. (2022). Novel noninvasive approaches to the treatment of obesity: from pharmacotherapy to gene therapy. Endocrine Reviews. 43(3), 507-557. doi: 10.1210/endrev/bnab034. PMID: 35552683; PMCID: PMC9113190.

Axsel, J., Myburgh, C., Poggenpoel, M. (2016), Adolescent boys with obesity: The lived experiences. Journal of Psychology in Africa.26(3),276-280.

Ayas, I., Saruç, N.T. (2017). Obezı̇te vergı̇sı̇ ülke uygulamaları. AKÜ İktisadi ve İdari Bilimler Fakültesi Dergisi.19(2), 69-82.

Çifci, A., Öklü, K. (2023). Obesity: etiology and the problems it causes. Intercontinental Journal of Internal Medicine, 1, 24–29.

Da Silva, S.P., Da Costa Maia, A. (2012). Obesity and treatment meanings in bariatric surgery candidates: A qualitative study. Obesity Surgery. 22 (11),1714-1722.

Fink, J., Seifert, G., Blüher, M., Fichtner-Feigl, S., Marjanovic, G. (2022) Obesity Surgery. Deutsches Ärzteblatt International. 119(5), 70-80. doi: 10.3238/arztebl.m2021.0359. PMID: 34819222; PMCID: PMC9059860.

Franchini, F., Palatucci, G., Colao, A., Ungaro, P., Macchia, P.E., Nettore, I.C. (2022). Obesity and Thyroid Cancer Risk: An UpdateInternational Journal of Environmental Research and Public Health. 19(3), 1116. doi: 10.3390/ijerph19031116. PMID: 35162142; PMCID: PMC8834607.

Ghaferi, A.A., Hawley, S.T., Fagerlin, A., Banerjee, M., An, L., Prosser, L.A., Birkmeyer, N. (2021). Testing a decision aid to help patients choose between two types of bariatric surgery [Internet]. Washington (DC): Patient-Centered Outcomes Research Institute (PCORI). PMID: 38048412. DOI: 10.25302/01.2021.CE.13046596

Hillers-Ziemer, L.E., Kuziel, G., Williams, A.E., Moore, B.N., Arendt, L.M. (2022). Breast cancer microenvironment and obesity: challenges for therapy. Cancer Metastasis Review. 41(3), 627-647. doi: 10.1007/s10555-022-10031-9. PMID: 35435599; PMCID: PMC9470689.

Homer, C.V., Tod, A.M., Thompson, A.R., Goyder, E. (2016). Expectations and patients’ experiences of obesity prior to bariatric surgery: a qualitative study. BMJ Open. 6(2), 1-10.

https://data.worldobesity.org/tables/prevalence-of-adult-overweight-obesity-2/ (Erişim Tarihi: 12.01.2024)

https://www.who.int/health-topics/obesity#tab=tab_1 (Erişim Tarihi: 12.01.2024)

Lee, J., & Kim, S.Y. (2023). Obesity and colorectal cancer. The Korean Journal of Gastroenterology. 82(2), 63-72. doi: 10.4166/kjg.2023.083. PMID: 37621241.

Lent, M.R., Bailey-Davis, L., Irving, B.A., Craig Wood, G., Cook,A.M., Hirsch, A.G.,…,Franceschelli-Hosterman, J. (2016). Bariatric surgery patients and their families: health, physical activity, and social support. Obesity Surgery. 26, 2981–2988. https://doi.org/10.1007/s11695-016-2228-7

Li, M., Gong, W., Wang, S., Li, Z. (2022). Trends in body mass index, overweight and obesity among adults in the USA, the NHANES from 2003 to 2018: a repeat crosssectional survey. BMJ Open. 12:e065425. doi:10.1136/bmjopen-2022-065425

Løvsletten, O., Jacobsen, B.K., Grimsgaard, S., Njølstad, I., Wilsgaard, T., Løchen, M-L.,…, Arnesdatter Hopstock, L.(2020). Prevalence of general and abdominal obesity in 2015–2016 and 8-year longitudinal weight and waist circumference changes in adults and elderly: the Tromsø Study. BMJ Open. 10:e038465. doi: 10.1136/bmjopen-2020-038465

Luhar, S., Mallinson, P.A.C., Clarke, L., Kinra, S. (2018). Trends in the socioeconomic patterning of overweight/obesity in India: a repeated cross-sectional study using nationally representative data. BMJ Open. 8(10):e023935. doi: 10.1136/bmjopen-2018-023935. PMID: 30344181; PMCID: PMC6196932.

Masood, B., & Moorthy, M. (2023). Causes of obesity: a rewiew. Clinical Medicine. 23(4), 284-291. doi: 10.7861/clinmed.2023-0168

Niu, S., & Ren, L. (2023). Treatment of obesity by acupuncture combined with medicine based on pathophysiological mechanism: A review. Medicine (Baltimore). 102(48):e36071. doi: 10.1097/MD.0000000000036071. PMID: 38050318; PMCID: PMC10695503.

O’Malley, E., Foy, S., O’Donnell, C., Murphy, M. (2022). Enabling participation in activities of daily living for people living with obesity. ASOI Adult Obesity Clinical Practice Guideline. https://asoi.info/guidelines/participation/ Accessed (12.01.2024).

Oen, G., Kvilhaugsvik, B., Eldal, K., Halding, A.G. (2018). Adolescents’ perspectives on everyday life with obesity: a qualitative study. International Journal of Qualitative Studies on Health and Well-being.13(1), 2-11.

Powell-Wiley, T.M., Poirier, P., Burke, L.E., Després, J.P., Gordon-Larsen, P., …,American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Epidemiology and Prevention; and Stroke Council. (2021). Obesity and cardiovascular disease: a scientific statement from the american heart association. Circulation. 143(21):e984-e1010. doi: 10.1161/CIR.0000000000000973. Epub 2021 Apr 22. PMID: 33882682; PMCID: PMC8493650.

Sakboonyarat, B., Pornpongsawad, C., Sangkool, T., Phanmanas, C., Kesonphaet, N., Tangthongtawi, N.,…, Rangsin, R. (2020). Trends, prevalence and associated factors of obesity among adults in a rural community in Thailand: serial cross-sectional surveys, 2012 and 2018. BMC Public Health. (20), 850. https://doi.org/10.1186/s12889-020-09004-w

Selman, A., Burns, S., Reddy, A.P., Culberson,.J, Reddy, P.H. (2022). The Role of Obesity and Diabetes in Dementia. International Journal of Molecular Sciences. 23(16), 9267. doi: 10.3390/ijms23169267. PMID: 36012526; PMCID: PMC9408882.

Thomas, S.L., Hyde, J., Karunaratne, A., Herbert, D., Komesaroff ,P.A. (2008). Being “fat” in today’s world: a qualitative study of the lived experiences of people with obesity in Australia. Health Expectations. 11, 321–330.

Wharton, S., Lau, D.C.W., Vallis, M., Sharma, A.M., Biertho, L., Campbell-Scherer, D.,…, Wicklum, S. (2020). Obesity in adults: a clinical practice guideline. Canadian Medical Association Journal. 192(31):E875-E891. doi: 10.1503/cmaj.191707. PMID: 32753461; PMCID: PMC7828878.

Downloads

Published

2024-05-29

How to Cite

ÇETİNKAYA, M. M., & ETİ ASLAN, F. (2024). Investigation of The Life Experiences of Obese Patients . GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 9(2), 207–215. https://doi.org/10.5281/zenodo.11373989

Issue

Section

Articles