Background

Body image is a multidimensional construct that is influenced by several factors, being considered the mental representation of body contours and covers physiological, social, affective and libidinal aspects. The objective of this study was to follow the impact of weight loss, induced by gastric bypass bariatric surgery, on the perception of the body image of patients in the pre and postoperative periods of 6 months.

Methods

Observational study of a longitudinal design, carried out in a private clinic in the South of BRA. The sample consisted of 104 subjects submitted to gastric bypass. The perception of the corporal image was realized through the BRAian scale of silhouettes for adults, adapted by Kakeshita. Anthropometric data (weight, height, BMI) were obtained through chart analysis. Follow-up occurred in the pre- and postoperative periods of 6 months. Approved by the Research Ethics Committee of the Franciscan University: 1,830,670.

Results

The study consisted of 104 patients, with a mean age of 38.59 (± 9.98) years, of which 85 (81.7%) were female and 19 (18.3%) were male. The mean value of the percentage of excess weight loss (%EWL) of patients between preoperative and postoperative was 77.35% (± 16.70). Body image distortion was 81.7% in the pre and 77.1% in the postoperative period. The correlation between weight loss and body image distortion was considered to be very low (rs: 0.008, p = 0.957).

Conclusions

Gastric bypass-induced weight loss did not impact body image distortion in bariatric patients, and most patients remained distorted postoperatively.

Background

Body image is a multidimensional construct that is influenced by several factors, being considered the mental representation of body contours and covers physiological, social, affective and libidinal aspects. The objective of this study was to follow the impact of weight loss, induced by gastric bypass bariatric surgery, on the perception of the body image of patients in the pre and postoperative periods of 6 months.

Methods

Observational study of a longitudinal design, carried out in a private clinic in the South of BRA. The sample consisted of 104 subjects submitted to gastric bypass. The perception of the corporal image was realized through the BRAian scale of silhouettes for adults, adapted by Kakeshita. Anthropometric data (weight, height, BMI) were obtained through chart analysis. Follow-up occurred in the pre- and postoperative periods of 6 months. Approved by the Research Ethics Committee of the Franciscan University: 1,830,670.

Results

The study consisted of 104 patients, with a mean age of 38.59 (± 9.98) years, of which 85 (81.7%) were female and 19 (18.3%) were male. The mean value of the percentage of excess weight loss (%EWL) of patients between preoperative and postoperative was 77.35% (± 16.70). Body image distortion was 81.7% in the pre and 77.1% in the postoperative period. The correlation between weight loss and body image distortion was considered to be very low (rs: 0.008, p = 0.957).

Conclusions

Gastric bypass-induced weight loss did not impact body image distortion in bariatric patients, and most patients remained distorted postoperatively. Key words: Gastric bypass; Body image; Obesity; Weight loss.