Body shape expectations and self-ideal body shape discrepancy in women seeking bariatric surgery: a cross-sectional study, BMC Obesity

Background Postoperative body shape expectations (BSE) of bariatric surgery candidates remain relatively unexplored, and may have important implications for weight loss outcomes, treatment satisfaction, and education. Methods The ‘Silhouette Figure Rating Scale’ was administered to 69 consecutive female candidates. Self-perceived current and goal body shape and postoperative BSE in four categories; “dream, “happy”, “acceptable”, and “disappointed” were examined. Results The mean age and BMI of the sample was 43.4 ± 8.9 years and 48.8 ± 7.0 kg/m2. Self-ideal body shape discrepancy of 4.1 ± 1.3 silhouettes was reported, indicating body image dissatisfaction. 53% incorrectly identified the silhouette associated with their actual BMI. Goal body shape (4.3 ± 0.8 silhouettes) corresponded to a BMI figure 23.1 kg/m2- 26.2 kg/m2. The postoperative “dream” (4.1 ± 1.0 silhouettes), “happy” (5.0 ± 0.8 silhouettes), “acceptable” (5.3 ± 1.0 silhouettes), and “disappointed” (6.9 ± 1.0 silhouettes) BSE corresponded to silhouettes that were thinner than the thinnest silhouette clinically expected based on a 56.1% excess weight loss 1-year after laparoscopic sleeve gastrectomy (LSG) or a 22.3% to 47.2% total body weight loss. Conclusions Women seeking bariatric surgery experience body image dissatisfaction and misperceive their actual body size. BSE do not correspond with evidence-based LSG weight loss outcomes.

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Frontiers Factors associated with the improvement of body image dissatisfaction of female patients with overweight and obesity during cognitive behavioral therapy

PDF) Body shape expectations and self-ideal body shape discrepancy in women seeking bariatric surgery: A cross-sectional study

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Translational aspects of body image research for obesity-related quality of life and weight loss maintenance post-bariatric surgery - Caltabiano - Annals of Translational Medicine

Life Expectancy after Bariatric Surgery in the Swedish Obese Subjects Study

PDF] Categorizing the Morbidly Obese Body Shape and Estimating Body Appearance Outcome before Weight Loss Surgery Using 3D Anthropometric Data

Women's Satisfaction with and Reasons to Seek Bariatric Surgery—a Prospective Study in Sweden with 1-Year Follow-up

Women's Satisfaction with and Reasons to Seek Bariatric Surgery—a Prospective Study in Sweden with 1-Year Follow-up