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Faculty Symposium 4.24.15

Faculty Symposium 4.24.15. Perceptions of Weight Loss in Male Bariatric Patients Stephen P. Sowulewski, M.A. Associate Professor Department Head for Health. Tertiary Prevention. Background. Prevalence of obesity is 33% in U.S.

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Faculty Symposium 4.24.15

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  1. Faculty Symposium 4.24.15 Perceptions of Weight Loss in Male Bariatric Patients Stephen P. Sowulewski, M.A. Associate Professor Department Head for Health

  2. Tertiary Prevention

  3. Background Prevalence of obesity is 33% in U.S. Predicted to reach 50% within two decades (Yang et al., 2011) Obesity recognized as a disease by the AMA (2013) WHO established morbidity of obesity (1979) Those who fail to lose weight via lifestyle intervention may qualify for weight loss surgery “the option of surgical treatment should be offered to patients who are morbidly obese, well informed, motivated & willing to accept the operative risks…” (ASMBS)

  4. Body Mass Index (BMI) ACSM.ORG

  5. Bariatric Surgical Procedures Combination: restrictive & malabsorptive . **Roux en-Y Gastric Bypass (RYGB) Restrictive: reduction of the size of the stomach. **Laparoscopic Adjustable Gastric Banding (LAGB)

  6. The Research Gap Limited body of research on male bariatric pop Lack of qualitative research aimed at bariatric surgery

  7. Purpose • To examine perceptions of successful weight loss in male bariatric patients (post-op @ 1 year) • Behavioral factors will examine: • Eating behaviors • Physical activity • Support group attendance • Physician follow-up

  8. Literature Review Gender: Bariatric surgery patients are overwhelmingly female (Farinholt, Carr, Chang & Ali, 2013) Eating behaviors: important in post-op but becoming more important in pre-op phase (Sarwer, et al., 2008) Physical Activity: agreed upon amount has been variable due to lack of studies (Livhits et al., 2010) Support Groups: clinicians should stress the role of support groups in the pre-op consult as well as encouragement to attend post-op support groups (Orth et al., 2008) Physician Follow-up: highly dependent on procedure

  9. Methodology: Population & Sampling Male patients recruited from a database of existing patients at a surgical practice in Richmond, VA A pool of 15-20 (2011-2014) selected

  10. Methodology: Procedure • Participants will be interviewed to further explore intricacies of successful weight loss • Anticipation that the interview process will reveal added insights to more fully comprehend the challenges or barriers behind the patients’ earlier life experiences: • As related to their struggle with obesity • To ascertain which behavioral factors were associated with successful weight loss • Successful weight loss defined as greater than 50% EWL

  11. Methodology: Data Collection Semi-structured interview protocol conducted Allows for flexibility to ask follow-up and probing questions Protocol will be pilot tested so as not to deplete the potential study participant pool

  12. Sample InterviewQuestions • Tell me about your health status into early adulthood? • What types of wellness lifestyle approaches did you employ? • Can you tell me a little bit about why decided to undergo LAGB? • How were you feeling before surgery? • What is your mindset like now after surgery? • After your surgery, what kind of medical support is important to you? • How has physical activity influenced your weight? • How have your eating behaviors changed in relation to your weight loss? • How are support groups important in relation to your weight loss?

  13. Methodology: Data Analysis Upon completion of the semi-structured interviews, audiotapes will be transcribed A line by line or sentence by sentence approach will be used to identify code categories to be applied to the participant’s transcript Development of patterns & themes will take place

  14. Moving Forward The public health sector must become more vigilant in targeting treatment and prevention programs geared toward men (Sabinsky, 2007)

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