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dc.contributor.authorLerdal, Anners
dc.contributor.authorGay, Caryl
dc.contributor.authorBonsaksen, Tore
dc.contributor.authorFagermoen, May Solveig
dc.date.accessioned2017-05-16T08:40:05Z
dc.date.accessioned2017-07-07T10:55:05Z
dc.date.available2017-05-16T08:40:05Z
dc.date.available2017-07-07T10:55:05Z
dc.date.issued2017
dc.identifier.citationLerdal AL, Gay C, Bonsaksen T, Fagermoen MS. Predictors of physical and mental health in persons with morbid obesity attending a patient education course - a two-year follow-up study. Health and Quality of Life Outcomes. 2017;15language
dc.identifier.issn1477-7525
dc.identifier.urihttps://hdl.handle.net/10642/5066
dc.description.abstractBackground People with morbid obesity (body mass index ≥40) may experience changes in their health after participating in a tailored patient education course. The aims of this study were to assess the changes in physical and mental health in persons with morbid obesity during the 2 years following an educational course and to explore possible socio-demographic, treatment, and personal predictors of physical and mental health outcomes. Methods In this prospective longitudinal cohort study, self-report questionnaire data were collected from people with morbid obesity at the beginning of mandatory educational courses while on a waiting list for gastric surgery and at two-year follow-up. Of the 185 who attended the courses, 142 (77%) volunteered to participate in the study, and the 59 with complete data at the two-year follow-up were included in the analysis. Physical and mental health were measured with the physical and mental component summary scores from the Short Form 12v2. Self-esteem was measured by the Rosenberg Self-Esteem Scale, and self-efficacy by the General Self-Efficacy Scale. Results The participants reported better physical health at two-year follow-up than at baseline. Mental health did not change significantly over time. Receiving surgical treatment during the study period predicted better physical health at two-year follow-up, even after controlling for physical health at baseline. Mental health at baseline was the only significant baseline predictor of mental health at follow-up. However, increasing self-esteem and self-efficacy over the two-year study period independently predicted better mental health at follow up after controlling for mental health at baseline. Conclusion Our study showed that people with morbid obesity on a waiting list for bariatric surgery improved their physical health during the 2 years after attending a tailored patient educational course. Improving self-esteem and self-efficacy may be important personal factors for maintaining mental health during this period. Trial Registration NCT01336725. Registered 14 April 2011.language
dc.language.isoenlanguage
dc.publisherBioMed Centrallanguage
dc.rights© The Author(s). 2017 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.language
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectObesitylanguage
dc.subjectQuality of lifelanguage
dc.subjectCoping strategieslanguage
dc.subjectSelf-esteemlanguage
dc.subjectPatient educationlanguage
dc.titlePredictors of physical and mental health in persons with morbid obesity attending a patient education course - a two-year follow-up studylanguage
dc.typeJournal articlelanguage
dc.typePeer reviewedlanguage
dc.date.updated2017-05-16T08:40:05Z
dc.description.versionpublishedVersionlanguage
dc.identifier.doihttp://doi.org/10.1186/s12955-017-0675-z
dc.identifier.cristin1470435
dc.source.journalHealth and Quality of Life Outcomes


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© The Author(s). 2017
This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Except where otherwise noted, this item's license is described as © The Author(s). 2017 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.