Adherence of Obese Patients from Poland and Germany and Its Impact on the Effectiveness of Morbid Obesity Treatment

被引：6

作者：

Hoffmann, Karolina ^{[1
]}

Kopciuch, Dorota ^{[2
]}

Michalak, Michal ^{[3
]}

Bryl, Wieslaw ^{[1
]}

Kus, Krzysztof ^{[2
]}

Marzec, Kinga ^{[2
]}

Raakow, Jonas ^{[4
,5
]}

Pross, Matthias ^{[6
]}

Berghaus, Rafael ^{[6
]}

Nowakowska, Elzbieta ^{[7
]}

Kostrzewska, Magdalena ^{[8
]}

Zaprutko, Tomasz ^{[2
]}

Ratajczak, Piotr ^{[2
]}

Paczkowska, Anna ^{[2
]}

机构：

[1] Poznan Univ Med Sci, Dept Internal Dis Metab Disorders & Arterial Hype, PL-60572 Poznan, Poland

[2] Poznan Univ Med Sci, Dept Pharmacoecon & Social Pharm, PL-60806 Poznan, Poland

[3] Poznan Univ Med Sci, Dept Comp Sci & Stat, PL-60806 Poznan, Poland

[4] Charite, Campus Charlie Mitte, Dept Surg, D-10117 Berlin, Germany

[5] Charite, Campus Virchow Klinikum, D-10117 Berlin, Germany

[6] DRK Kliniken Berlin, Dept Surg, D-12559 Berlin, Germany

[7] Univ Zielona Gora, Coll Med, Inst Hlth Sci, Dept Pharmacol & Toxicol, PL-65516 Zielona Gora, Poland

[8] Poznan Univ Med Sci, Dept Pulmonol Allergol & Pulmonol Oncol, PL-60572 Poznan, Poland

来源：

NUTRIENTS | 2022年 / 14卷 / 18期

关键词：

obesity; morbid obesity; adherence; compliance; BARIATRIC SURGERY CANDIDATES; GASTRIC BYPASS-SURGERY; BODY-MASS INDEX; WEIGHT-LOSS; PSYCHOMETRIC PROPERTIES; OVERWEIGHT; ANXIETY; DEPRESSION; OUTCOMES; ADULTS;

D O I：

10.3390/nu14183880

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Objectives This study aimed to investigate and compare the adherence of patients treated for morbid obesity living in Poland and Germany. Methods: A cross-sectional international multicenter survey design was adopted. The study involved 564 adult subjects treated for morbid obesity at selected healthcare facilities in Germany (210 participants) and Poland (354 participants). A validated, custom-made questionnaire based on the literature related to this issue was used. Results: The degree of adherence was higher, but not statistically significant, among Polish patients (83.82% vs. 78.33%, p = 0.26140). Patient adherence was associated with gender, age, level of education, duration of obesity, number of health professionals involved in obesity treatment, and type of obesity treatment (p < 0.05). A positive correlation was observed in the case of age, level of education, and a growing number of health professionals involved in obesity treatment, whereas a negative correlation was observed in the case of the duration of obesity. Patients who underwent bariatric surgery significantly more often followed medical recommendations regarding lifestyle changes, compared to obese participants treated only conservatively. Adherence in the field of obesity treatment significantly increases the percentage of total weight loss and excess weight loss due to applied obesity treatment among both Polish and German groups (p < 0.001). Both the percentage of total weight loss and that of excess weight loss were significantly higher in the group of adherent patients compared to the nonadherent patients (p < 0.00001). The levels of perceived anxiety, stress, and depression were significantly higher in nonadherent patients in both countries. Conclusions: These findings confirm the role of adherence in the effective and satisfactory treatment of morbid obesity. There is a great need to improve patient adherence to overcome the consequences of the obesity pandemic.

引用

页数：18

共 77 条

[1] Attachment Anxiety Predicts Poor Adherence to Dietary Recommendations: an Indirect Effect on Weight Change 1 Year After Gastric Bypass Surgery [J].