Weight loss surgery for non-morbidly obese populations with type 2 diabetes: is this an acceptable option for patients?

Prim Health Care Res Dev. 2014 Jul;15(3):277-86. doi: 10.1017/S146342361300025X. Epub 2013 Jun 5.

Abstract

Aim: To explore the views of non-morbidly obese people (BMI 30-40 kg/m2) with type 2 diabetes regarding: (a) the acceptability of bariatric surgery (BS) as a treatment for type 2 diabetes, and (b) willingness to participate in randomised controlled trials comparing BS versus non-surgical intervention.

Background: Despite weight management being a key therapeutic goal in type 2 diabetes, achieving and sustaining weight loss is problematic. BS is an effective treatment for people with morbid obesity and type 2 diabetes; it is less certain whether non-morbidly obese patients (BMI 30-39.9 kg/m2) with type 2 diabetes benefit from this treatment and whether this approach would be cost-effective. Before evaluating this issue by randomised trials, it is important to understand whether BS and such research are acceptable to this population.

Methods: Non-morbidly obese people with type 2 diabetes were purposively sampled from primary care and invited to participate in semi-structured interviews. Interviews explored participants' thoughts surrounding their diabetes and weight, the acceptability of BS and the willingness to participate in BS research. Data were analysed using Framework Analysis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Attitude to Health
  • Bariatric Surgery / psychology
  • Bariatric Surgery / standards*
  • Body Mass Index
  • Comorbidity
  • Cost-Benefit Analysis
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetes Mellitus, Type 2 / surgery*
  • England
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Obesity / epidemiology
  • Obesity / surgery*
  • Patient Acceptance of Health Care / psychology*
  • Patient Acceptance of Health Care / statistics & numerical data
  • Qualitative Research
  • Randomized Controlled Trials as Topic
  • Research Subjects / psychology
  • Research Subjects / statistics & numerical data
  • Weight Loss / physiology*