'Easy way out'? Stigma may keep many from weight loss surgery

'Easy way out'? stigma may keep many from weight loss surgery
(HealthDay)—For many obese people, weight loss surgery can be a new lease on life, but too few who qualify for the procedure opt for it.

One big reason: The widespread notion that surgery is an "easy way out," signifying a weakness of willpower to slim down using diet and exercise.

Almost 40 percent of nearly a thousand surveyed in a new study thought weight loss surgery (or "") was this kind of lazy, quick fix for weight loss.

And a "large percentage of the population—nearly 50 percent—think that weight loss surgery is performed for mostly cosmetic reasons," added lead researcher Dr. Heather Yeo. She's an assistant professor of surgery at Weill Cornell Medical College in New York City.

That's "unfortunate, as there are clear health implications to , and strong data which support the effectiveness and safety of weight loss surgery," she said.

Yeo believes people need to become aware of the health dangers linked with obesity.

"Obesity is a public health epidemic that contributes to mortality and many other , such as hypertension and diabetes," Yeo said. "Weight loss surgery has a low rate of complications and also has excellent success."

The patients who want weight loss surgery are not doing it to look better, agreed Dr. Eric DeMaria, president of the American Society for Metabolic and Bariatric Surgery.

Mostly, "they want better health," he said. "The for this disease of obesity is bariatric surgery, and 99 percent of the people who could benefit by this treatment aren't getting it."

But given the stigma around obesity, many patients don't consider weight loss surgery, DeMaria noted. "You're almost admitting to being a personal failure as a human being, because you can't lose weight by yourself," he said.

But that's a false perception, DeMaria said. Obesity is a complex disease of metabolism. "It's extremely difficult to treat without assistance of medications or surgery in addition to all the behavioral stuff," he explained.

DeMaria said the surgery is safe and effective. In addition, he noted, "It also treats all the serious medical conditions that accompany obesity and even reverses the risk of premature death."

For the study, Yeo and colleagues asked 948 people throughout the United States about their attitudes on obesity and surgery.

The researchers did find that women were less likely to think the surgery was cosmetic, and more likely to believe it was done for health reasons and not an easy way out.

The stigma of obesity is also shared by , said Dr. Mitchell Roslin, chief of bariatric at Northern Westchester Hospital in Mount Kisco, N.Y.

"We are not operating on patients that we potentially could show the greatest benefit because the insurance process is so rigorous and blames the patient," he said.

But this is just an extension of society's view that people choose to be obese, Roslin added. "People don't understand that don't eat more to become obese, they eat more because they are obese," he explained. "They have a regulatory disorder, and we blame them for their disease."

Obese people should stop blaming themselves and choose treatments that work, like , Roslin said.

The report was published online Dec. 12 as a research letter in the journal JAMA Surgery.


Explore further

Does weight loss before surgery provide benefits?

More information: Heather Yeo, M.D., assistant professor, surgery, Weill Cornell Medical College, New York City; Mitchell Roslin, M.D., chief, bariatric surgery, Northern Westchester Hospital, Mount Kisco, N.Y.; Eric DeMaria, M.D., president, American Society for Metabolic and Bariatric Surgery; Dec. 12, 2018, JAMA Surgery, online

For more on weight loss surgery, visit the American Society for Metabolic and Bariatric Surgery.

Copyright © 2018 HealthDay. All rights reserved.

Citation: 'Easy way out'? Stigma may keep many from weight loss surgery (2018, December 12) retrieved 26 March 2019 from https://medicalxpress.com/news/2018-12-easy-stigma-weight-loss-surgery.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
2 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more