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Psychiatric Disorders Among Bariatric Surgery Candidates: Relationship to Obesity and Functional Health Status In a study designed to document psychiatric disorders among candidates for weight loss surgery and to examine the relationship of psychopathology to the degree of obesity and functional health status. it was found Approximately 66% of the participants had a lifetime history of at least one axis I disorder, and 38% met diagnostic criteria at the time of preoperative evaluation. In addition, 29% met criteria for one or more axis II disorders. Axis I psychopathology, but not axis II, was positively related to BMI, and both axis I and axis II psychopathology were associated with lower scores on the Medical Outcomes Study 36-item Short-Form Health Survey. Current and past DSM-IV psychiatric disorders are prevalent among bariatric surgery candidates and are associated with greater obesity and lower functional health status, highlighting the need to understand potential implications for surgery preparation and outcome. Future work also will focus on the course of psychiatric disorder during the post-surgery period and its relationship to weight loss and maintenance.
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Obesity is a common but often underestimated condition of clinical and public health importance in many countries around the world. Its general acceptance by many societies as a sign of well-being or a symbol of high social status, and the denial by healthcare professionals and the public alike that it is a disease in its own right, have contributed to its improper identification and management and the lack of effective public health strategies to combat its rise to epidemic proportions. In general, obesity is associated with a greater risk of disability or premature death due to type 2 diabetes mellitus (T2DM) and cardiovascular diseases (CVD) such as hypertension, stroke and coronary heart disease as well as gall bladder disease, certain cancers (endometrial, breast, prostate, colon) and non-fatal conditions including gout, respiratory conditions, gastro-esophageal reflux disease, osteoarthritis and infertility. Obesity also carries serious implications for psychosocial health, mainly due to societal prejudice against fatness. The body mass index (BMI) is a simple and commonly used parameter for classifying various degrees of adiposity. It is derived from the weight of the individual in kilograms divided by the square of the height in metres (kg/m2). By the current World Health Organisation (WHO) criteria, a BMI <18.5kg 2="" is="" considered="" underweight,="" 18.5–24.9="" kg/m2="" ideal="" weight="" and="" 25–29.9kg/m2="" overweight="" or="" pre-obese.="" the="" obese="" category="" is="" sub-divided="" into="" obese="" class="" i="" (30–34.9kg/m2),="" obese="" class="" ii="" (35–39.9kg/m2)="" and="" obese="" class="" iii="" (≥40kg/m2).="" a="" bmi="" greater="" than="" 28kg/m2="" in="" adults="" is="" associated="" with="" a="" three="" to="" four-fold="" greater="" risk="" of="" morbidity="" due="" to="" t2dm="" and="" cvds="" than="" in="" the="" general="">18.5kg>
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