Behandling av fetma : Effekter på BMI, midjemått, vikt, ”Känsla av sammanhang”, kroppsuppfattning och självupplevd hälsa

Sammanfattning: Aim The aim of this study was to evaluate the effects of MotVikt´s obesity-treatment program on eight severely obese subjects, concerning Body Mass Index, Waist-Circumference and Weight after three and a half months and Sense of Coherence, Body Image and Self-experienced Health after three months. The question in focus was: Did MotVikt´s obesity-treatment program have any effects concerning the factors mentioned above? Metod Information was collected with questionnaires that were filled out by the eight subjects, three men and five women, who participated in MotVikt´s last round of treatment. Data concerning waist-circumference, weight and BMI were provided by MotVikt. The questionnaires that were used to get information about Sense of Coherence, Body Image and Self-Experienced health were SOC-29, BSQ and IQOLA SF-36. Resultat The average BMI in the group has decreased with 2,9 kg/m2, from 39,7 till 36,8. The waist-circumference has decreased with in average 10,7 cm. The average weight has decreased with 7,5 %. Seven of eight patients have a decreased Sense of Coherence. The average score has changed from 142 to 130. Five of eight patients have improved their Body Image. The average score has changed from 90 to 75. The questions concerning Self-experienced Health show an improvement. Diskussion The main reason for MotVikt´s obesity treatment program is to make the patients loose 5-10 % of their bodyweight. After half of the treatment-time, most of the participants have already achieved that. It is good to see that all of the patients have a lower waist-circumference and therefore less abdominal obesity. The risks of complications are higher when fat is located to the abdominal area, why this is seen as an important finding that comes with health benefits. Seven out of eight patients have decreased their Sense of Coherence, which we see as the most surprising finding in this study. We can only guess what possible reasons may have caused the decrease. One reason may be that the patients are in a phase where they are re-evaluating their lives as a result of the lifestyle change they are going through.