Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
Health-related quality of life of people with obesity who have and have not received metabolic bariatric surgery: a qualitative study in Singapore.
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Lee Jia Jia, Chen Le Ann, Cheng Ling Jie, Bansback Nick, Shabbir Asim, Luo Nan
Аннотация
PURPOSE: Obesity is a multi-faceted health problem impacting many aspects of health-related quality of life (HRQoL). Although the clinical effectiveness of metabolic bariatric surgery (MBS) is well-documented across different settings, qualitative studies on post-MBS HRQoL involving Asian patients remain scarce. This study aimed to qualitatively explore the HRQoL of people with obesity and post-MBS individuals within a Southeast Asian context.
METHODS: In-depth interviews were conducted with people with lived experience with obesity who were visiting a hospital weight management clinic in Singapore, using a semi-structured interview guide. A total of 25 study participants were recruited, including those who had and had not received MBS. Data was analysed using an inductive thematic approach.
RESULTS: People with obesity reported substantial symptom burden and impaired physical functioning, issues with appearance and clothing, challenges with romantic relationship or physical intimacy, poor social well-being, and poor psychological and emotional well-being. Post-MBS patients also reported challenges, including loose skin and hair loss affecting appearance, as well as changes in eating habits and reduced food enjoyment.
CONCLUSIONS: While Southeast Asians with obesity experience HRQoL deficits in similar domains as their counterparts in Western populations, their social well-being, particularly fear of becoming a burden to others, might be more affected. This study highlights the need for culturally sensitive HRQoL measures when assessing the pre- and post-operative outcomes of MBS in Singapore.
METHODS: In-depth interviews were conducted with people with lived experience with obesity who were visiting a hospital weight management clinic in Singapore, using a semi-structured interview guide. A total of 25 study participants were recruited, including those who had and had not received MBS. Data was analysed using an inductive thematic approach.
RESULTS: People with obesity reported substantial symptom burden and impaired physical functioning, issues with appearance and clothing, challenges with romantic relationship or physical intimacy, poor social well-being, and poor psychological and emotional well-being. Post-MBS patients also reported challenges, including loose skin and hair loss affecting appearance, as well as changes in eating habits and reduced food enjoyment.
CONCLUSIONS: While Southeast Asians with obesity experience HRQoL deficits in similar domains as their counterparts in Western populations, their social well-being, particularly fear of becoming a burden to others, might be more affected. This study highlights the need for culturally sensitive HRQoL measures when assessing the pre- and post-operative outcomes of MBS in Singapore.