International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 8 | Research Article | Open Access DOI
Valter Paulo Neves Miranda*
1Federal Institute of Education and Technology of Goiás, Urutaí Campus, Goiás, Brazil
2 Oswaldo Cruz Foundation, Sergio Arouca National School of Public Health, Rio de Janeiro, Brazil
3Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil
4Brazilian Hospital Services Company (Ebserh), Clinics Hospital of the Federal University of Uberlândia (HC- UFU), Uberlândia, Minas Gerais, Brazil
5Graduate Program in Physical Education, Federal University of Viçosa, Viçosa, Minas Gerais, Brazil
6Federal University of Juiz de Fora (UFJF), Juiz de Fora, Minas Gerais, Brazil
*Correspondence to: Valter Paulo Neves Miranda
Fulltext PDFBackground: Symptoms of depression and anxiety are frequently observed during the preoperative period of bariatric surgery and may be associated with patients' overall health status and well-being.
Objective: To investigate the association between psychopathological symptoms, lifestyle, and well-being in obese patients receiving care at a bariatric surgery outpatient clinic in a public teaching hospital.
Methods: This was a cross-sectional observational study. Mental health was assessed using the Depression Anxiety Stress Scales (DASS). Health status indicators included Physical Activity Level (PAL), sedentary time, and body composition. Well-being was evaluated through a composite scale measuring sleep quality, distress, fatigue, and muscle pain. Associations were analyzed using linear and multinomial regression models (both crude and adjusted), with a significance level of α = 0.05.
Results: A total of 186 patients participated in the study, of whom 170 (91.4%) were women, with a mean age of 45.56 ± 12.40 years. In the adjusted models, insufficient PAL (<150 minutes/week) was significantly associated with increased odds of depressive symptoms (OR = 3.51, 95% CI: 1.22–8.18), anxiety (OR = 3.36, 95% CI: 1.22–7.24), and stress (OR = 2.83, 95% CI: 1.11–7.41). High or very high distress levels were also significantly associated with anxiety (p = 0.021) and stress symptoms (p = 0.002). Furthermore, Two-Step Cluster analysis revealed that patients with lower well-being scores had significantly higher odds of being classified with severe or very severe mental health symptoms (p ≤ 0.01).
Conclusion: In this sample of patients from a public teaching hospital, poorer mental health—characterized by symptoms of depression, anxiety, and stress—was associated with insufficient physical activity and reduced well-being.
Bariatric surgery; Obesity; Anxiety; Depression; Stress; Lifestyle; Physical Activity
Valter Paulo Neves Miranda, Bruno Pereira de Moura, Bruna Priscila Colombo, Wesley de Souza do Vale, Gabriele Pereira Rocha, Natiele Resende Bedim, et al. Psychopathological Factors, Lifestyle, and Well- Being in Obese Patients Undergoing Bariatric Surgery. Int Clinc Med Case Rep Jour. 2025;4(8):1-12.