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Purpose <p>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.</p> Methods <p>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.</p> Results <p>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.</p> Conclusions <p>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.</p>

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Health-related quality of life of people with obesity who have and have not received metabolic bariatric surgery: a qualitative study in Singapore

  • 期刊论文

  • 发表日期：

    2026年6月15日

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  • Jia Jia Lee,
  • Le Ann Chen,
  • Ling Jie Cheng,
  • Nick Bansback,
  • Asim Shabbir,
  • Nan Luo

摘要

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.