1. bookVolume 69 (2016): Issue 1 (March 2016)
Journal Details
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Format
Journal
eISSN
1899-4849
First Published
31 Dec 2009
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4 times per year
Languages
English
access type Open Access

Participation in Medical Tourism versus Physical Activity of Patients after Liposuction: What are the Concerns about Health and Quality of Life?

Published Online: 05 Mar 2016
Volume & Issue: Volume 69 (2016) - Issue 1 (March 2016)
Page range: 29 - 42
Received: 08 Jul 2014
Accepted: 08 Sep 2014
Journal Details
License
Format
Journal
eISSN
1899-4849
First Published
31 Dec 2009
Publication timeframe
4 times per year
Languages
English
Abstract

Nowadays, the act of taking care of one’s appearance has become a marker of a healthy lifestyle among both women and (mostly metrosexual) men. Physical activity plays a minor role, and tourist trips are more and more frequently combined with the consumption of medical services, including surgery and aesthetic dermatology. The aim of this study is to explain the phenomenon of medical tourism, particularly the specialized category of medical tourism for liposuction treatments, and its relation to the values of physical culture. The work is theoretical; it is supplemented by references to the presented issues in the form of a case study of “lipotourism” and its participants. As a result, the profile of a medical tourist has been identified against which a “lipotourist” constitutes an inimitable case. It seems that although the purpose for the travels of such a tourist is recognized, it still remains a matter of conjecture in terms of experience and behavior.

To prove the thesis that participating in tourism for medical reasons can affect one’s quality of life, certain conditions must be met: 1. The applied treatment must not cause (permanent) damage to the patient’s health; 2. Liposuction must be treated exclusively as an (invasive) aesthetic surgery and not as a method of weight reduction; 3. Regular physical activity and a healthy diet and lifestyle must be included in the process of body shaping, and 4. Health and physical education must be treated as superior values of quality of life. The existing considerations should only be regarded as preliminary.

Keywords

Alam, M., & Kaminer, M.S. (2010). Liposuction. In B.E. Katz, & N.S. Sadick (Eds.), Body Contouring. Procedures in Cosmetic Dermatology (pp. 69-96). London: Saunders Elsevier.Search in Google Scholar

Alsharif, M.J., Labonte, R., & Lu, Z. (2010). Patients beyond borders: a study of medical tourists in four countries. Global Social Policy, 10(3), 315-335. DOI: 10.1177/1468018110380003.10.1177/1468018110380003Search in Google Scholar

Andrei, C.L., Ţigu, G., Drăgoescu, R.M., & Sinescu, C.J. (2014). Analysis of Medical Tourism for Cardiovascular Diseases. Amfiteatru Economic, 16(8), 1136-1150.Search in Google Scholar

Bandachowicz, D. (2013). Zastosowanie ultradźwięków w redukcji tkanki tłuszczowej /The use of ultrasound to reduce body fat /. Polish Journal of Cosmetology, 16(3), 186-189.Search in Google Scholar

Bax, H.I., van Ingen, J., Dwarkasing, R.S., & Verbon, A. (2014). Lipotourism, not without risks: a complication of cosmetic surgery abroad. Nederlands Tijdschrift voor Geneeskunde, 158, A7926.Search in Google Scholar

Benatti, F., Solis, M., Artioli, G., Montag, E., Painelli, V., Saito, F., & et al. (2012). Liposuction induces a compensatory increase of visceral fat which is effectively counteracted by physical activity: a randomized trial. Journal of Clinical Endocrinology & Metabolism, 97(7), 2388-2395. DOI: 10.1210/jc.2012-1012.10.1210/jc.2012-101222539589Search in Google Scholar

Biernat, E., & Piątkowska, M. (2014). Individual and Environmental Factors Determining Sedentary Lifestyle of the Polish Population. Iranian Journal of Public Health, 43(8), 1033-1044.Search in Google Scholar

Boriani, F., Villani, R., & Morselli, P.G. (2014). Metabolic effects of large-volume liposuction for obese healthy women: a meta-analysis of fasting insulin levels. Aesthetic Plastic Surgery, 38(5), 1050-1056.10.1007/s00266-014-0386-325099498Search in Google Scholar

Breitrück, V., & Nunn, E. (2011). Health & medical tourism. In A. Papathanassis (Ed.), The Long Tail of Tourism: Holiday Niches and their Impact on Mainstream Tourism (pp. 57-67). Wiesbaden: Gabler Verlag.Search in Google Scholar

Cameron, K., Crooks, V.A., Chouinard, V., Snyder, J., Johnston, R., & Casey, V. (2014). Motivation, justification, normalization: Talk strategies used by Canadian medical tourists regarding their choices to go abroad for hip and knee surgeries. Social Science & Medicine, 106, 93-100.10.1016/j.socscimed.2014.01.04724556288Search in Google Scholar

Casey, V., Crooks, V.A., Snyder, J., & Turner, L. (2013). Knowledge brokers, companions, and navigators: a qualitative examination of informal caregivers’ roles in medical tourism. International Journal for Equity in Health, 12, 94.10.1186/1475-9276-12-94387903324289231Search in Google Scholar

Chojnowski, J., Tołodziecki, M., Adamczyk, P., Trawińska, M., & Ponikowska, I. (2013). State of physical activity of patients treated in health resort conditions. Acta Balneologica, 55(1,131), 13-18.Search in Google Scholar

Cohen, I.G. (2012). Circumvention tourism. Cornell Law Review, 97(6), 1309-1398.Search in Google Scholar

Constantine, R.S., Davis, K.E., & Kenkel, J.M. (2014). The effect of massive weight loss status, amount of weight loss, and method of weight loss on body contouring outcomes. Aesthetic Surgery Journal, 34(4), 578-583.10.1177/1090820X1452820824676143Search in Google Scholar

Cormany, D., & Baloglu, S. (2011). Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist. Tourism Management, 32(4), 709-716.10.1016/j.tourman.2010.02.008Search in Google Scholar

Crooks, V.A., Turner, L., Cohen, I.G., Bristeir, J., Snyder, J., Casey, V., & et al. (2013, February). Ethical and legal implications of the risks of medical tourism for patients: a qualitative study of Canadian health and safety representatives’ perspectives. BMJ Open, 3, e002302. Retrieved February 3, 2015, from http://bmjopen.bmj.com/content/3/2/e002302.full; DOI: 10.1136/bmjopen-2012-002302.10.1136/bmjopen-2012-002302358612823396563Search in Google Scholar

Eissler, L.A., & Casken, J. (2013). Seeking healthcare through international medical tourism. Journal of Nursing Scholarship, 45(2), 177-184.10.1111/jnu.1201423489601Search in Google Scholar

Enhancing your appearance with liposuction (2008). A.J. Bulletin, 2, 17-20.Search in Google Scholar

European Commission (2014). Special Eurobarometer 412. Sport and physical activity. Retrieved February 19, 2015, from http://ec.europa.eu/public_opinion/archives/ebs/ebs_412_en.pdf Search in Google Scholar

Franzblau, L.E., & Chung, K.C. (2013). Impact of medical tourism on cosmetic surgery in the United States. Plastic and Reconstructive Surgery. Global Open, 1(7), e63. DOI: 10.1097/GOX.0000000000000003.10.1097/GOX.0000000000000003417406525289258Search in Google Scholar

Fraterrigo, G., Fontana, L., & Klein, S. (2014). Liposuction and Obesity. In G.A. Bray & C. Bouchard (Eds.), Handbook of Obesity (pp. 433-440). Boca Raton, FL: CRC Press Inc.Search in Google Scholar

Freyer, W., & Kim, B.S. (2014). Medizintourismus und Medizinreisen - eine inter-disziplinäre Betrachtung /Medical tourism and medical travels - an interdisciplinary approach /. Gesundheitswesen, 76(1), 65-68.Search in Google Scholar

Furuya, E.Y., Paez, A., Srinivasan, A., Cooksey, R., Augenbraun, M., Baron, M., & et al. (2008). Outbreak of Mycobacterium abscessus wound infections among “lipotourists” from the United States who underwent abdominoplasty in the Dominican Republic. Clinical Infectious Diseases, 46(8), 1181-1188.10.1086/52919118444853Search in Google Scholar

George, B.P., Henthorne, T.L., & Williams, A.J. (2010). Determinants of satisfaction and dissatisfaction among preventive and curative medical tourists: a comparative analysis. International Journal of Behavioural and Healthcare Research, 2(1), 5-19. 10.1504/IJBHR.2010.037077Search in Google Scholar

Hall, C.M. (Ed.), (2013). Medical Tourism. The ethics, regulation, and marketing of health mobility. London: Routledge.Search in Google Scholar

Hanefeld, J., Lunt, N., Smith, R., & Horsfall, D. (2015). Why do medical tourists travel to where they do? The role of networks in determining medical travel. Social Science & Medicine, 124, 356-363.10.1016/j.socscimed.2014.05.01624976006Search in Google Scholar

Hansen, D., Dendale, P., Berger, J., van Loon, L.J.C., & Meeusen, R. (2007). The Effects of Exercise Training on Fat- Mass Loss in Obese Patients During Energy Intake Restriction. Sports Medicine, 37(1), 31-46.10.2165/00007256-200737010-0000317190534Search in Google Scholar

Hernandez, T.L., Kittelson, J.M., Law, C.K., Ketch, L.L., Stob, N.R., Lindstrom, R.C., & et al. (2011). Fat Redistribution Following Suction Lipectomy: Defense of Body Fat and Patterns of Restoration. Obesity, 19(7), 1388-1395.10.1038/oby.2011.6421475140Search in Google Scholar

Holliday, R., Bell, D., Cheung, O., Jones, M., & Probyn, E. (2015). Brief encounters: Assembling cosmetic surgery tourism. Social Science & Medicine, 124, 298-304.10.1016/j.socscimed.2014.06.04724985788Search in Google Scholar

Hudson, S., & Li, X. (2012). Domestic medical tourism: a neglected dimension of medical tourism research. Journal of Hospitality Marketing & Management, 21(3), 227-246.10.1080/19368623.2011.615018Search in Google Scholar

Kantanista, A., & Osiński, W. (2014). Physical activity of Poles - Critical analysis of research 2010-2014. Annals of Agricultural and Environmental Medicine, 21(4), 839-843.10.5604/12321966.112994425528931Search in Google Scholar

Khanna, A., & Filobbos, G. (2013). Avoiding unfavourable outcomes in liposuction. Indian Journal of Plastic Surgery, 46(2), 393-400. DOI: 10.4103/0970-0358.118618.10.4103/0970-0358.118618390192024501475Search in Google Scholar

Kiciak, A. (2010). Surgical approaches to aid and substitute weight loss. Kosmos. Problemy Nauk Biologicznych, 59(3-4), 413-419.Search in Google Scholar

Klein, S., Fontana, L., Young. V.L., Coggan, A.R., Kilo, C., Patterson, B.W., & et al. (2004). Absence of an effect of liposuction on insulin action and risk factors for coronary heart disease. The New England Journal of Medicine, 350(25), 2549-2557.10.1056/NEJMoa03317915201411Search in Google Scholar

Kowalska, I., Sagan, A., Mokrzycka, A., & Zabdyr-Jamróz, M. (2015). The first attempt to create a national strategy for reducing waiting times in Poland: Will it succeed? Health Policy, 119(3), 258-263. DOI: 10.1016/j.healthpol.2014.12.010.10.1016/j.healthpol.2014.12.010Search in Google Scholar

Labonté, R. (2013). Medical Tourism Today: What, Who, Why and Where? In R. Labonté, V. Runnels, C. Packer & R. Deonandan (Eds.), Travelling well: Essays in medical tourism (pp. 6-42). Ottawa, ON: University of Ottawa Press.Search in Google Scholar

Liechty, T. (2012). “Yes, I worry about my weight… but for the most part I’m content with my body”: Older Women’s Body Dissatisfaction Alongside Contentment. Journal of Women & Aging, 24(1), 70-88.10.1080/08952841.2012.638873Search in Google Scholar

Liechty, T., Ribeiro, N.F., Sveinson, K., & Dahlstrom, L. (2014). “It’s about what I can do with my body”: Body Image and Embodied Experiences of Aging among Canadian Men. International Journal of Men’s Health, 13(1), 3-21.10.3149/jmh.1301.3Search in Google Scholar

Lubowiecki-Vikuk, A. (2010). Turystyka medyczna jako forma globalnej opieki zdrowotnej w kontekście rekreacyjnej aktywności fizycznej obywateli krajów Unii Europejskiej / Medical tourism as a form of global health in the context of recreational physical activity among citizens of the European Union/. In W. Siwiński, R.D. Tauber & E. Mucha-Szajek (Eds.), Rozwój usług turystyczno-rekreacyjnych i hotelarsko-gastronomicznych w warunkach globalizacji /The development of tourist-recreational services and hospitality catering in the conditions of globalization/ (pp. 185-191). Poznań: WSHiG, PSNARiT.Search in Google Scholar

Lubowiecki-Vikuk, A. (2012a). Trends in the development of medical tourism in Poland. International Medical Travel Journal. Retrieved March 10, 2015, from http://www.imtj.com/articles/2012/medical-tourism-poland-30145/ Search in Google Scholar

Lubowiecki-Vikuk, A. (2012b). Turystyka medyczna przejawem współczesnych trendów i tendencji w turystyce / Medical tourism as a manifestation of contemporary trends and tendencies in tourism/. Zeszyty Naukowe Uniwersytetu Szczecińskiego. Ekonomiczne Problemy Usług, 84, 553-568.Search in Google Scholar

Lubowiecki-Vikuk, A. (2015). Specyficzność turystyki medycznej / Specificity of medical Tourism/. In G. Godlewski & M. Zalech (Eds.), Turystyka kontrowersyjna na współczesnym rynku podróży - formy, uwarunkowania, skutki /Controversial tourism in today's travel market - forms, conditions, effects/ (pp. 163-172). Biała Podlaska: AWF.Search in Google Scholar

Lubowiecki-Vikuk, A., & Bosiacki, S. (2012). Możliwości rozwoju turystyki medycznej w Poznaniu w ujęciu podażowo-popytowym /Opportunities for development of medical tourism in Poznan in terms of supply-demand factors/. Turystyka i Rekreacja, 8, 41-53.Search in Google Scholar

Lubowiecki-Vikuk, A., & Mucha, D. (2015). Perspektywy rozwoju turystyki farmaceutycznej w regionie Polski południowej / Perspectives for the development of the pharmaceutical tourism in the region of southern Poland/. Rozprawy Naukowe Akademii Wychowania Fizycznego we Wrocławiu, 49, 147-156.Search in Google Scholar

Lubowiecki-Vikuk, A., & Rab-Przybyłowicz, J. (2015). Wybrane aspekty funkcjonowania rynku turystyki medycznej w Polsce / Selected aspects of the functioning of the market of medical tourism in Poland/. Folia Turistica, 34, 85-107.Search in Google Scholar

Lunt, N., & Carrera, P. (2010). Medical tourism: Assessing the evidence on treatment abroad. Maturitas, 66(1), 27-32.10.1016/j.maturitas.2010.01.017Search in Google Scholar

Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., & et al. (2014). Implications for the NHS of inward and outward medical tourism: a policy and economic analysis using literature review and mixed-methods approaches. Health Services and Delivery Research, 2(2), 1-234.10.3310/hsdr02020Search in Google Scholar

Mascie-Taylor, C.G.N., & Goto, R. (2007). Human Variation and Body Mass Index: A Review of the Universality of BMI Cut-offs, Gender and Urban-rural Differences, and Secular Changes. Journal of Physiological Anthropology, 26(2), 109-112.10.2114/jpa2.26.109Search in Google Scholar

Matteelli, A., Carvalho, A.C., & Bigoni, S. (2012). Visiting relatives and friends (VFR), pregnant, and other vulnerable travelers. Infectious Disease Clinics of North America, 26(3), 625-635.10.1016/j.idc.2012.07.003Search in Google Scholar

Melendez, M.M., & Alizadeh, K. (2011). Complications from international surgery tourism. Aesthetic Surgery Journal, 31(6), 694-697.10.1177/1090820X11415977Search in Google Scholar

Nelson, R. (2014). Infectious risks of medical tourism. The Lancet, 14(8), 680-681.10.1016/S1473-3099(14)70861-8Search in Google Scholar

Official Journal of the European Union (2011). Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare, 50(88),45. 4 April 2011.Search in Google Scholar

Osiński, W. (2011). Teoria wychowania fizycznego /Theory of physical education/. Poznań: AWF.Search in Google Scholar

Pawłucki, A. (2013). Nauki o kulturze fizycznej /Physical Culture sciences/. Wrocław: AWF.Search in Google Scholar

Perez, R.A. (2007). Liposuction and diabetes type 2 development risk reduction in the obese patient. Medical Hypotheses, 68(2), 393-396.10.1016/j.mehy.2006.06.04817011727Search in Google Scholar

Podgórska, K., Drożdż, K., Bieniek, A., & Szuba, A. (2011). Liposuction in the treatment of idiopathic lower extremity lymphoedema. Acta Angiologica, 17(4), 271-276.Search in Google Scholar

Rapprich, S., Koller, J., Sattler, G., Wörle, B., Sommer, B., Bechara, F.G., & et al. (2012). Liposuction - a surgical procedure in dermatology. Journal der Deutscheen Dermatologischen Gesellschaft, 10(2), 111-113.10.1111/j.1610-0387.2011.07847.x22123647Search in Google Scholar

Rasińska, R., & Siwiński, W. (2014). Medical tourism - travels in search of health in the opinion of women aged 40-60. Rozprawy Naukowe Akademii Wychowania Fizycznego we Wrocławiu, 45, 146-152.Search in Google Scholar

Reed, C.M. (2008). Medical tourism. The Medical Clinics of North America, 92(6), 1433-1446.10.1016/j.mcna.2008.08.001712744919061760Search in Google Scholar

Runnels, V., & Carrera, P.M. (2012). Why do patients engage in medical tourism? Maturitas, 73(4), 300-304.10.1016/j.maturitas.2012.08.01123007007Search in Google Scholar

Schlarb, D., Idelevich, E.A., Krause-Bergmann, A., & Stollwerck, P. (2015). Successful interdisciplinary radical treatment of Mycobacterium fortuitum infection in a lipotourist from Germany after abdominoplasty in Turkey. New Microbes and New Infections, 8, 21-23. DOI: 10.1016/j.nmni.2015.09.003.10.1016/j.nmni.2015.09.003460235726568829Search in Google Scholar

Shridharani, S.M., Broyles, J.M., & Matarasso, A. (2014). Liposuction devices: technology update. Medical Devices (Auckland, N.Z.), 7, 241-251.10.2147/MDER.S47322411474125093000Search in Google Scholar

Siemińska, L. (2007). Adipose tissue. Pathophysiology, distribution, sex differences and the role in inflammation and cancerogenesis. Endokrynologia Polska, 58(4), 330-342.Search in Google Scholar

Smith, M., & Puczko, L. (2013). Health, Tourism and Hospitality: Spas, Wellness and Medical Travel. London: Rutledge Taylor & Francis Group.Search in Google Scholar

Sobańska, K., & Głuszek, S. (2010). Select surgical and cosmetic procedures used in treating obesity and cellulite. Studia Medyczne /Medical Studies/, 19, 7-11.Search in Google Scholar

Suder, A., & Sokołowski, A. (2014). Relationship of Social and Lifestyle Factors with Central Fat Distribution Expressed by the Aggregate Fat Distribution Index. Anthropological Review, 77(2), 205-218.10.2478/anre-2014-0016Search in Google Scholar

Todd, M.K. (2012). Medical Tourism Facilitator’s Handbook. Boca Raton: CRC Press, Taylor & Francis Group.Search in Google Scholar

Turner, L. (2012). News media reports of patient deaths following ‘medical tourism’ for cosmetic surgery and bariatric surgery. Developing World Bioethics, 12(1), 21-34.10.1111/j.1471-8847.2012.00320.x22420449Search in Google Scholar

Uemura, K. (2012). Trends in medical tourism as healthcare goes global. Health Evaluation and Promotion, 39(6), 844-848.10.7143/jhep.39.844Search in Google Scholar

Wongkit, M., & McKercher, B. (2013). Toward a typology of medical tourists: A case study of Thailand. Tourism Management, 38, 4-12. 10.1016/j.tourman.2013.02.003Search in Google Scholar

Yazigi Solis, M., Artioli, G.G., Montag, E., Painelli, V.S., Saito, F.L., Lima, F.R., & et al. (2014). The Liposuction- Induced Effects on Adiponectin and Selected Cytokines Are Not Affected by Exercise Training in Women. International Journal of Endocrinology, 2014, ID 315382. DOI: 10.1155/2014/315382.10.1155/2014/315382391007624527033Search in Google Scholar

Yeoh, E., Othman, K., & Ahmad, H. (2013). Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools. Tourism Management, 34, 196-201.10.1016/j.tourman.2012.04.010Search in Google Scholar

Zohrabian, A. (2005). The long-term effects and economic consequences of treatments for obesity: work in progress. The Lancet, 365(9454), 104-105.Search in Google Scholar

Zosso, C., Lienhard, R., Siegrist, H.H., Malinverni, R., & Clerc, O. (2015). Post liposuction infections by rapidly growing mycobacteria. Infectious Diseases (London, England), 47(2), 69-72.10.3109/00365548.2014.96886525415653Search in Google Scholar

Żukiewicz-Sobczak, W., Wróblewska, P., Zwoliński, J., Chmielewska-Badora, J., Adamczuk, P., Krasowska, E., & et al. (2014). Obesity and poverty paradox in developed countries. Annals of Agricultural and Environmental Medicine, 21(3), 590-594. 10.5604/12321966.112060825292135Search in Google Scholar

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