Bariatric Surgery Outcomes in Appalachia Influenced by Surgery Type, Diabetes, and Depression

Barr, Makenzie L.; Tabone, Lawrence E.; Cox, Stéphanie; Brode, Cassie; Szoka, Nova; Olfert, I. Mark; Davisson, Laura; Olfert, Melissa D.

doi:10.1007/s11695-018-03650-1

Cited by 9 publications

(9 citation statements)

References 29 publications

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“…The reason for the difference may be that the number of cases in this study was more female than male. Age was consistent with previous studies, which found a statistically significant difference between age and postoperative weight loss (p < 0.001) 11 . In terms of body mass index (BMI), morbidly obese patients with body mass index (BMI) between 32.5 and 40 will have better weight loss results than those with body mass index (BMI) greater than 40, which is similar to the results of foreign studies that show that body mass index (BMI) less than 40 6 , 12 .…”

Section: Discussionsupporting

confidence: 92%

Factors associated with postoperative efficacy evaluation in patients with morbid obesity

Chen,

Huang,

et al. 2024

Sci Rep

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The global obesity problem is becoming increasingly serious, with eight of the top ten causes of death in Taiwan in 2020 being related to obesity. Morbid obesity poses a significant threat to one’s health and well-being. In recent years, bariatric surgery has emerged as a more effective treatment option for patients with morbid obesity. However, the procedure is not without risks. This study aims to examine the factors that impact the postoperative efficacy evaluation of patients with morbid obesity. This study uses a retrospective cross-sectional design, with medical records being collected retrospectively. The data was collected from patients who underwent bariatric surgery between July 1, 2017 and June 30, 2020 at a hospital in southern Taiwan. A total of 663 patients were included in the study and were observed for 1 year after the surgery. The independent variables included demographic variables, perceived symptoms variables, perceived lifestyle variables, and surgery-related variables, while the dependent variables included weight loss outcomes and complications. The prognostic factors affecting the postoperative efficacy evaluation of patients with pathological obesity were determined using multiple regression analysis and binary regression analysis. The study found that 65.6% of the participants were female, with an average age of 36.8 years. The results of the multiple regression and binary logistic regression showed that gender, age, BMI, diabetes, and smoking habit were the predictors of postoperative weight loss. Hypertension, diabetes, liver disease, kidney disease, smoking habit, drinking habit, and operation time were the predictors of postoperative complications. The study found that the presence of the aforementioned 12 significant factors can affect the success of weight loss after surgery and the incidence of postoperative complications. This information can serve as a reference for clinical care institutions and patients to improve the postoperative efficacy evaluation.

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Section: Discussionsupporting

confidence: 92%

Factors associated with postoperative efficacy evaluation in patients with morbid obesity

Chen,

Huang,

et al. 2024

Sci Rep

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“…Likewise, data from a five-year follow-up found that scores on the MMPI-2 were related to poorer weight loss, while additionally recognizing presurgical Binge Eating Disorder was predictive of higher BMI [33]. In a previous study by the current authors, diagnosed type 2 diabetes, hemoglobin a1c levels, and diagnosed depression were all associated with %EWL in an Appalachian population at one-year follow-up after surgery [34]. In our current study of Appalachian surgical patients, we found that baseline BDI-II related to BMI at baseline but both BDI-II and BAI did not play a role in %EWL over time.…”

Section: Discussionsupporting

confidence: 50%

Psychological Diagnoses and Weight Loss among Appalachian Bariatric Surgery Patients

et al. 2020

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Background. The relationship between presurgical psychopathology and weight loss following bariatric surgery is complex; previous research has yielded mixed results. The current study investigates the relationship among presurgical mental health diagnoses, symptom severity, and weight loss outcomes in an Appalachian population, where obesity-related comorbidities are prominent. Methods. A retrospective chart review was performed on bariatric surgery patients in an accredited Appalachian centered academic hospital in northern West Virginia between 2013 and 2015 (n = 347). Data extraction included basic demographics, anthropometrics (percent excess weight loss (%EWL)) at six-month, one-year, and two-year postoperative visits, and two validated psychological questionnaires (Beck Depression Inventory (BDI-II) and Beck Anxiety Inventory (BAI)) from patient’s presurgical psychological evaluation. Results. Average patient population was 92.5% Caucasian, 81.5% female, 45 ± 11.5 years old, and 84.1% who underwent laparoscopic Roux-en-Y gastric bypass surgery with the remaining having laparoscopic sleeve gastrectomy. At baseline, no differences were detected in weight, excess body weight, or body mass index between surgery types. Average baseline BDI-II score was 10.1 ± 8.68 (range 0–41) and BAI score was 6.1 ± 6.7 (range 0–36), and this was not significantly different by surgery at baseline. Both baseline psychological scores were in the “minimal” severity range. BDI-II was positively related to BMI of patients at baseline (p=0.01). Both BDI-II and BAI were not significantly related to %EWL across follow-up. Conclusion. Other than baseline weight, BDI-II and BAI scores were not related to %EWL outcomes in patients receiving bariatric surgery in the Appalachian region. Future work should examine mixed methods approaches to capture prospective and longitudinal data to more thoroughly delve into mental health aspects of our Appalachian patients and improve efforts to recapture postoperative patients who may have been lost to follow-up.

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“…To date there is no clear evidence regarding the impact of pre-operative mental health conditions and of depression specifically, on post-BS weight outcomes. Multiple studies have found preoperative depression to negatively impact weight loss [11][12][13][14], while several others have found no association [5,8,9,[15][16][17][18][19][20][21][22][23]. Some studies have also found a positive link with pre-operative depression resulting in greater weight loss [24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Impact of Depression on Weight Loss Post Sleeve Gastrectomy - An Australian Experience

Jaffar¹,

Devadas²

2019

Int J Obes Nutr Sci

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Introduction/aims: Depression is the most common mental disorder found in patients seeking bariatric surgery. Current literature regarding the impact of pre-operative depression on weight outcomes after bariatric surgery is equivocal. Laparoscopic Sleeve Gastrectomy (LSG) is the most commonly performed bariatric procedure in Australia. Few studies have examined the role of depression as a predictor of weight loss post-LSG specifically. Furthermore, this relationship has not been analyzed in an Australian cohort.Methods: 124 patients underwent LSG. Pre-operative Beck Depression Inventory-II (BDI-II) scores were available for 117 patients. Post-operative weight outcomes were collected at 1 year. Univariate and multivariate analysis was performed to investigate the relationship between pre-operative BDI-II scores and weight loss outcomes at 1 year. A multivariate model was employed to examine the impact of baseline variables including age, sex and pre-operative weight on weight outcomes. Results:The mean pre-operative weight and BMI was 123.9 kg and 43.1 kg/m 2 respectively. 2 patients were lost to follow-up. The mean post-operative ΔBMI and %EWL at 12 months was 13.1 kg/m 2 and 76.1% respectively. The median pre-operative BDI-II score was 14 (range 1-52), correlating with mild depression. No significant association was found between BDI-II scores and weight outcomes on univariate and multivariate analysis. On multivariate modeling, older age resulted in lower ΔBMI (p=0.001) and TWL (p=0.001). Higher baseline weight was significantly associated with greater ΔBMI, TWL and %TWL (p=0.0). Conclusion:Pre-operative depression severity was not predictive of weight loss outcomes in this study. Future studies with standardized assessment protocols and follow-up durations are needed to delineate the impact of depression on weight loss after LSG.

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Bariatric Surgery Outcomes in Appalachia Influenced by Surgery Type, Diabetes, and Depression

Cited by 9 publications

References 29 publications

Factors associated with postoperative efficacy evaluation in patients with morbid obesity

Factors associated with postoperative efficacy evaluation in patients with morbid obesity

Psychological Diagnoses and Weight Loss among Appalachian Bariatric Surgery Patients

Impact of Depression on Weight Loss Post Sleeve Gastrectomy - An Australian Experience

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