Evaluation of quality of life, weight loss and evolution of comorbidities at 6 years after bariatric surgery

Bañares, Sonia Junquera; Real, Luis Ramírez; Segovia, Juan Camuñas; García-Almenta, Mercedes Martín; Egüez, K. Llanos; Hernández, Julia Álvarez

doi:10.1016/j.endien.2021.11.010

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…Whilst consensus on a protocol to assess the response to MBS is lacking, studies commonly consider weight loss (WL) as the main result [4][5][6]. However, factors like improvement in health-related quality of life (HRQoL) [7,8] and lifestyle habits (physical activity level, diet quality, and alcohol consumption) [9][10][11] are also important and serve as markers of long-term results [12].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss

Melendez-Araújo

Carmo

Vieira

et al. 2023

IJERPH

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Lifestyle and health-related quality of life (HRQoL) are good markers of surgical obesity treatment. This study aimed to investigate the lifestyle and HRQoL of patients at least five years after Roux-en-Y gastric bypass in public (SUS) and private (PVT) Brazilian healthcare systems. In this cross-sectional study, weight loss (WL), % of excess WL (%EWL), diet quality, physical activity, alcohol consumption, and HRQoL were evaluated. Analysis of covariance, binary and multinomial logistic regression, adjusted for confounders, were performed. The SUS group had more vulnerable socioeconomic statuses than the PVT group. Total %WL and % EWL were 24.64 ± 0.99% and 60.46 ± 2.41%, respectively, without difference between groups. In the Pain/Discomfort and Anxiety/Depression domains of HRQoL, more than 50% reported moderate problems without differences between groups. Processed food ingestion was higher in the PVT (132.10 ± 60.15 g/1000 kcal) than in the SUS (103.43 ± 41.72 g/1000 kcal), however, without statistical significance (p = 0.093). The PVT group showed lower physical activity (OR: 0.23; 95%CI: 0.87–0.63; p = 0.004) and a higher risk of alcohol-related problems (OR: 3.23; 95%CI; 1.03–10.10; p = 0.044) compared to SUS group. Participants generally achieved satisfactory WL, regardless of healthcare systems. However, PVT participants had unfavorable lifestyle characteristics, highlighting the need for studies investigating environmental issues post-bariatric surgery.

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Section: Introductionmentioning

confidence: 99%

Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss

Melendez-Araújo

Carmo

Vieira

et al. 2023

IJERPH

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Combined Effect of Genetic Variants on Long-Term Weight Response after Bariatric Surgery

Torrego-Ellacuría

Barabash

Matía

et al. 2023

JCM

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The pathophysiology of body weight control involves complex interactions between hormonal, environmental, behavioral and genetic factors. The purpose of this study was to analyze the association between single nucleotide polymorphisms (SNPs) of 13 genes encoding gastrointestinal peptides, their receptors or the proteins involved in their expression, with long-term weight response in a cohort of 375 patients undergoing bariatric surgery (BS). To evaluate weight response, we combined several variables to define specific response phenotypes six years after surgery. The study protocol was registered in ISRCTN (ID80961259). The analysis of the selected SNPs was performed via allelic discrimination using Taqman® probes (Applied Biosystems, Foster City, CA, USA). The genotype association study was performed using the SNPstat program, with comparisons adjusted for sex, age, initial body mass index, type 2 diabetes, hypertension diagnosis and the type of surgery. We identified eight genetic variants associated with the weight response to BS, independently of the presurgery patient profile and the type of surgical technique, from which we calculated the unweighted risk score (RS) for each phenotype. The highest scoring category in each RS was significantly associated with lower weight loss (p = 0.0001) and greater weight regain (p = 0.0012) at the end of the follow-up.

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Psychological and social outcomes of patients following bariatric surgery: A systematic review

Al-Kadi

Alsulaim

2022

Pol Przegl Chir

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We aim to systematically review the psychological and social outcomes of patients post-bariatric surgery. The comprehensive search using keywords yielded 1224 records utilizing search engines PubMed and Scopus. After a careful analysis, 90 articles were found to be eligible for complete screening that collectively reported the use of 11 different BS procedures reported among 22 countries. This review is unique in that we collectively presented the result of various psychological and social outcome parameters (depression and anxiety, self-confidence, self-esteem, marital relationship, and personality traits) after BS. Regardless of the BS procedures performed, most studies over months to years presented a positive outcome of the parameters considered, while few presented contrasting unsatisfactory results. Thus, the surgery was not a cessation factor for these results to be permanent and thus suggested psychological interventions and long-term monitoring for assessing the psychological effects after BS. Additionally, the patient's endurance to check weight and eating habits after surgery is ultimately necessary.

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Evaluation of quality of life, weight loss and evolution of comorbidities at 6 years after bariatric surgery

Cited by 3 publications

References 16 publications

Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss

Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss

Combined Effect of Genetic Variants on Long-Term Weight Response after Bariatric Surgery

Psychological and social outcomes of patients following bariatric surgery: A systematic review

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