Outcomes of bariatric surgery in elderly patients: a registry-based cohort study with 3-year follow-up

Iranmanesh, Pouya; Boudreau, Vanessa; Ramji, Karim; Barlow, Karen; Lovrics, Olivia; Anvari, Mehran

doi:10.1038/s41366-021-01031-w

Cited by 24 publications

(14 citation statements)

References 29 publications

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“…This is a novel finding and clinically significant as bariatric surgery in older populations is an active area of research and discussion. 21,22 Obesity provides unique barriers to older individuals as it is associated with increased risk of osteoarthritis, disability, functional disability, and risk for institutionalization. Disproportionate alleviation of these risk factors which have a significant effect on quality of life may explain the higher impact of bariatric surgery on older adults compared to young adults even when adjusting for PWLS.…”

Section: Discussionmentioning

confidence: 99%

Association of Postoperative Dieting, Exercise, Dietitian, and Surgeon Follow up With Bariatric Surgery Outcomes

Samaan

Srinivasan

Mirocha

et al. 2022

The American Surgeon

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Although postoperative diet modification, exercise, and regular dietitian and surgeon follow-up are often recommended after bariatric surgery (BS), their impact on weight loss is unclear. A Retrospective chart review was conducted for patients who received sleeve gastrectomy or Roux-en-Y gastric bypass (RYGB) between August 2000 and November 2017 with telephone follow-up. Multivariable logistic regression models were used for analyses. There were 514 patients included in our study. Most were female (76.3%), mean age was 46.9 years (Standard Deviation [SD] = 11.8), and mean weight loss was 11.6 (SD = 6.5) BMI points at a mean follow-up of 7 years (SD = 4.3). Current surgeon follow-up OR = 2.08 (P < .01) was positively associated with postoperative weight loss, while current dietitian follow-up=OR .41 (P < .01) was negatively associated. Current weight loss supplement use OR = .45 (P = .03) was associated with reduced willingness to undergo surgery again. Increasing preoperative BMI OR = 1.06 (P = .04) and increasing age OR = 1.04 (P = .02) were associated with improved quality of life (QoL) due to BS. Lack of surgeon follow-up and regular dietician consultation was associated with suboptimal weight loss after BS. Older age was positively associated with improved QoL, while current weight loss supplement use was associated with lower likelihood of undergoing surgery again, both independent of weight loss.

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Section: Discussionmentioning

confidence: 99%

Association of Postoperative Dieting, Exercise, Dietitian, and Surgeon Follow up With Bariatric Surgery Outcomes

Samaan

Srinivasan

Mirocha

et al. 2022

The American Surgeon

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“…For their Clinical and Laboratory Evaluation, all the participants were asked to follow the physical and dietary activity recommendations detailed in the clinical protocols for identifying, assessing, and treating obesity and overweight in adults [21] and received vitamin D3 supplements (1000 IU/day). The age, height, weight, and body mass index (BMI) were obtained from the nursing consultation's medical record and responses to the collection instruments.…”

Section: Clinical and Laboratory Evaluationmentioning

confidence: 99%

“…For other researchers, obesity and its comorbidities can cause complex commitments and limitations in older adults [11,14]regarding their life and existence, for example, in work performance [7,11,17], financial and economic activities, and participatory citizenship in society [11,17]. Among the various diseases and comorbidities related to obesity, we can mention arterial hypertension [10,19], coronary artery disease [19], diabetes mellitus [10,19] dyslipidemia [7,10], obstructive sleep apnea syndrome [7,10], steatohepatitis [17], various types of cancer [10,19], deterioration of lower limb torque [20], in addition to an increased risk of death on account of the comorbidities mentioned above [19,21,22].…”

Section: Introductionmentioning

confidence: 99%

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Bariatric Surgery and Vitamin D: Trends in Older Women and Association with Clinical Features and <em>VDR </em>Gene Polymorphisms.

Benito¹,

Kogawa²,

Silva³

et al. 2022

Preprint

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(1) Background: Obesity and its comorbidities can cause burdens and limitations. Bariatric surgery (BS) is indicated as a safe procedure to reduce body mass and improve present comorbidities. Yet, several complications were reported, like vitamin D [25(OH)D] deficiency. We evaluated if 25(OH)D serum levels relate to clinical characteristics, symptoms, or habits in women after their BS and whether the vitamin D receptor (VDR) gene's TaqI and FokI polymorphisms affected 25(OH)D levels and the total body bone mineral density (TBBMD). (2) Methods: This cohort cross-sectional comparative analytical prospective study consisted of 27 women, 61.6 ± 5.0 years, submitted to BS one year prior at a public reference hospital, DF-Brazil. All participants were asked to follow the physical and dietary activity recommendations and received vitamin D3 supplements. Their anthropometric, biochemical, and immunological measurements and blood samples were obtained. (3) Results: 73.3% of participants had low 25(OH)D levels, and their levels correlated positively with TBBMD and negatively with systolic pressure. VDR TaqI did not affect 25(OH)D levels, whereas VDR FokI's allele f presence correlated to a median rise in 25(OH)D levels. Neither polymorphism correlated to TBBMD. (4) Conclusions: 25(OH)D levels were positively correlated with TBBMD, negatively with systolic blood pressure, and were higher in those with the VDR FokI allele f.

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“…For other researchers, obesity and its comorbidities can cause complex commitments and limitations in older adults [ 12 , 15 ] regarding their life and existence, for example, in work performance [ 8 , 12 , 18 ], financial and economic activities, and participatory citizenship in society [ 12 , 18 ]. Among the various diseases and comorbidities related to obesity, we can mention arterial hypertension [ 11 , 20 ], coronary artery disease [ 20 ], diabetes mellitus [ 11 , 20 ], dyslipidemia [ 8 , 11 ], obstructive sleep apnea syndrome [ 8 , 11 ], steatohepatitis [ 18 ], various types of cancer [ 11 , 20 ], and the deterioration of lower limb torque [ 21 ], in addition to an increased risk of death on account of the comorbidities mentioned above [ 20 , 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Bariatric Surgery and Vitamin D: Trends in Older Women and Association with Clinical Features and VDR Gene Polymorphisms

et al. 2023

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(1) Background: Obesity and its comorbidities can cause burdens and limitations. Bariatric surgery (BS) is indicated as a safe procedure to reduce body mass and improve present comorbidities. However, several complications were reported, such as vitamin D [25(OH)D] deficiency. We evaluated if 25(OH)D serum levels relate to clinical characteristics, symptoms, or habits in women after their BS, and whether the vitamin D receptor (VDR) gene’s TaqI and FokI polymorphisms affected 25(OH)D levels and the total body bone mineral density (TBBMD). (2) Methods: This cohort cross-sectional comparative analytical prospective study consisted of 27 women, 61.6 ± 5.0 years, submitted to BS one year prior at a public reference hospital, DF-Brazil. All participants were asked to follow the physical and dietary activity recommendations and received vitamin D3 supplements. Their anthropometric, biochemical, and immunological measurements and blood samples were obtained. (3) Results: 73.3% of participants had low 25(OH)D levels, and their levels correlated positively with TBBMD and negatively with systolic pressure. VDR TaqI did not affect 25(OH)D levels, whereas VDR FokI’s allele f presence correlated to a median rise in 25(OH)D levels. Neither polymorphism correlated to TBBMD. (4) Conclusions: 25(OH)D levels were positively correlated with TBBMD, negatively with systolic blood pressure, and were higher in those with the VDR FokI allele f.

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Outcomes of bariatric surgery in elderly patients: a registry-based cohort study with 3-year follow-up

Cited by 24 publications

References 29 publications

Association of Postoperative Dieting, Exercise, Dietitian, and Surgeon Follow up With Bariatric Surgery Outcomes

Association of Postoperative Dieting, Exercise, Dietitian, and Surgeon Follow up With Bariatric Surgery Outcomes

Bariatric Surgery and Vitamin D: Trends in Older Women and Association with Clinical Features and <em>VDR </em>Gene Polymorphisms.

Bariatric Surgery and Vitamin D: Trends in Older Women and Association with Clinical Features and VDR Gene Polymorphisms

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