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

Al-Kadi, Azzam; Alsulaim, Lamees

doi:10.5604/01.3001.0016.1104

Cited by 3 publications

(1 citation statement)

References 60 publications

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“…However, this weight reduction may have long-term implications for hormonal balance and reproductive health, which warrants further longitudinal investigations. Although the limited use of post-operative medications highlights the success in managing weight-related co-morbidities, the prevalence of antidepressant use emphasizes the need for comprehensive mental health support to address emotional and psychological changes post-surgery [ 41 ]. Plaeke et al found that antidepressant treatment was associated with reduced weight loss after gastric bypass surgery [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Bariatric Surgery on Menstrual Abnormalities in Saudi Women: A Cross-Sectional Study

Alhumaidan,

Alrefaei,

Alfantoukh

et al. 2024

Cureus

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Background: Adults in Saudi Arabia are more likely to be obese, which has negative effects on reproductive health, especially for women. While bariatric surgery (BS) provides a sustainable approach, little is known about how it affects menstrual health and requires a study among the Saudi demographic. Methods: The current investigation is a cross-sectional study conducted in Saudi Arabia. Data were collected using an online questionnaire to assess the impact of BS on menstrual abnormalities in women. Data were cleaned in Excel and analyzed using the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Version 24.0, Armonk, NY). Results: This study included 516 Saudi women who underwent various BS procedures, with 37.2% aged 18-30 years and 97.9% residing in Saudi Arabia. Approximately 85.9% underwent sleeve gastrectomy (SG), experiencing a mean weight loss of 54.2 kg. Co-morbidities included polycystic ovary syndrome (PCOS) (12.4%), hypothyroidism or hyperthyroidism (11%), uterine fibroids (4.7%), and hormonal imbalances (2.5%). Post-surgery, 18% encountered BS complications from BS, while 8.3% used antidepressants. Moderate sports participation ranged from 12.2% (five or more days) to 36.2% (one to three days). In particular, no significant associations were found between complications and various parameters, except a marginal association with educational level (p=0.071). The number of menstruations per year did not change statistically significantly, remaining constant at 10.6±4.8 before surgery and 10.6±4.9 after surgery (p = 0.859). However, there was a mild decrease in the amount and duration of menstruation, reported by 23.3% and 27.3% of the participants preoperatively and post-operatively, respectively. Conclusion: The study demonstrates the impact of BS on menstrual abnormalities in Saudi women. Despite a significant weight reduction, we found mild improvement in the amount and duration of menstruation with no substantial effect observed on the menstrual cycle frequency. Psychological support after surgery is crucial, considering the increased use of antidepressants.

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Section: Discussionmentioning

confidence: 99%

The Effect of Bariatric Surgery on Menstrual Abnormalities in Saudi Women: A Cross-Sectional Study

Alhumaidan,

Alrefaei,

Alfantoukh

et al. 2024

Cureus

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The effect of reducing markers of ageing under Metabolic Bariatric Surgery is weight-indipendent.

Dudek,

Zapała,

Kawa

et al. 2024

Preprint

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Introduction Obesity, a chronic disease linked to premature aging, is increasingly managed through metabolic bariatric surgery (MBS). This study aims to evaluate whether changes in biological age markers are related to the success of bariatric surgery, as measured by weight loss rates. Methods In this prospective observational study, 100 obese patients scheduled for bariatric surgery from July 2020 to May 2021 underwent a 24-month postoperative follow-up. The telomere length (TL) using qPCR, DNA damage, C-reactive protein (CRP), Interleukin-6 (IL-6), tumor necrosis factor alpha (TNFalpha), total oxidant status (TOS) and metabolic age were assessed. The analysis whether percentage excess weight loss (%EWL) and percentage excess BMI loss (%EBMIL) correlated with changes in aging markers post-surgery was established. Results Forty patients completed follow-up, with 22 achieving optimal (%EWL, %EBMIL ≥ 50%) and 18 suboptimal (%EWL, %EBMIL < 50%) surgical outcomes. Both groups showed significant prolongation of TL and reduction of DNA damage, CRP, IL-6, TNFalpha, TOS, metabolic age, but only metabolic age showed a greater change in the optimal outcome group. The delta of change in other ageing markers did not differ between groups. Conclusion Improvements in aging markers such as telomere length, DNA damage, inflammation, and oxidative stress occur independently of weight loss rates after metabolic bariatric surgery, suggesting that weight loss indices alone do not fully capture the therapeutic success of the procedure.

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Analysis of quality of life in patients with clinically severe obesity and type 2 diabetes mellitus after laparoscopic sleeve gastrectomy – a 12-month prospective observational study

Wysocki,

Mizera,

Karpińska

et al. 2024

Pol Przegl Chir

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Introduction: Due to a short history of laparoscopic sleeve gastrectomy (LSG) as an independent bariatric procedure, we stilllack studies providing analysis of the quality of life (QoL) in patients with type 2 diabetes mellitus (DM2).Aim: We aimed to assess the influence of LSG on QoL in obese patients with DM2.Material and Methods: Prospective, observational study included patients with: morbid obesity, body mass index (BMI) ≥ 35 kg/m and ≤ 50 kg/m2, DM2 shorter than 10 years, qualified for LSG. Bariatric Analysis and Reporting Outcome System (BAROS) that included the Moorehead-Ardelt Quality of Life Questionnaire II (MA-QoLQII) score, and the SF-36 Health Survey (SF-36) questionnaire were used for repetitive assessment of QoL before LSG and after one and 12 months following surgery. Selected clinical and biochemical parameters were also repeatedly measured.Results: Thirty-three patients were included in the study (23 females). Patients’ mean age was 45 10 years. BAROS significantly increased before LSG, one month, and one year after surgery (0.63 1.12, 2.94 1.90, and 4.97 2.08, respectively). The MA-QoLQII score significantly rose with an increase of excess body mass index loss (EBMIL) (P = 0.002) and remission of DM2 (P = 0.049), while inversely correlated with Homeostatic Model Assessment for Insulin Resistance index (HOMA-IR) (P = 0.003). Degenerative joint disease (P = 0.025) and average time of low glucose concentration in continuous glucose monitoring (CGM) (P = 0.005) had an inverse correlation with SF-36 Physical Component Summaries (PCS), standardized for cardiovascular comorbidity, EBMIL and HOMA-IR (P = 0.839; P = 0.086; P = 0.571, respectively). EBMIL (P = 0.003), remission of DM2 (P < 0.001) had a positive correlation with Mental Component Summaries (MCS), while HOMA-IR (P < 0.001) and count of low glucose concentration events (P = 0.022) had an inverse correlation with MCS, while standardized for average glucose concentration in CGM after 12 months (P = 0.586).Discussion: Significant improvement in QoL was observed in patients with DM2 after LSG. Remission of DM2, higher EBMIL, lower HOMA-IR, fewer and shorter low glucose concentration events in CGM after 12 months were factors that increased selected QoL scores.

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

Cited by 3 publications

References 60 publications

The Effect of Bariatric Surgery on Menstrual Abnormalities in Saudi Women: A Cross-Sectional Study

The Effect of Bariatric Surgery on Menstrual Abnormalities in Saudi Women: A Cross-Sectional Study

The effect of reducing markers of ageing under Metabolic Bariatric Surgery is weight-indipendent.

Analysis of quality of life in patients with clinically severe obesity and type 2 diabetes mellitus after laparoscopic sleeve gastrectomy – a 12-month prospective observational study

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