Weight loss, quality of life and employment status after Roux-en-Y gastric bypass: 5-year analysis

Velcu, Laura; Adolphine, Roline; Mourelo, Ramon; Cottam, Daniel; Angus, L.D. George

doi:10.1016/j.soard.2005.04.007

Cited by 48 publications

(49 citation statements)

References 9 publications

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“…A 5-year follow-up study of a small sample of gastric bypass patients also showed substantial improvement in BDI scores. 39 Thus, results of the present and previous studies indicate a substantial positive long-term effect of weight reduction on depression symptoms in the severely obese.…”

Section: Discussionsupporting

confidence: 66%

Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study

et al. 2007

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Objective: To examine trends and effects of weight loss treatment on health-related quality of life (HRQL) in the severely obese over 10 years. Design: Swedish obese subjects (SOS) intervention study is a controlled, longitudinal trial of the health effects of weight loss in the severely obese. Subjects: A total of 655 of 851 surgically treated and 621 of 852 conventionally treated obese men (body mass index, BMIX34) and women (BMIX38) who completed 10 years of the study. Measurements: HRQL was assessed before treatment and after 0.5, 1, 2, 3, 4, 6, 8 and 10 years. Results: HRQL change during the 10-year observation period largely followed phases of weight loss, weight regain and weight stability. Improvements and deteriorations in HRQL were associated with the magnitude of weight loss or regain, except regarding anxiety. Peak improvements in the surgical group were observed during the first year of weight loss, whereas the weight regain phase (mainly between 1-and 6-year follow-up) was accompanied by a gradual decline in HRQL. The period from 6-to 10-year follow-up was characterized by relatively stable observations in both weight and HRQL. At 10 years, net gains were noted in all HRQL domains compared to baseline. Comparisons of treatment effects on HRQL in the surgical vs conventional group after 10 years showed significantly better outcome in the surgical group on current health perceptions, social interaction, psychosocial functioning and depression, whereas no significant differences were found for overall mood and anxiety. Long-term results of the study suggest that a maintained weight loss of about 10% is sufficient for positive long-term effects on HRQL, a limit that was reached in about two-thirds of the surgically treated patients who completed 10 years of the study. Conclusion: Long-lasting weight reduction in the severely obese has a general long-standing positive outcome on HRQL. Bariatric surgery is a favorable option for the treatment of severe obesity, resulting in long-term weight loss and HRQL improvements in a majority of patients. However, difficulties among some surgical patients to control and maintain weight loss over time should not be ignored. Future research should study if the long-term efficacy of bariatric surgery may be further enhanced by implementing lifestyle modification techniques in the postoperative management of patients.

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Section: Discussionsupporting

confidence: 66%

Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study

et al. 2007

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“…Laurino Neto et al did not observed changes in SF36 domains related to physical functioning between preoperative and 3 years after RYGBP, and found a decrease in these parameters 7 years after surgery compared with preoperative perceptions (11) . On the other hand, Velcu et al used the SF36 questionnaire to evaluate patients who underwent RYGBP 5 years post surgery, and they found no differences in the QoL in com parison to American populations who were not obese (25) . Moreover, other negative experiences can influence QoL, such as identity crises, persistent vomiting, restrictions on the ingestion of meat, and accumulation of excess skin (1,9) .…”

Section: Discussionmentioning

confidence: 99%

Outcomes on Quality of Life, Weight Loss, and Comorbidities After Roux-en-Y Gastric Bypass

Costa

Yamaguchi

Santo

et al. 2014

Arq. Gastroenterol.

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Context Bariatric surgery has become the most effective method for producing weight loss in obese patients. The evaluation of improvement of comorbidities and changes in the quality of life are important outcome factors; however, it is necessary to investigate whether they persist over the long term. Methods A cross-sectional study was conducted on 143 obese patients from our institution from February 2007 to February 2008. These patients were divided into five independent groups, one being a control group, plus four other groups with 1, 2, 3, 4 or more years following surgical Roux-en-Y gastric bypass with a silicon ring banded. quality of life forms and anthropometric measurements were performed and its scores correlated with social factors, weight loss success, and status of obesity-related conditions. Results For the group that was 1 year postoperative, a significant percentage of excess body weight loss (EBWL%) of 81.7% was observed. The groups with 2, 3, 4 or more years of post-surgical follow-up showed a EBWL decline, but without significant difference. The main comorbidity percentages in all patients who had the surgery was as follows: 69.7% for hypertension; 88.2% for diabetes mellitus; and 27.5% for arthropathy. There was a significant decrease in the rate for diabetes resolution (P = 0.035) observed by evolutionary assessment of the comorbidity resolution. The results obtained by BAROS were good, very good, or excellent in more than 96% of patients in all evaluations that were performed. The use of the Moorehead-Ardelt Questionnaire (M/A) demonstrated improvement in the quality of life. Moreover, the quality of life, when evaluated through SF-36, also showed improvement in all related areas after 1 year; however, after 4 years, improvement remained elevated only in the areas of general state of health and functional capacity. Conclusions The Roux-en-Y gastric bypass procedure was able to achieve EBWL of 81.7% after 1 year following surgery, remaining steady with little decline after this period. Important resolution of comorbidities, such as hypertension and diabetes, was also seen. Immediate surgical outcomes assessed by SF-36 and M/A in the area of quality of life were satisfactory, but the general state of health and functional capacity areas were sustained satisfactory at a later time only.

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“…Studies have suggested that different bariatric procedures can lead to significant weight loss and improve HRQL [1,4]. A few studies also suggest that paidwork participation may increase after bariatric surgery [2,[5][6][7]. One of the most powerful types of bariatric surgery for inducing weight loss is the duodenal switch (DS) [8].…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life and Paid Work Participation after Duodenal Switch

Andersen

Aasprang²,

Bergsholm

et al. 2009

OBES SURG

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Weight loss, quality of life and employment status after Roux-en-Y gastric bypass: 5-year analysis

Cited by 48 publications

References 9 publications

Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study

Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study

Outcomes on Quality of Life, Weight Loss, and Comorbidities After Roux-en-Y Gastric Bypass

Health-Related Quality of Life and Paid Work Participation after Duodenal Switch

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