Long-Term Quality of Life Following Bariatric Surgery: A Descriptive Study

Abstract Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have been shown to improve metabolic comorbidities as well as quality of life (QoL) in the obese population. The vast majority of previous studies have investigated the metabolic effects of bariatric surgery and there is a dearth of studies examining long-term QoL outcomes post bariatric surgery. The outcomes of 43 patients who underwent bariatric surgery were prospectively assessed, using BAROS questionnaires to quantify QoL and metabolic status pre-operatively, at 1 year and at 8 years. Total weight loss and comorbidity resolution were similar between RYGB and SG. The RYGB cohort experienced greater QoL improvement from baseline and had higher BAROS scores at 8 years. RYGB may provide more substantial and durable long-term benefits as compared to SG.

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Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study

BMJ Open ◽

10.1136/bmjopen-2019-031170 ◽

2019 ◽

Vol 9 (9) ◽

pp. e031170 ◽

Cited By ~ 1

Author(s):

Tone Nygaard Flølo ◽

Grethe S Tell ◽

Ronette L Kolotkin ◽

Anny Aasprang ◽

Tone Merete Norekvål ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Weight Loss ◽

Cohort Study ◽

Sleeve Gastrectomy ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Short Form

ObjectivesSleeve gastrectomy (SG) is the most frequently performed bariatric surgery procedure worldwide, but reports on long-term quality of life (QOL) outcomes are scarce. We investigated 5-year trajectories in QOL and their associations with weight loss after SG.DesignA prospective cohort study.SettingThe study was conducted in a single Norwegian bariatric surgery centre.ParticipantsOut of 150 operated patients, 127 were included. Mean age was 41 years, 68% were women and the follow-up rate at 1 year was 85% and 64% at 1 and 5 years, respectively.Outcome measuresData were collected preoperatively, and 1 and 5 years after surgery assessing three different levels of QOL. The main exposure was weight loss after SG, assessed as per cent excess body mass index (kg/m2) loss (%EBMIL). The Obesity-Related Problem (OP) scale was used to measure obesity-specific health-related QOL (HRQOL). Physical (PCS) and mental (MCS) composite summary scores of the Short Form 36 Health Survey were used to capture generic HRQOL and Cantril Ladder was used to assess overall QOL.ResultsAll HRQOL/overall QOL measures significantly improved at 1 year, followed by modest decline from 1 to 5 years after surgery. Greater %EBMIL 5 years after surgery was significantly associated with improvements in OP and PCS scores, but not with MCS and Cantril Ladder scores. Although significant (p<0.001) and clinically relevant improvements in HRQOL/overall QOL outcomes were observed at 5 years, scores were still below the general population norms.ConclusionMost patients undergoing SG experience substantial weight loss accompanied by statistically significant and clinically relevant long-term improvements in HRQOL/overall QOL. However, an important minority of patients still report low HRQOL/overall QOL 5 years after SG. Further research should aim to identify other factors that contribute to impaired QOL after bariatric surgery, even in the presence of successful weight control.

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Nutritional repercussions in patients submitted to bariatric surgery

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-67202015000100013 ◽

2015 ◽

Vol 28 (1) ◽

pp. 48-52 ◽

Cited By ~ 4

Author(s):

Sérgio SILVEIRA-JÚNIOR ◽

Maurício Mendes de ALBUQUERQUE ◽

Ricardo Reis do NASCIMENTO ◽

Luisa Salvagni da ROSA ◽

Daniel de Andrade HYGIDIO ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Weight Loss ◽

Confidence Interval ◽

Descriptive Study ◽

Early Postoperative Period ◽

Excess Weight ◽

Nutritional Disorder ◽

Loss Control

BACKGROUND: Few studies evaluated the association between nutritional disorders, quality of life and weight loss in patients undergoing bariatric surgery. AIM: To identify nutritional changes in patients undergoing bariatric surgery and correlate them with weight loss, control of comorbidities and quality of life. METHOD: A prospective cohort, analytical and descriptive study involving 59 patients undergoing bariatric surgery was done. Data were collected preoperatively at three and six months postoperatively, evaluating nutritional aspects and outcomes using BAROS questionnaire. The data had a confidence interval of 95%. RESULTS: The majority of patients was composed of women, 47 (79.7%), with 55.9% of the series with BMI between 40 to 49.9 kg/m². In the sixth month after surgery scores of quality of life were significantly higher than preoperatively (p<0.05) and 27 (67.5 %) patients had comorbidities resolved, 48 (81.3 %) presented BAROS scores of very good or excellent. After three and six months of surgery 16 and 23 presented some nutritional disorder, respectively. There was no relationship between the loss of excess weight and quality of life among patients with or without nutritional disorders. CONCLUSION: Nutritional disorders are uncommon in the early postoperative period and, when present, have little or no influence on quality of life and loss of excess weight.

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Long-term health-related quality of life in bariatric surgery patients: A systematic review and meta-analysis

Obesity ◽

10.1002/oby.21322 ◽

2015 ◽

Vol 24 (1) ◽

pp. 60-70 ◽

Cited By ~ 64

Author(s):

Shannon Driscoll ◽

Deborah M. Gregory ◽

John M. Fardy ◽

Laurie K. Twells

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Bariatric Surgery ◽

Meta Analysis ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Quality of Life Long-Term after Body Contouring Surgery following Bariatric Surgery

Plastic & Reconstructive Surgery ◽

10.1097/prs.0b013e318267d51d ◽

2012 ◽

Vol 130 (5) ◽

pp. 1133-1139 ◽

Cited By ~ 55

Author(s):

Eva S. J. van der Beek ◽

Rinie Geenen ◽

Francine A. G. de Heer ◽

Aebele B. Mink van der Molen ◽

Bert van Ramshorst

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Body Contouring ◽

Body Contouring Surgery

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The Impact of Bariatric Surgery on Long Term (≥5 years) Health-Related Quality of Life: A Systematic Review

Canadian Journal of Diabetes ◽

10.1016/j.jcjd.2015.01.123 ◽

2015 ◽

Vol 39 ◽

pp. S30

Author(s):

Shannon C. Driscoll ◽

Kendra Lester ◽

John Fardy ◽

Deborah M. Gregory ◽

Laurie K. Twells

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Bariatric Surgery ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Impact

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Social Support for People with Morbid Obesity in a Bariatric Surgery Programme: A Qualitative Descriptive Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126530 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6530

Author(s):

María José Torrente-Sánchez ◽

Manuel Ferrer-Márquez ◽

Beatriz Estébanez-Ferrero ◽

María del Mar Jiménez-Lasserrotte ◽

Alicia Ruiz-Muelle ◽

...

Keyword(s):

Social Support ◽

Bariatric Surgery ◽

Morbid Obesity ◽

Social Life ◽

Descriptive Study ◽

Formal Support ◽

Qualitative Descriptive ◽

And Coping

Background—Morbid obesity (MO) is a chronic metabolic disease affecting physical, psychological and social wellbeing. Bariatric surgery is a reliable method for losing weight in the long term, improving the quality of life, body image and social life of people with MO. Current literature recognises the importance of social support in controlling weight and coping with MO. The objective of this study was to describe and understand experiences related to social support for patients with MO included in a bariatric surgery programme. Methods—A qualitative descriptive study, where data collection included thirty-one interviews with people diagnosed with MO involved in a bariatric surgery programme. Results—Three main themes emerged from the analysis: (1) accepting the problem in order to ask for help, (2) the need for close support and (3) professional support: opposing feelings. Conclusions—A partner, family and friends are the key pillars of social support for those with MO included in a bariatric surgery programme. Healthcare professionals gave formal support; the bariatric surgery team provided information, trust and assurance. Nurses provided healthcare 24 h a day, making them the main formal support for people in the bariatric surgery programme.

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Quality of life, sexual function, and bariatric surgery: a systematic review

Obesity and metabolism ◽

10.14341/omet10335 ◽

2020 ◽

Vol 17 (1) ◽

pp. 64-72

Author(s):

Shirko Ahmadi ◽

Luís Felipe Milano Teixeira ◽

José Rodrigo V. Domingues ◽

Mara Patricia T. Chacon-Mikahil ◽

Claudia Regina Cavaglieri ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Sexual Function ◽

Methodological Quality ◽

Assessment Tool ◽

Control Group ◽

Obese People ◽

Short And Long Term

BACKGROUND: Obesity is associated with numerous comorbidities and affects various aspects of life, including quality of life (QOL) and sexual function (SF). Bariatric surgery (BS) is an effective treatment for obese people. Also QOL and SF after BS in the people are not well known. AIMS: To provide insight in the available prospective evidence regarding the short and long-term effects of BS on QOL and SF. MATERIALS AND METHODS: A systematic multi-database search was conducted for quality of life, Sexual function and Bariatric surgery. Only prospective studies with QOL or SF before and after BS were included. The quality assessment tool for beforeafter studies with no control group was used to assess the methodological quality. RESULTS: Twenty-four studies met the inclusion criteria. Most studies were assessed to be of fair to good methodological quality. Seven different questionnaires were used to measure both QOL and SF. A significant increase in QOL after BS and light increase in SF were found in all studies (P0.05). CONCLUSIONS: Both QOL and SF are increased after BS on both the short and long term. However, due to the heterogeneity of the studies and the generality of the questionnaires are them hard to make a distinction among different BS and difficult to see a relation with medical profit. Therefore, designing QOL and SF measurements to the post BS population are recommended as the focus of future studies.

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