The Impact of Bariatric Surgery on Employment: A Systematic Review

AbstractThis systematic review summarizes current evidence on the impact of bariatric surgery (BS) on physical performance, metabolic, and health indices in adults with obesity. This systematic review suggests that BS induced significant reductions in body weight, fat mass, and fat-free mass in individuals with obesity. Additionally, BS may improve many physical fitness and health indicators. Observed improvements manifest during a distinct period of time. To date, studies on BS and performance have been small in number, nonrandomized in design, and not controlled regarding gender distribution and/or post-surgery follow-up. Future studies should further investigate concerns associated with understanding of BS outcomes to improve these outcomes with potential benefits for quality of life, disability, mortality, morbidity, and overall BS success.

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The impact of pregnancy on postoperative outcomes among obese women who underwent bariatric surgery: A systematic review and meta-analysis

European Journal of Obstetrics & Gynecology and Reproductive Biology ◽

10.1016/j.ejogrb.2020.06.044 ◽

2020 ◽

Vol 252 ◽

pp. 239-245

Author(s):

Siyu Yang ◽

Leshan Zhou ◽

Yijing Chen ◽

Daniel Krewski ◽

Ri-hua Xie ◽

...

Keyword(s):

Systematic Review ◽

Bariatric Surgery ◽

Meta Analysis ◽

Postoperative Outcomes ◽

Obese Women ◽

The Impact

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Gut Microbiota, Probiotics and Psychological States and Behaviors after Bariatric Surgery—A Systematic Review of Their Interrelation

Nutrients ◽

10.3390/nu12082396 ◽

2020 ◽

Vol 12 (8) ◽

pp. 2396

Author(s):

Jessica Cook ◽

Christine Lehne ◽

Alisa Weiland ◽

Rami Archid ◽

Yvonne Ritze ◽

...

Keyword(s):

Systematic Review ◽

Bariatric Surgery ◽

Treatment Success ◽

Alpha Diversity ◽

Psychological States ◽

Behavioral Parameters ◽

Probiotic Strains ◽

Health And Disease ◽

And Behavior ◽

The Impact

The gastrointestinal (GI) microbiota plays an important role in health and disease, including brain function and behavior. Bariatric surgery (BS) has been reported to result in various changes in the GI microbiota, therefore demanding the investigation of the impact of GI microbiota on treatment success. The goal of this systematic review was to assess the effects of BS on the microbiota composition in humans and other vertebrates, whether probiotics influence postoperative health, and whether microbiota and psychological and behavioral factors interact. A search was conducted using PubMed and Web of Science to find relevant studies with respect to the GI microbiota and probiotics after BS, and later screened for psychological and behavioral parameters. Studies were classified into groups and subgroups to provide a clear overview of the outcomes. Microbiota changes were further assessed for whether they were specific to BS in humans through the comparison to sham operated controls in other vertebrate studies. Changes in alpha diversity appear not to be specific, whereas dissimilarity in overall microbial community structure, and increases in the abundance of the phylum Proteobacteria and Akkermansia spp. within the phylum Verrucomicrobia after surgery were observed in both human and other vertebrates studies and may be specific to BS in humans. Human probiotic studies differed regarding probiotic strains and dosages, however it appeared that probiotic interventions were not superior to a placebo for quality of life scores or weight loss after BS. The relationship between GI microbiota and psychological diseases in this context is unclear due to insufficient available data.

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