Environmental and individual factors associated with quality of life of adults who underwent bariatric surgery: a cohort study

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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Quality of Life after Bariatric Surgery: A Population-based Cohort Study

The American Journal of Medicine ◽

10.1016/j.amjmed.2009.05.024 ◽

2009 ◽

Vol 122 (11) ◽

pp. 1055.e1-1055.e10 ◽

Cited By ~ 44

Author(s):

John A. Batsis ◽

Francisco Lopez-Jimenez ◽

Maria L. Collazo-Clavell ◽

Matthew M. Clark ◽

Virend K. Somers ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Cohort Study ◽

Population Based

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Factors associated with quality of life trajectories among inpatients treated for alcohol use disorders: A prospective cohort study

Addictive Behaviors Reports ◽

10.1016/j.abrep.2020.100285 ◽

2020 ◽

Vol 12 ◽

pp. 100285

Author(s):

Helle Wessel Andersson ◽

Trond Nordfjærn

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Alcohol Use ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Alcohol Use Disorders ◽

Factors Associated ◽

Life Trajectories

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Psychosocial Predictors of Weight Loss and Quality of Life at 1 Year Post-Bariatric Surgery: A Cohort Study

Journal of Obesity and Chronic Diseases ◽

10.17756/jocd.2020-039 ◽

2020 ◽

Vol 4 (2) ◽

pp. 59-65

Author(s):

Chia-Hao Damien Hsu ◽

Dorina Kordunova ◽

Chungwon Kim ◽

Laura Kolbe ◽

Allan Geliebter

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Weight Loss ◽

Cohort Study ◽

Psychosocial Predictors ◽

Predictors Of Weight Loss ◽

Post Bariatric Surgery

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Factors associated with maternal overall quality of life six months postpartum: a cross sectional study from The Norwegian Mother, Father and Child Cohort Study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04303-5 ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Lisbeth Valla ◽

Sølvi Helseth ◽

Milada Cvancarova Småstuen ◽

Nina Misvær ◽

Randi Andenæs

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Relationship Satisfaction ◽

Postnatal Depression ◽

Satisfaction With Life ◽

Depression Scale ◽

Satisfaction With Life Scale ◽

Factors Associated ◽

The Relationship

Abstract Background Having good Quality of Life (QoL) is essential, particularly for women after childbirth. However, little is known about the factors associated with maternal QoL after giving birth. We aimed to investigate the relationship between characteristics of the mother (socio-demographic variables), selected symptoms (depression and joy/anger), health perception (perception of birth) and possible characteristics of the environment (infant temperament, colic, sleep, parental relationship), with mothers’ overall quality of life when the child is 6 months of age. Methods This study is based on the Norwegian Mother, Father and Child Cohort Study (MoBa), conducted at the Norwegian Institute of Public Health from June 1999 to December 2008, which included a total of 86,724 children. Maternal QoL was assessed by the Satisfaction With Life Scale. Joy and anger were measured using the Differential Emotional Scale, mothers’ mental health was assessed using the Edinburgh Postnatal Depression Scale and satisfaction with relationship was measured using the Relationship Satisfaction Scale. Child temperament was measured using the Infant Characteristics Questionnaire and colic, sleep duration and feelings related to childbirth were assessed by mothers’ reports. The associations between life satisfaction and selected variables were analysed using stepwise multiple linear regression models, and the results are presented as effect sizes (ES). Results Maternal feelings of joy of having a baby (ES = 0.35), high relationship satisfaction (ES = 0.32), as well as having a baby with normal sleep (ES = 0.31), are factors associated with higher maternal overall QoL. Postnatal depression was negatively associated with mothers’ QoL, and infant colic or child’s temperament (fussiness) showed no such association with mothers’ QoL. Conclusions Health professionals and clinicians should focus on infants sleep but also on supporting joy of motherhood and strengthening relationships of the new parents when they develop health interventions or provide counselling to new mothers and their families.

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Factors associated with improvement of quality of life among parents of children with atopic dermatitis: 1‐year prospective cohort study

Journal of the European Academy of Dermatology and Venereology ◽

10.1111/jdv.15939 ◽

2019 ◽

Vol 34 (2) ◽

pp. 325-332

Author(s):

N. Maksimovic ◽

M. Zaric ◽

V. Reljic ◽

M. Nikolic ◽

T. Gazibara

Keyword(s):

Quality Of Life ◽

Atopic Dermatitis ◽

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Factors Associated

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Factors associated with health-related quality of life 6 years after ICU discharge in a Finnish paediatric population: a cohort study

Intensive Care Medicine ◽

10.1007/s00134-018-5296-4 ◽

2018 ◽

Vol 44 (9) ◽

pp. 1378-1387 ◽

Cited By ~ 9

Author(s):

Elina Kyösti ◽

Tero I. Ala-Kokko ◽

Pasi Ohtonen ◽

Outi Peltoniemi ◽

Paula Rautiainen ◽

...

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Paediatric Population ◽

Health Related Quality ◽

Factors Associated ◽

Icu Discharge ◽

Related Quality ◽

Health Related

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PSY210 - HEALTH-RELATED QUALITY OF LIFE AFTER BARIATRIC SURGERY – A PROSPECTIVE COHORT STUDY

Value in Health ◽

10.1016/j.jval.2018.09.2784 ◽

2018 ◽

Vol 21 ◽

pp. S472

Author(s):

V. Toivanen ◽

P. Vartiainen ◽

H. Sammalkorpi ◽

T. Saarinen ◽

R. Roine ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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SurgiCal Obesity Treatment Study (SCOTS): a prospective, observational cohort study on health and socioeconomic burden in treatment-seeking individuals with severe obesity in Scotland, UK

BMJ Open ◽

10.1136/bmjopen-2020-046441 ◽

2021 ◽

Vol 11 (8) ◽

pp. e046441

Author(s):

Ruth M Mackenzie ◽

Nicola Greenlaw ◽

Abdulmajid Ali ◽

Duff Bruce ◽

Julie Bruce ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Socioeconomic Status ◽

Cohort Study ◽

Severe Obesity ◽

Short Form ◽

Obesity Treatment ◽

Longitudinal Cohort ◽

Patient Reported

ObjectivesThere is a lack of evidence to inform the delivery and follow-up of bariatric surgery for people with severe obesity. The SurgiCal Obesity Treatment Study (SCOTS) is a national longitudinal cohort of people undergoing bariatric surgery. Here, we describe characteristics of the recruited SCOTS cohort, and the relationship between health and socioeconomic status with body mass index (BMI) and age.Participants/Methods445 participants scheduled for bariatric surgery at any of 14 centres in Scotland, UK, were recruited between 2013 and 2016 for this longitudinal cohort study (1 withdrawal); 249 completed health-related preoperative patient-reported outcome measures. Regression models were used to estimate the effect of a 10-unit increase in age or BMI, adjusting for sex, smoking and socioeconomic status.ResultsMean age was 46 years and median BMI was 47 kg/m2. For each 10 kg/m2 higher BMI, there was a change of −5.2 (95% CI −6.9 to –3.5; p<0.0001) in Rand 12-item Short Form Survey Physical Component Summary (SF-12 PCS), −0.1 (95% CI −0.2 to –0.1; p<0.0001) in EuroQoL 5-level EQ-5D version index score and 14.2 (95% CI 10.7 to 17.7; p<0.0001) in Impact of Weight on Quality of Life-Lite Physical Function Score. We observed a 3.1 times higher use of specialist aids and equipment at home (OR: 3.1, 95% CI 1.9 to 5.0; p<0.0001). Broadly, similar results were seen for each 10-year higher age, including a change of −2.1 (95% CI −3.7 to –0.5; p<0.01) in SF-12 PCS.ConclusionsA higher BMI combined with older age is associated with poor physical functioning and quality of life in people seeking bariatric surgery treatment. Policy-makers must consider the health and care needs of these individuals and invest to provide increased access to effective weight management.Trial registration numberISRCTN47072588.

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