The effects of weight loss after bariatric surgery on health-related quality of life and depression |
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| Authors: | G W Strain R L Kolotkin G F Dakin M Gagner W B Inabnet P Christos T Saif R Crosby A Pomp |
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| Institution: | 1.Department of Surgery, Weill Cornell College of Medicine, New York, NY, USA;2.Obesity and Quality of Life Consulting, and Duke University School of Medicine, Durham, NC, USA;3.Department of Surgery, Hospital du Sacre Coeur, Montreal, Quebec, Canada;4.Department of Surgery, Mt Sinai Medical Center, New York, NY, USA;5.University of North Dakota Neuropsychiatry Institute, Fargo, ND, USA |
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| Abstract: | Background:In severe obesity, impairments in health-related quality of life (HRQoL) and dysphoric mood are reported. This is a post-surgery analysis of the relationship between HRQoL and depressive symptoms, and weight change after four different types of bariatric procedures.Methods:A total of 105 consented patients completed the Short-Form-36 Health Survey (SF-36), the Impact of Weight on Quality of Life-Lite (IWQOL-Lite) and the Beck Depression Inventory (BDI) before and 25 months after surgery. Analysis of variance or Kruskal–Wallis test evaluated changes.Results:Patients with Roux-en Y gastric bypass (46 patients), decreased body mass indexes (BMIs; kg m–2) 47–31 kg m–2 (P<0.0001); biliopancreatic diversion with duodenal switch (18 patients), decreased BMIs 57–30 kg m–2 (P<0.0001); adjustable gastric banding (18 patients), decreased BMIs 45–38 kg m–2 (P<0.0001); and sleeve gastrectomies (23 patients), decreased BMIs 58 42 kg m–2 (P<0.0001). The excess percentage BMI loss was 69, 89, 36 and 53 kg m–2, respectively (P<0.0001). Before surgery, the SF-36 differences were significant regarding bodily pain (P=0.008) and social functioning (P=0.01). After surgery, physical function (P=0.03), general health (P=0.05) and physical component (P=0.03) were different. IWQOL-Lite recorded no differences until after surgery: physical function (P=0.003), sexual life (P=0.04) and public distress (P=0.003). BDI scores were not different for the four groups at baseline. All improved with surgery, 10.6–4.4 (P=0.0001).Conclusions:HRQoL and depressive symptoms significantly improvement after surgery. These improvements do not have a differential effect over the wide range of weight change. |
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