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Bariatric surgery improves the employment rate in people with obesity: 2-year analysis
Authors:Adrian Mancini  Anne-Laure Borel  Sandrine Coumes  Nelly Wion  Catherine Arvieux  Fabian Reche
Affiliation:1. Department of Digestive Surgery, Grenoble Alps University Hospital, Grenoble cedex, France;2. Endocrinology Department, Grenoble Alps University Hospital, Grenoble cedex, France;3. CNRS, UMR 5525, TIMC-IMAG, Domaine de la Merci, Grenoble, France
Abstract:

Background

Beyond medical complications, people with obesity experience dramatic impairment of quality of life, including adverse workplace effects. Obesity results in weight-based discrimination and a high rate of unemployment because of work disability, absenteeism, loss of productivity, and cost. A few studies have been performed to assess the relationship between obesity surgery and the workplace, finding an improvement in weekly working hours and productivity and a decrease in absenteeism, days of sick leave, and state benefit claims. However, the results are still controversial concerning the overall employment rate.

Objectives

This study aimed to compare the employment rate before and 2 years after obesity surgery and to evaluate the difference in weight loss between worker and nonworker patients.

Setting

Participants were recruited from a tertiary care university hospital in France.

Methods

The 2-year outcomes of all patients who underwent obesity surgery between 2010 and 2015 were retrospectively reviewed. The employment status was recorded preoperatively and postoperatively. Retired or permanently disabled patients were excluded from the analysis.

Results

Preoperatively, 158 of 238 patients were employed compared with 199 of 238 postoperatively (P < .0001). There was no difference in weight loss between the worker and nonworker patients regarding the percentage of excess weight loss and the change in body mass index.

Conclusion

This study supports the finding that bariatric surgery also has a positive impact on the professional sphere, providing the opportunity for unemployed patients to return to work.
Keywords:Obesity surgery  Bariatric surgery  Employment rate  Employment  Weight loss
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