Weight loss, health status and quality of life during 2 years after bariatric surgery
DOI:
https://doi.org/10.15448/1983-652X.2016.3.23377Keywords:
obesity, quality of life, bariatric surgery, state of health, Brazil.Abstract
Introduction: The bariatric surgery is increasingly considered an alternative for the treatment of extreme obesity.
Objective: To describe the weight evolution, health status and quality of life during 2 years after bariatric surgery.
Materials and Methods: Retrospective cohort study carried out with individuals ged between 15 and 65 years old, who were submitted to any kind of bariatric surgery, from January 2010 to July 2011, in an Obesity Therapeutic Center. Anthropometric changes, biochemical and quality of life, coexisting conditions and the final result of the surgical intervention accessed by the Bariatric Analysis and Reporting Outcome System (BAROS) score were evaluated until 2 years after surgery.
Results: We evaluated 70 patients, 74.3% female, mean age 37.2±10.9 years.The preoperative body mass index (BMI) was 45.5 kg/m². After 2 years of bariatric surgery, the average of weight loss was 37.3% (95%CI: 34.9 to 39.7%). We observed 100% remission in cases of diabetes mellitus, hypertension and sleep apnea; 97.4% hypoventilation; 87.5% of venous stenosis; 75% of dyslipidemia and 61.7% of osteoarthritis. Regarding to the biochemical tests, we noted a reduction in total cholesterol and LDL in this period (p=0.042; p=0.021, respectively). According to the BAROS specific questionnaire, the quality of life improved significantly in the first year after surgery, compared to the initial 6 months, in the areas of physical state, social life and capacity for working (p=0.008; p=0.001; p=0.035; respectively), and in he second year in the sexual performance area (p=0.008). In the final analysis of the surgical intervention the category “good” prevailed in all evaluated moments.
Conclusion: One year after the bariatric surgery, results showed weight reduction, improvement in cardiometabolic and general health, and quality of life of individuals.
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