Health-related quality of life 6 years after bariatric surgery: factors influencing outcome.

Autor:	Soares C; Faculty of Medicine of the University of Porto., Pinho AC; Faculty of Medicine of the University of Porto.; Obesity Integrated Responsibility Unit (CRI-O), São João University Medical Center, Porto, Portugal., Sousa HS; Faculty of Medicine of the University of Porto.; Obesity Integrated Responsibility Unit (CRI-O), São João University Medical Center, Porto, Portugal., da Costa EL; Obesity Integrated Responsibility Unit (CRI-O), São João University Medical Center, Porto, Portugal., Preto J; Obesity Integrated Responsibility Unit (CRI-O), São João University Medical Center, Porto, Portugal.
Jazyk:	angličtina
Zdroj:	Porto biomedical journal [Porto Biomed J] 2022 Jun 17; Vol. 7 (3), pp. e163. Date of Electronic Publication: 2022 Jun 17 (Print Publication: 2022).
DOI:	10.1097/j.pbj.0000000000000163
Abstrakt:	Bariatric surgery is the only proven treatment to significantly improve obesity and its associated comorbidities. The success of bariatric surgery goes beyond weight lost: quality of life (QoL) is acquiring relevance when evaluating outcomes after bariatric surgery but few studies evaluated factors influencing QoL at long term. The main objective of this study is to identify factors that could affect QoL more than 5 years after bariatric surgery. Methods: We performed an observational study in which we apply "Moorehead-Ardelt Quality of Life Questionnaire" to 94 patients that were submitted to bariatric surgery with more than 5years of follow-up. Patients questionnaire score was compared to several variables: age, sex, main surgical procedures, primary or revisional surgery, complications, weight loss, and improvement of comorbidities (diabetes, dyslipidemia, hypertension, musculoskeletal disorders, and psychiatry pathology). Results: QoL was significantly influenced by weight loss outcomes (%excess weight loss, %total weight loss, and final body mass index). QoL was neither significantly influenced by sex or age, type of surgery nor previously failed bariatric surgeries or complications. Improvement of hypertension was related to increased QoL, but improvement of other associated comorbidities did not had significant impact on patient's QoL at long term. Conclusion: It appears that the main factors influencing long-term QoL after bariatric surgery are related to weight loss outcomes. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of PBJ-Associação Porto Biomedical/Porto Biomedical Society. All rights reserved.)
Databáze:	MEDLINE
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