Mental Illness Has a Negative Impact on Weight Loss in Bariatric Patients: a 4-Year Follow-up
| Autor: | Caroline Buri, Guido Stirnimann, Philipp C. Nett, Dino Kröll, Kurt Laederach, Martin Müller, Yves Michael Borbély |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Sleeve gastrectomy medicine.medical_specialty Time Factors medicine.medical_treatment Bariatric Surgery 610 Medicine & health Comorbidity medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Weight loss Internal medicine Weight Loss medicine Humans Depression (differential diagnoses) Retrospective Studies Gastric bypass surgery business.industry Mental Disorders Weight change Gastroenterology Odds ratio Mental illness medicine.disease Mental health Obesity Morbid 030220 oncology & carcinogenesis Quality of Life 030211 gastroenterology & hepatology Surgery Female medicine.symptom business Switzerland Follow-Up Studies |
| Zdroj: | Müller, Martin; Nett, Philipp C.; Borbély, Yves Michael; Buri, Caroline; Stirnimann, Guido; Laederach, Kurt; Kröll, Dino (2019). Mental Illness Has a Negative Impact on Weight Loss in Bariatric Patients: a 4-Year Follow-up. Journal of gastrointestinal surgery, 23(2), pp. 232-238. Springer-Verlag 10.1007/s11605-018-3903-x |
| ISSN: | 1873-4626 |
| DOI: | 10.1007/s11605-018-3903-x |
| Popis: | BACKGROUND Mental health disorders are highly prevalent among bariatric surgery patients. Bariatric surgery induces weight loss with continuous health improvements. However, long-term follow-up data on weight loss and quality of life data of patients who have a mental illness after bariatric surgery are scarce, and it is not clear whether mental illness is associated with more pronounced weight regain. The aim was to investigate the impact of preoperative mental illness on the course of long-term weight changes after bariatric surgery. METHODS Patients with sleeve gastrectomy (SG) or Roux-en-Y gastric bypass surgery (RYGB) between 2005 and 2013 with a follow-up of at least 3 years were included. The study population was divided into two groups: patients with mental illness (MI) and patients without (No-MI). Weight loss outcomes over time were compared using mixed models up to 4 years after surgery. RESULTS In total, 254 patients (RYGB 61.0%, SG 39%) were included. The distribution of baseline characteristics was similar between the MI (n = 108) and No-MI groups (n = 146). The most prevalent mental illness was depressive disorder (63.9%). In the MI group, the percent of total weight loss (%TWL) was significantly smaller over the study period. After 36 months, the predicted mean group-difference of %TWL was 4.6% (95% CI 1.9, 7.2; p = 0.001), and the predicted odds ratio for weight regain was 4.9 (95% CI 1.6, 15.1) for patients in the MI group. CONCLUSION Preoperative mental illness leads to lower long-term weight loss and an increased risk of weight regain after bariatric surgery. |
| Databáze: | OpenAIRE |
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