Impact of COVID-19 Lockdown on Short-Term Results After Laparoscopic Sleeve Gastrectomy
Autor: | Julie Navez, Imad El Moussaoui, Jean Closset, Anne Schaeken, Kamal El Moussaoui, Marie Barea-Fernandez |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Sleeve gastrectomy
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Endocrinology Diabetes and Metabolism medicine.medical_treatment Original Contributions Population 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Weight loss Gastrectomy Diabetes mellitus medicine Humans Obesity education Pandemics Retrospective Studies education.field_of_study Nutrition and Dietetics business.industry SARS-CoV-2 Diabetes COVID-19 medicine.disease Surgery Obesity Morbid Obstructive sleep apnea Treatment Outcome Diabetes Mellitus Type 2 Case-Control Studies Hypertension Communicable Disease Control 030211 gastroenterology & hepatology Laparoscopy medicine.symptom business Dyslipidemia Follow-Up Studies |
Zdroj: | Obesity Surgery |
ISSN: | 1708-0428 0960-8923 |
Popis: | Background The recent COVID-19 pandemic has led several countries worldwide to confine the population. Consequently, people’s mobility and physical activity are limited in addition to a negative psychosocial effect. The aim of this study was to assess the impact of COVID-19 crisis on short-term weight loss and the remission of obesity-associated comorbidities in patients undergoing sleeve gastrectomy (SG). Methods A case-control study was conducted comparing percentage of total weight loss (%TWL), excess weight lost (%EWL), and the remission rate of obesity-related comorbidities at the first postoperative year between patients who underwent primary SG between June 2019 and October 2019 (1-year postoperative period affected by COVID-19 lockdown; COV-group), and a control group operated between June 2018 and October 2018 (1-year postoperative period not affected by COVID-19 lockdown; CONTROL-group). Results In total, 45 patients from COV-group were compared to 57 patients from CONTROL-group. Demographic data were similar between groups. The follow-up rate at 1 year was 100%. The mean %TWL and %EWL was lower at 28.2 ± 12.7% and 67.6 ± 23.5% in COV-group patients compared to 34.3 ± 14.1% and 78.3 ± 27.2% in CONTROL-group patients at 1 year from SG (p=0.025 and p=0.036, respectively). The remission rate of obesity-related comorbidities at 1 year from SG including type 2 diabetes mellitus, hypertension, dyslipidemia, and obstructive sleep apnea syndrome was 57.1%, 60.0%, 71.4%, and 41.7% in COV-group and 66.7%, 72.4%, 85.3%, and 52.9% in CONTROL-group, respectively, without any statistically significant difference between groups. Conclusions The COVID-19 lockdown had a negative effect on weight loss in the first year after SG. Larger studies are needed to confirm these results, and we are expecting for a longer follow-up to evaluate the long-term impact on weight loss and comorbidities. |
Databáze: | OpenAIRE |
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