How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional Study

Detalhes bibliográficos
Autor(a) principal: Silva, José
Data de Publicação: 2018
Outros Autores: Vasconcelos, Henrique, Figueiredo-Braga, Margarida, Carneiro, Silvestre
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133
Resumo: Introduction: Obesity is often accompanied by psychological distress and both can reduce patients’ quality of life. Bariatric surgery is proven to be a good method to reduce weight and to alleviate comorbidities, leading ultimately to an improvement in quality of life.Material and Methods: The authors studied 80 patients enrolled in the Multidisciplinary Bariatric Unit of a central hospital in Porto, Portugal. Patients submitted to Roux-en-Y gastric bypass and sleeve procedures were compared. Laboratory parameters were collected from patients’ files. Quality of life and psychological state - depression and anxiety, were evaluated using the Portuguese versions of the Medical Outcomes Study SF-36 and the hospital anxiety and depression scale, respectively, within one to two years of the surgery.Results: A total of 51 patients were operated and completed a quality of life evaluation, while 21 patients were in a pre-operatory group (control). Patients subjected to bariatric surgery had higher scores of SF-36 and lower scores in both hospital anxiety and depression scale (anxiety and depression) subscales (p < 0.001); SF-36 presented a Pearson correlation coefficient of 0,475 (p = 0.004) with hemoglobin A1c. Sleeve had better results in the hospital anxiety and depression scale-depression subscale (p = 0.073).Discussion: In this population, bariatric surgery led to better results, regarding both metabolic and psychological evaluations. No significant differences were found between gastric bypass and sleeve. However, further analyses must be performed.Conclusion: This study supports the theory that bariatric surgery contributes to the improvement of obese patients’ quality of life and psychological state.
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spelling How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional StudyO Impacto da Cirurgia Bariátrica na Qualidade de Vida dos Indivíduos Obesos: Um Estudo PortuguêsAnxietyBariatric SurgeryDepressionObesity/surgeryObesityMorbid/surgeryQuality of LifeAnsiedadeCirurgia BariátricaDepressãoObesidade Obesidade/cirurgiaObesidade Mórbida/cirurgiaQualidade de VidaIntroduction: Obesity is often accompanied by psychological distress and both can reduce patients’ quality of life. Bariatric surgery is proven to be a good method to reduce weight and to alleviate comorbidities, leading ultimately to an improvement in quality of life.Material and Methods: The authors studied 80 patients enrolled in the Multidisciplinary Bariatric Unit of a central hospital in Porto, Portugal. Patients submitted to Roux-en-Y gastric bypass and sleeve procedures were compared. Laboratory parameters were collected from patients’ files. Quality of life and psychological state - depression and anxiety, were evaluated using the Portuguese versions of the Medical Outcomes Study SF-36 and the hospital anxiety and depression scale, respectively, within one to two years of the surgery.Results: A total of 51 patients were operated and completed a quality of life evaluation, while 21 patients were in a pre-operatory group (control). Patients subjected to bariatric surgery had higher scores of SF-36 and lower scores in both hospital anxiety and depression scale (anxiety and depression) subscales (p < 0.001); SF-36 presented a Pearson correlation coefficient of 0,475 (p = 0.004) with hemoglobin A1c. Sleeve had better results in the hospital anxiety and depression scale-depression subscale (p = 0.073).Discussion: In this population, bariatric surgery led to better results, regarding both metabolic and psychological evaluations. No significant differences were found between gastric bypass and sleeve. However, further analyses must be performed.Conclusion: This study supports the theory that bariatric surgery contributes to the improvement of obese patients’ quality of life and psychological state.Introdução: A obesidade é frequentemente acompanhada por perturbações psicológicas, e ambos podem reduzir a qualidade de vida dos doentes. Está provado que a cirurgia bariátrica é um bom método de redução de peso e para aliviar comorbilidades, conduzindo em última instância a uma melhoria da qualidade de vida.Material e Métodos: Os autores estudaram 80 doentes seguidos em consulta do Centro Multidisciplinar de Tratamento da Obesidade. Os grupos de bypass gástrico em Y-de-Roux e sleeve gástricos foram comparados. Os parâmetros analíticos foram recolhidos dos processos dos doentes. A qualidade de vida e perturbações psicológicas (depressão e ansiedade) foram avaliadas um a dois anos após a cirurgia usando as versões portuguesa do Medical Outcomes Study SF-36 e da escala de depressão e ansiedade hospitalar.Resultados: Um total de 51 doentes foi operado, tendo completado uma avaliação de qualidade de vida, enquanto 21 estavam num grupo pré-operatório (controlo). Doentes submetidos a cirurgia bariátrica tiveram resultados mais elevados no SF-36 e valores menores em ambas as subescalas (ansiedade e depressão) da escala de depressão e ansiedade hospitalar (p < 0,001). O SF-36 apresentou um coeficiente de correlação de Pearson de 0,475 (p = 0,004) com a hemoglobina A1c. O sleeve teve melhores resultados na subescala escala de depressão e ansiedade hospitalar-depressão (p = 0,073).Discussão: Nesta população, a cirurgia bariátrica conduziu a melhores resultados nas avaliações metabólica e psicológica, não tendo sido encontradas diferenças significativas entre bypass e sleeve. Contudo, uma análise posterior deverá ser realizada.Conclusão: Este estudo corrobora a teoria de que a cirurgia bariátrica contribui para a melhoria da qualidade de vida e do estado psicológico dos doentes obesos.Ordem dos Médicos2018-08-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/jpegimage/jpegimage/pngapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/mswordimage/pngimage/pngimage/pngapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133oai:ojs.www.actamedicaportuguesa.com:article/9133Acta Médica Portuguesa; Vol. 31 No. 7-8 (2018): July-August; 391-398Acta Médica Portuguesa; Vol. 31 N.º 7-8 (2018): Julho-Agosto; 391-3981646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/5474https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9328https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9329https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9330https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9435https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9622https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9714https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9715https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9716https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9717https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/10331https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/10446Direitos de Autor (c) 2018 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessSilva, JoséVasconcelos, HenriqueFigueiredo-Braga, MargaridaCarneiro, Silvestre2022-12-20T11:05:42Zoai:ojs.www.actamedicaportuguesa.com:article/9133Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:41.041011Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional Study
O Impacto da Cirurgia Bariátrica na Qualidade de Vida dos Indivíduos Obesos: Um Estudo Português
title How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional Study
spellingShingle How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional Study
Silva, José
Anxiety
Bariatric Surgery
Depression
Obesity/surgery
Obesity
Morbid/surgery
Quality of Life
Ansiedade
Cirurgia Bariátrica
Depressão
Obesidade Obesidade/cirurgia
Obesidade Mórbida/cirurgia
Qualidade de Vida
title_short How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional Study
title_full How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional Study
title_fullStr How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional Study
title_full_unstemmed How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional Study
title_sort How is Bariatric Surgery Improving the Quality of Life of Obese Patients: A Portuguese Cross-Sectional Study
author Silva, José
author_facet Silva, José
Vasconcelos, Henrique
Figueiredo-Braga, Margarida
Carneiro, Silvestre
author_role author
author2 Vasconcelos, Henrique
Figueiredo-Braga, Margarida
Carneiro, Silvestre
author2_role author
author
author
dc.contributor.author.fl_str_mv Silva, José
Vasconcelos, Henrique
Figueiredo-Braga, Margarida
Carneiro, Silvestre
dc.subject.por.fl_str_mv Anxiety
Bariatric Surgery
Depression
Obesity/surgery
Obesity
Morbid/surgery
Quality of Life
Ansiedade
Cirurgia Bariátrica
Depressão
Obesidade Obesidade/cirurgia
Obesidade Mórbida/cirurgia
Qualidade de Vida
topic Anxiety
Bariatric Surgery
Depression
Obesity/surgery
Obesity
Morbid/surgery
Quality of Life
Ansiedade
Cirurgia Bariátrica
Depressão
Obesidade Obesidade/cirurgia
Obesidade Mórbida/cirurgia
Qualidade de Vida
description Introduction: Obesity is often accompanied by psychological distress and both can reduce patients’ quality of life. Bariatric surgery is proven to be a good method to reduce weight and to alleviate comorbidities, leading ultimately to an improvement in quality of life.Material and Methods: The authors studied 80 patients enrolled in the Multidisciplinary Bariatric Unit of a central hospital in Porto, Portugal. Patients submitted to Roux-en-Y gastric bypass and sleeve procedures were compared. Laboratory parameters were collected from patients’ files. Quality of life and psychological state - depression and anxiety, were evaluated using the Portuguese versions of the Medical Outcomes Study SF-36 and the hospital anxiety and depression scale, respectively, within one to two years of the surgery.Results: A total of 51 patients were operated and completed a quality of life evaluation, while 21 patients were in a pre-operatory group (control). Patients subjected to bariatric surgery had higher scores of SF-36 and lower scores in both hospital anxiety and depression scale (anxiety and depression) subscales (p < 0.001); SF-36 presented a Pearson correlation coefficient of 0,475 (p = 0.004) with hemoglobin A1c. Sleeve had better results in the hospital anxiety and depression scale-depression subscale (p = 0.073).Discussion: In this population, bariatric surgery led to better results, regarding both metabolic and psychological evaluations. No significant differences were found between gastric bypass and sleeve. However, further analyses must be performed.Conclusion: This study supports the theory that bariatric surgery contributes to the improvement of obese patients’ quality of life and psychological state.
publishDate 2018
dc.date.none.fl_str_mv 2018-08-31
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9328
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9329
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9330
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9435
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9622
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9714
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9715
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9716
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/9717
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/10331
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9133/10446
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2018 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2018 Acta Médica Portuguesa
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 31 No. 7-8 (2018): July-August; 391-398
Acta Médica Portuguesa; Vol. 31 N.º 7-8 (2018): Julho-Agosto; 391-398
1646-0758
0870-399X
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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