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Erschienen in: Obesity Surgery 2/2016

01.02.2016 | Review Article

Quality of Life Outcomes of Bariatric Surgery: A Systematic Review

verfasst von: Aleeya Hachem, Leah Brennan

Erschienen in: Obesity Surgery | Ausgabe 2/2016

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Abstract

Bariatric surgery is often pursued to improve quality of life (QOL). This paper systematically reviews the literature examining QOL following bariatric surgery. Fifteen controlled trials examined changes in QOL in obese (BMI > 30) adults (18–65 years) following bariatric surgery; seven compared bariatric surgery to non-surgical interventions and six compared different types of bariatric surgery. Bariatric surgery resulted in greater improvements in QOL than other obesity treatments. Significant differences in QOL improvements were found between different types of bariatric surgery. QOL improvements were more likely to occur within the first 2 years following surgery, with greater improvements in physical QOL than mental QOL. Bariatric surgery improves QOL. Future research is needed to investigate changes in QOL in different domains in the short- and long-term following bariatric surgery.
Literatur
1.
Zurück zum Zitat Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obes Surg. 1998;8:487–99.PubMedCrossRef Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obes Surg. 1998;8:487–99.PubMedCrossRef
2.
Zurück zum Zitat Livingston EH, Fink AS. Quality of life: cost and future of bariatric surgery. Arch Surg. 2003;138(4):383–8.PubMedCrossRef Livingston EH, Fink AS. Quality of life: cost and future of bariatric surgery. Arch Surg. 2003;138(4):383–8.PubMedCrossRef
3.
4.
Zurück zum Zitat Abiles V et al. Psychological characteristics of morbidly obese candidates for bariatric surgery. Obes Surg. 2010;20(2):161–7.PubMedCrossRef Abiles V et al. Psychological characteristics of morbidly obese candidates for bariatric surgery. Obes Surg. 2010;20(2):161–7.PubMedCrossRef
5.
Zurück zum Zitat Van Hout GCM, Verschure SKM, Van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60.PubMedCrossRef Van Hout GCM, Verschure SKM, Van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60.PubMedCrossRef
6.
Zurück zum Zitat Stolzenberger KM et al. Long-term quality of life following bariatric surgery: a descriptive study. Bariatr Surg Patient Care. 2013;8(1):29–38.CrossRef Stolzenberger KM et al. Long-term quality of life following bariatric surgery: a descriptive study. Bariatr Surg Patient Care. 2013;8(1):29–38.CrossRef
7.
Zurück zum Zitat Van Hout GCM et al. Psychosocial functioning following bariatric surgery. Obes Surg. 2006;16(6):787–94.PubMedCrossRef Van Hout GCM et al. Psychosocial functioning following bariatric surgery. Obes Surg. 2006;16(6):787–94.PubMedCrossRef
8.
Zurück zum Zitat Van Hout G. Psychosocial effects of bariatric surgery. Acta Chir Belg. 2005;105(1):40–3.PubMed Van Hout G. Psychosocial effects of bariatric surgery. Acta Chir Belg. 2005;105(1):40–3.PubMed
9.
Zurück zum Zitat Livhits M et al. Preoperative predictors of weight loss following bariatric surgery: systematic review. Obes Surg. 2011;22:70–89.CrossRef Livhits M et al. Preoperative predictors of weight loss following bariatric surgery: systematic review. Obes Surg. 2011;22:70–89.CrossRef
10.
Zurück zum Zitat Colquitt JL et al. Surgery for obesity. Cochrane Database Syst Rev. 2009;2:CD003641.PubMed Colquitt JL et al. Surgery for obesity. Cochrane Database Syst Rev. 2009;2:CD003641.PubMed
11.
Zurück zum Zitat Herpertz S et al. Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obes Res. 2004;12(10):1554–69.PubMedCrossRef Herpertz S et al. Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obes Res. 2004;12(10):1554–69.PubMedCrossRef
12.
Zurück zum Zitat Dixon JB, Dixon ME, O'Brien PE. Quality of life after lap-band placement: influence of time, weight loss, and comorbidities. Obes Res. 2001;9(11):713–21.PubMedCrossRef Dixon JB, Dixon ME, O'Brien PE. Quality of life after lap-band placement: influence of time, weight loss, and comorbidities. Obes Res. 2001;9(11):713–21.PubMedCrossRef
13.
Zurück zum Zitat Robert M et al. Prospective longitudinal assessment of change in health-related quality of life after adjustable gastric banding. Obes Surg. 2013;23:1564–70.PubMedCrossRef Robert M et al. Prospective longitudinal assessment of change in health-related quality of life after adjustable gastric banding. Obes Surg. 2013;23:1564–70.PubMedCrossRef
14.
Zurück zum Zitat Dymek MP et al. Quality of life and psychosocial adjustment in patients after Roux-en-y gastric report bypass: a brief report. Obes Surg. 2001;11(1):32–9.PubMedCrossRef Dymek MP et al. Quality of life and psychosocial adjustment in patients after Roux-en-y gastric report bypass: a brief report. Obes Surg. 2001;11(1):32–9.PubMedCrossRef
15.
Zurück zum Zitat Apovian CM et al. Patient factors associated with undergoing laparoscopic adjustable gastric banding vs Roux-en-Y gastric bypass for weight loss. J Am Coll Surg. 2013;217(6):1118–25.PubMedPubMedCentralCrossRef Apovian CM et al. Patient factors associated with undergoing laparoscopic adjustable gastric banding vs Roux-en-Y gastric bypass for weight loss. J Am Coll Surg. 2013;217(6):1118–25.PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat Herpertz S et al. Does obesity surgery improve psychosocial functioning? A systematic review. Int J Obes. 2003;27(11):1300–14.CrossRef Herpertz S et al. Does obesity surgery improve psychosocial functioning? A systematic review. Int J Obes. 2003;27(11):1300–14.CrossRef
17.
Zurück zum Zitat Abdelrahman T et al. Health related quality of life reporting in bariatric surgery: a systematic review of current practice. Br J Surg. 2013;100:48–8. Abdelrahman T et al. Health related quality of life reporting in bariatric surgery: a systematic review of current practice. Br J Surg. 2013;100:48–8.
18.
Zurück zum Zitat Herpertz S et al. Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obes Res. 2004;12(10):1554–69.PubMedCrossRef Herpertz S et al. Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obes Res. 2004;12(10):1554–69.PubMedCrossRef
19.
Zurück zum Zitat Herpertz S et al. Does obesity surgery improve psychosocial functioning? A systematic review. Int J Obes. 2003;27(11):1300–14.CrossRef Herpertz S et al. Does obesity surgery improve psychosocial functioning? A systematic review. Int J Obes. 2003;27(11):1300–14.CrossRef
20.
Zurück zum Zitat Wimmelmann CL, Dela F, Mortensen EL. Psychological predictors of weight loss after bariatric surgery: a review of the recent research. Obesity Res Clin Prac. 2014;8:299–313.CrossRef Wimmelmann CL, Dela F, Mortensen EL. Psychological predictors of weight loss after bariatric surgery: a review of the recent research. Obesity Res Clin Prac. 2014;8:299–313.CrossRef
21.
Zurück zum Zitat Wimmelmann CL, Dela F, Mortensen EL. Psychological predictors of mental health and health-related quality of life after bariatric surgery: a review of the recent research. Obesity Res Clin Prac. 2014;8(4):314–24.CrossRef Wimmelmann CL, Dela F, Mortensen EL. Psychological predictors of mental health and health-related quality of life after bariatric surgery: a review of the recent research. Obesity Res Clin Prac. 2014;8(4):314–24.CrossRef
22.
Zurück zum Zitat Gregorio JM, Palkoner R. Quality of life after obesity surgery, an evidence-based medicine literature review: how to improve systematic searches for enhanced decision-making and clinical outcomes. Obes Surg. 2001;11:318–26.PubMedCrossRef Gregorio JM, Palkoner R. Quality of life after obesity surgery, an evidence-based medicine literature review: how to improve systematic searches for enhanced decision-making and clinical outcomes. Obes Surg. 2001;11:318–26.PubMedCrossRef
23.
Zurück zum Zitat Vallis MT, Ross MA. The role of psychological factors in bariatric surgery for morbid obesity: identification of psychological predictors of success. Obes Surg. 1993;3(4):346–59.PubMedCrossRef Vallis MT, Ross MA. The role of psychological factors in bariatric surgery for morbid obesity: identification of psychological predictors of success. Obes Surg. 1993;3(4):346–59.PubMedCrossRef
24.
Zurück zum Zitat Lindekilde N et al. The impact of bariatric surgery on quality of life: a systematic review and meta-analysis. Obes Rev. 2015;16(8):639–51.PubMedCrossRef Lindekilde N et al. The impact of bariatric surgery on quality of life: a systematic review and meta-analysis. Obes Rev. 2015;16(8):639–51.PubMedCrossRef
25.
Zurück zum Zitat Magallares A, Schomerus G. Mental and physical health-related quality of life in obese patients before and after bariatric surgery: a meta-analysis. Psych, Health Med. 2014;20(2):165–76.CrossRef Magallares A, Schomerus G. Mental and physical health-related quality of life in obese patients before and after bariatric surgery: a meta-analysis. Psych, Health Med. 2014;20(2):165–76.CrossRef
26.
Zurück zum Zitat Moher D et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–9.PubMedCrossRef Moher D et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–9.PubMedCrossRef
27.
Zurück zum Zitat Ware J. SF-36 physical and mental health summary scales: a user’s manual. Boston: The Health Institute, New England Medical Center; 1994. Ware J. SF-36 physical and mental health summary scales: a user’s manual. Boston: The Health Institute, New England Medical Center; 1994.
28.
Zurück zum Zitat Moorehead M et al. The validation of the Moorehead-Ardelt quality of life questionnaire II. Obes Surg. 2003;13(5):684–92.PubMedCrossRef Moorehead M et al. The validation of the Moorehead-Ardelt quality of life questionnaire II. Obes Surg. 2003;13(5):684–92.PubMedCrossRef
29.
30.
Zurück zum Zitat Tennant C. The general health questionnaire: a valid index of psychological impairment in Australian populations. Med J Aust. 1977;2(12):392–4.PubMed Tennant C. The general health questionnaire: a valid index of psychological impairment in Australian populations. Med J Aust. 1977;2(12):392–4.PubMed
31.
Zurück zum Zitat Kolotkin RL, Crosby RD. Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-lite) in a community sample. Qual Life Res. 2002;11(2):157–71.PubMedCrossRef Kolotkin RL, Crosby RD. Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-lite) in a community sample. Qual Life Res. 2002;11(2):157–71.PubMedCrossRef
32.
Zurück zum Zitat Niero M et al. A new approach to multicultural item generation in the development of two obesity-specific measures: the Obesity and Weight Loss Quality of Life (OWLQOL) questionnaire and the Weight-Related Symptom Measure (WRSM). Clin Ther. 2002;24(4):690–700.PubMedCrossRef Niero M et al. A new approach to multicultural item generation in the development of two obesity-specific measures: the Obesity and Weight Loss Quality of Life (OWLQOL) questionnaire and the Weight-Related Symptom Measure (WRSM). Clin Ther. 2002;24(4):690–700.PubMedCrossRef
33.
Zurück zum Zitat Adams TD et al. Health outcomes of gastric bypass patients compared to nonsurgical, nonintervened severely obese. Obesity (19307381). 2010;18(1):121–30.CrossRef Adams TD et al. Health outcomes of gastric bypass patients compared to nonsurgical, nonintervened severely obese. Obesity (19307381). 2010;18(1):121–30.CrossRef
34.
Zurück zum Zitat Canetti L et al. Health-related quality of life changes and weight reduction after bariatric surgery vs. a weight-loss program. Isr J Psychiatry Relat Sci. 2013;50(3):194–200.PubMed Canetti L et al. Health-related quality of life changes and weight reduction after bariatric surgery vs. a weight-loss program. Isr J Psychiatry Relat Sci. 2013;50(3):194–200.PubMed
35.
Zurück zum Zitat Karlsen T.I. et al.2013. Health related quality of life after gastric bypass or intensive lifestyle intervention: a controlled clinical study. Health and quality of life outcomes 11(17). Karlsen T.I. et al.2013. Health related quality of life after gastric bypass or intensive lifestyle intervention: a controlled clinical study. Health and quality of life outcomes 11(17).
36.
Zurück zum Zitat O'Brien PE et al. Intensive medical weight loss or laparoscopic adjustable gastric banding in the treatment of mild to moderate obesity: long-term follow-up of a prospective randomised trial. Obes Surg. 2013;23:1345–53. doi:10.1007/s11695-013-0990-3.PubMedCrossRef O'Brien PE et al. Intensive medical weight loss or laparoscopic adjustable gastric banding in the treatment of mild to moderate obesity: long-term follow-up of a prospective randomised trial. Obes Surg. 2013;23:1345–53. doi:10.​1007/​s11695-013-0990-3.PubMedCrossRef
37.
Zurück zum Zitat Faulconbridge LF et al. Changes in depression and quality of life in obese individuals with binge eating disorder: bariatric surgery versus lifestyle modification. Surg Obes Relat Dis. 2013;9(5):790–6.PubMedPubMedCentralCrossRef Faulconbridge LF et al. Changes in depression and quality of life in obese individuals with binge eating disorder: bariatric surgery versus lifestyle modification. Surg Obes Relat Dis. 2013;9(5):790–6.PubMedPubMedCentralCrossRef
38.
Zurück zum Zitat Karlsson J, Sjostrom L, Sullivan M. Swedish obese subjects (SOS)—an intervention study of obesity. Two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity. Int J Obes. 1998;22(2):113–26.CrossRef Karlsson J, Sjostrom L, Sullivan M. Swedish obese subjects (SOS)—an intervention study of obesity. Two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity. Int J Obes. 1998;22(2):113–26.CrossRef
39.
Zurück zum Zitat Canetti L, Berry EM, Elizur Y. Psychosocial predictors of weight loss and psychological adjustment following bariatric surgery and a weight-loss program: the mediating role of emotional eating. Int J Eat Disord. 2009;42(2):109–17.PubMedCrossRef Canetti L, Berry EM, Elizur Y. Psychosocial predictors of weight loss and psychological adjustment following bariatric surgery and a weight-loss program: the mediating role of emotional eating. Int J Eat Disord. 2009;42(2):109–17.PubMedCrossRef
40.
Zurück zum Zitat Brunault P et al. Observations regarding ‘Quality of Life’ and ‘Comfort with Food’ after bariatric surgery: comparison between laparoscopic adjustable gastric banding and sleeve gastrectomy. Obes Surg. 2011;21(8):1225–31.PubMedCrossRef Brunault P et al. Observations regarding ‘Quality of Life’ and ‘Comfort with Food’ after bariatric surgery: comparison between laparoscopic adjustable gastric banding and sleeve gastrectomy. Obes Surg. 2011;21(8):1225–31.PubMedCrossRef
42.
Zurück zum Zitat Lee WJ et al. Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Ann Surg. 2005;242:20–8.PubMedPubMedCentralCrossRef Lee WJ et al. Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Ann Surg. 2005;242:20–8.PubMedPubMedCentralCrossRef
43.
Zurück zum Zitat Nguyen NT et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Annal Surg. 2001;234(3):279–91.CrossRef Nguyen NT et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Annal Surg. 2001;234(3):279–91.CrossRef
45.
Zurück zum Zitat Suter M et al. Laparoscopic gastric banding: a prospective, randomized study comparing the Lapband and the SAGB: early results. Annals Surg. 2005;241(1):55–62. Suter M et al. Laparoscopic gastric banding: a prospective, randomized study comparing the Lapband and the SAGB: early results. Annals Surg. 2005;241(1):55–62.
46.
Zurück zum Zitat Nguyen NT et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234:279–89. discussion 289–91.PubMedPubMedCentralCrossRef Nguyen NT et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234:279–89. discussion 289–91.PubMedPubMedCentralCrossRef
47.
Zurück zum Zitat Picot J et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Assess. 2009;13(41):1–358.CrossRef Picot J et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Assess. 2009;13(41):1–358.CrossRef
48.
Zurück zum Zitat Ballantyne GH. Measuring outcomes following bariatric surgery: weight loss parameters, improvement in co-morbid conditions, change in quality of life and patient satisfaction. Obes Surg. 2003;13(6):954–64.PubMedCrossRef Ballantyne GH. Measuring outcomes following bariatric surgery: weight loss parameters, improvement in co-morbid conditions, change in quality of life and patient satisfaction. Obes Surg. 2003;13(6):954–64.PubMedCrossRef
Metadaten
Titel
Quality of Life Outcomes of Bariatric Surgery: A Systematic Review
verfasst von
Aleeya Hachem
Leah Brennan
Publikationsdatum
01.02.2016
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 2/2016
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1940-z

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