Health-related quality of life in morbid obesity: the impact of laparoscopic sleeve gastrectomy

• Authors: Radka Bužgová , Marek Bužga , Pavol Holéczy
• Languages of publication: EN

Abstracts

EN

Our aim in this prospective study was to determine the impact of laparoscopic sleeve gastrectomy on the quality of life of patients with morbid obesity in comparison with population standards. The study evaluated 76 morbidly obese patients who underwent laparoscopic sleeve gastrectomy. The short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) was used to evaluate quality of life in the following four areas: physical health, mental health, social relations, and environment. Patients completed the questionnaire before their planned operation and again 3 and 6 months after surgery. Compared with the population standard, patients with morbid obesity had significantly lower quality of life scores in the physical and mental health domains, including on independent questions related to of overall health and quality of life (p<0.001). Women scored lower on indicators of mental health than men. Three and 6 months following surgery a significant trend of body mass index (BMI) reduction was seen, as well as increased quality of life in all indicated areas (p<0.001). Laparoscopic sleeve gastrectomy treatment in morbidly obese patients reduced BMI on a long-term basis, a change seen as early as 3 months after surgery. By 6 months after surgery, patients had the same quality of life scores as the reference population.

Keywords

EN

Quality of life; Laparoscopic sleeve gastrectomy; Morbid obesity

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 9
• Issue: 3
• Pages: 374-381

Dates

published

1 - 6 - 2014

online

8 - 7 - 2014

Contributors

author

Radka Bužgová

• Department of nursing and midwifery, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic

author

Marek Bužga

• Department of physiology and pathphysiology, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic

author

Pavol Holéczy

• Department of surgical studies, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic

References

• [1] Obesity: Preventing and managing the global epidemic. Report of a WHO consultation, WHO Technical Report Series 894, Geneva, 2000
• [2] James W.P.T., Rigby N., Leach R., The obesity epidemic, metabolic syndrome and future prevention strategies, Eur J Cardiovasc Prev Rehabil, 2004, 11, 3–8 http://dx.doi.org/10.1097/01.hjr.0000114707.27531.48[Crossref]
• [3] Matoulek M., Svačina Š., Lajka J., Výskyt obezity a jejich komplikací v České republice, Vnitřní lékařství, 2010, 56, 1019–1027, (In Czech)
• [4] Bray G.A., Bouchard C., Handbook of obesity-Etiology and Pathophysiology, 2nd ed. New York, 2003 http://dx.doi.org/10.3109/9780203913376[Crossref]
• [5] Dragomírecká E., Bartoňová J., WHOQOL-BREF: Příručka pro uživatele české verze dotazníků kvality života světové zdravotnické organizace, Praha, Psychiatrické centrum Praha, 2006, (In Czech)
• [6] Jia H., Lubetkin E.I., The impact of obesity on health-related quality of life in the general adult US population, J Public health, 2005, 27, 156–164 http://dx.doi.org/10.1093/pubmed/fdi025[Crossref]
• [7] Sach, T.H., Barton G.R., Doherty M. et al., The relationship between body mass index and health-related quality of life: comparing the EQ-5D, EuroQol VAS and SF-6D, Int J obes, 2007, 31, 189–196 http://dx.doi.org/10.1038/sj.ijo.0803365
• [8] Mannucci E., Petoni M.L., Villanova N., Clinical and psychological correlates of health-related quality of life in obese patients, Health and quality of life outcomes, 2010, 8, 90 http://dx.doi.org/10.1186/1477-7525-8-90[Crossref]
• [9] Chang C.Y., Hung C.K., Chang Y.Y. et al., Prospective study of health-related quality of life after Roux-en-Y bypass surgery for morbid obesity, British Journal of Surgery, 2010, 97, 1541–1546 http://dx.doi.org/10.1002/bjs.7179[Crossref]
• [10] Livingston E.H., Fink A.S., Quality of life: cost and future of bariatric surgery, Arch Surg, 2003, 138, 383–388 http://dx.doi.org/10.1001/archsurg.138.4.383[Crossref]
• [11] Chang C.Y., Hung C.K., Chang Y.Y. et al., Healthrelated Quality of Life in Adult Patients with Morbid Obesity Coming for Bariatric Surgery, Obes Surg, 2010, 20, 1121–1127 http://dx.doi.org/10.1007/s11695-008-9513-z[Crossref]
• [12] O’Brien, P.E., Dixon J.B., Laurie C. et al., Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program: a randomized trial, Ann Intern Med, 2006, 144, 625–633 http://dx.doi.org/10.7326/0003-4819-144-9-200605020-00005[Crossref]
• [13] Kaukua J., Pekkarinen T., Sane T. et al., Healthrelated quality of life in obese outpatients losing weight with very-low-energy diet and behavior modification - a 2-y follow-up study, International Journal of Obesity, 2003, 27, 1233–1241 http://dx.doi.org/10.1038/sj.ijo.0802379
• [14] Fried M., Hainer V., Basdevant A., et al., Interdisciplinary European guidelines on surgery of severe obesity, Int J Obes, 2007, 31, 569–577
• [15] Buchwald H., Avidor Y., Braunwald E. et al., Bariatric surgery: A systematic review and metaanalysis, JAMA, 2004, 292, 1724–1737 http://dx.doi.org/10.1001/jama.292.14.1724[Crossref]
• [16] Duda M., Gryga A., Czudek S., et al., Twenty years of minimally invasive surgery in the Czech Republic, Videosurgery and other miniinvasive techniques, 2011, 6, 42–47 http://dx.doi.org/10.5114/wiitm.2011.20993[Crossref]
• [17] Stefaniak T.J., Adamczyk K., Walerzak A. et al., Body image is an important augmentation to quality of life in evaluating the results of laparoscopic versus classic surgery, Videosurgery and other miniinvasive techniques, 2010, 5, 146–151 http://dx.doi.org/10.5114/wiitm.2010.18828[Crossref][WoS]
• [18] Mathus-Vliege E.M., de Weerd S., de Wit L.T., Health-related quality-of-life in patients with morbid obesity after gastric banding for surgically induced weight loss, Surgery, 2004, 135, 489–497 http://dx.doi.org/10.1016/j.surg.2004.01.007[Crossref]
• [19] Herpertz S., Kielmann R., Wolf A.M. et al., Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review, Obe Res, 2004, 12, 1554–1569 http://dx.doi.org/10.1038/oby.2004.195[Crossref]
• [20] Brunault P., Jacobi D., Léger J., Observation Regarding Quality of Life and Comfort with Food After Bariatric Surgery: Comparison between Laparoscopic Adjustable Gastric Banding and Sleeve Gastrectomy, Obes Surg, 2011, 21, 1225–1231 http://dx.doi.org/10.1007/s11695-011-0411-4[Crossref]
• [21] Helmio M., Salminen P., Sintonen H. et al., A 5-Year Prospective Quality of Life Analysis Following Laparoscopic Adjustable Gastric Banding for Morbid Obesity, Obes Surg, 2011, 10, 1585–1591 http://dx.doi.org/10.1007/s11695-011-0425-y[Crossref]
• [22] Lund R.S., Karlsen T.I., Hofso, D. et al., Employment Is Associated with the Health-Related Quality of Life of Morbidly Obese Persons, Obes Surg, 2010, 21, 1704–1709 http://dx.doi.org/10.1007/s11695-010-0289-6[WoS][Crossref]
• [23] Therrien F., Marceau P., Turgeon N. et al., The laval questionnaire: a new instrument to measure quality of life in morbid obesity, Health and quality of life outcomes, 2011, 9, 66 http://dx.doi.org/10.1186/1477-7525-9-66[Crossref]
• [24] Zwaan M., Mitchell J., Howell L.M. et al., Two Measures of Health-Related Quality of Life in Morbid Obesity, Obesity Research, 2002, 10, 1143–1151 http://dx.doi.org/10.1038/oby.2002.155[Crossref]
• [25] Bužgová R., Hájková M., Jasioková A., Zkušenosti s měřením kvality života dotazníkem WHOQOLBREF u vybraných skupin pacientů. Kontakt, 2009, 11, 152–157 (In Czech)
• [26] Bužgová R., Bužga M., Kristiníková J., WHOQOL: Assessment of Quality of Life in Patients after Lower Limb Amputation, Acta Medica Martiniana, 2009, 9, 33–40
• [27] Andersen J., Aasprang A., Bergsholm P. et al., Anxiety and depression in association with morbid obesity: changes with improved physical health after duodenal switch, Health and Quality of Life Outcomes, 2010, 8, 52 http://dx.doi.org/10.1186/1477-7525-8-52[Crossref]
• [28] Fezzi M., Kolotkin R.L., Nedelcu M. et al., Improvement in Quality of Life After Laparoscopic Sleeve Gastrectomy, Obes Surg, 2011, 21, 1161–1167 http://dx.doi.org/10.1007/s11695-011-0361-x[Crossref]
• [29] Dadan J., Iwacewicz P., Hady H.R., Quality of life evaluation after selected bariatric procedures using the Bariatric Analysis and Reporting Outcome System, Videosurgery, 2010, 5, 93–99

Identifiers

DOI

10.2478/s11536-013-0294-y