ASSESSMENT OF THE QUALITY OF LIFE OF PATIENTS WHO HAVE HAD OBESITY SURGERY

Abstract

Objective: This study was planned to determine the postoperative quality of life of patients who had received obesity surgery. Materials and Methods: The study was conducted with 151 patients who had obesity surgery at the gastroenterology clinic of SEAH. The data collection instruments consisted of two parts. The first part of the questionnaire form included a Patient Information Form, while the second part included the Quality of Life Following Obesity Surgery Scale (QoL-OS). Results: Among the patients who had obesity surgery, 83.4% were female, the mean age was 38.91±10.58 years, and 69.5% were married. The mean total score of the participants in the Biopsychosocial Dimension of QoL-OS was 71.93±14.25 (min: 31, max: 90). Among the sub-dimensions, the mean scores were 29.10 in the Psychosocial Area sub-dimension, 23.93 in the Physical Function sub-dimension and 18.90 in the Sexual Life sub-dimension. The mean total score in the Complications Dimension of QoL-OS was 18.48±5.164 (min: 7, max: 31). Conclusion: In this study where the quality of life and complications of the patients were assessed in the postoperative period by using the Quality of Life Following Obesity Surgery Scale, it was observed that the quality of life of the patients increased by weight loss.

Keywords

• Bariatric Surgery
• Quality of Life
• Complication

References

1. WHO. Obesity and overweight. https:// www.who.int/news-room/fact-sheets/detail/ obesity-and-overweight. (03.10.2023).
2. TÜİK (Türkiye İstatistik Kurumu) Türkiye Sağlık Araştırması 2019 https://data. tuik.gov.tr/tr/display-bulletin/?bulletin=- turkiye-saglik-arastirmasi-2019-33661 (27.10.2020).
3. Stephenson, J., Smith, C.M., Kearns, B., Haywood, A., Bissell, P. (2021). The association between obesity and quality of life: a retrospective analysis of a large-scale population- based cohort study. BMC Public Health, 21(1):1-9.
4. Bell, J.A., Sabia, S., Singh-Manoux, A., Hamer, M., Kivimäki, M. (2017). Healthy obesity and risk of accelerated functional decline and disability. Int J Obes, 41:866– 872.
5. Sharafi, S.E., Garmaroudi, G., Ghafouri, M., Bafghi, S.A., Ghafouri, M., Tabesh, M.R., & Alizadeh, Z. (2020). Prevalence of anxiety and depression in patients with overweight and obesity. Obesity Medicine, 17, 100169.
6. Heriseanu, A.I., Hay, P., Corbit, L., Touyz, S. (2017). Grazing in adults with obesity and eating disorders: A systematic review of associated clinical features and meta-analysis of prevalence. Clinical Psychology Review, 58:16–32.
7. Müezzinoğlu, T. (2005). Yaşam Kalitesi. Üroonkoloji Bülteni, 1:25-29.
8. Mazer, L.M., Azagury, D.E., Morton, J.M. (2017). Quality Of Life after Bariatric Surgery. Curr Obes Rep 2017, 6 (2):204-210.

9. Poelemeijer, Y.M., Van Der Knaap, E.T., Marang-Van De Mheen, P.J., Demirkiran, A., Wiezer, M.J., Hazebroek, E. (2020). Measuring Quality Of Life In Bariatric Surgery:A Multicentre Study. Surg Endosc, 34:5522–5532.
10. Monpellier, V.M., Smith LW Jr, Voorwinde, V., Janssen, I.M.C., van Stralen, M.M. (2020). Health-related quality of life after sleeve gastrectomy equal to Roux-en-Y gastric bypass patients? Qual Life Res., Jul;29(7):1847-1854. doi: 10.1007/s11136- 020-02449-x. Epub 2020 Mar 9. PMID: 32152816.
11. de Vries, C. E. E., Kalff, M. C., Prinsen, C. A. C., Coulman, K. D., den Haan, C., Welbourn, R., Blazeby, J. M., Morton, J. M., & van Wagensveld, B. A. (2018). Recommendations on the most suitable quality- of-life measurement instruments for bariatric and body contouring surgery: a systematic review. Obesity reviews: an official journal of the International Association for the Study of Obesity, 19(10), 1395–1411. https://doi.org/10.1111/obr.12710
12. Cengiz Açıl, H., Doğu, Ö., Usta, E., Çelik Yılmaz, A., Karaman, K., Aygin, D. (2020). Development of the Postbariatric Surgery Quality of Life Scale. Bariatric Surgical Practice and Patient Care, 15(4): 236-42.
13. Coulman, K.D., Blazeby, J.M. (2020). Health- Related Quality of Life in Bariatric and Metabolic Surgery. Current Obesity Reports, 9:3071-4.
14. Janik, M.R., Rogula, T., Bielecka, I., Kwiatkowski, A., Paśnik, K. (2016). Quality of Life and Bariatric Surgery: Cross-Sectional Study and Analysis of Factors Influencing Outcome. Obesity Surgery, 26 (12):2849- 2855.
15. Versteegden, D.A., Himbeeck, M.J., Nienhuijs, S.W. (2017). Improvement in Quality of Life after Bariatric Surgery: Sleeve versus Bypass. European Journal and Clinical Nutricion, 4:441-449.
16. Raaijmakers, L.C.H., Pouwels, S., Thomassen, S.M., Nienhuijs, S.W. (2017). Quality of Life and Bariatric Surgery: A Systematic Review of Short- and Long-Term Results and Comparison with Community Norms. European Journal of Clinical Nutrition, 71:441-449
17. Wimmelmann, C.L., Dela, F., Mortensen, El. (2014). Psychological Predictors of Mental Health and Health-Related Quality Of Life after Bariatric Surgery: A Review of the Recent Research. Obesity Research and Clinical Practice, 8(4):314-324.
18. 1Busetto, L., Mozzi, E., Schettino, A.M., Furbetta, F., Giardiello, C., Micheletto, G., Pilone, V. (2015). Three Years Durability of the Improvements in Health-Related Quality of Life Observed After Gastric Banding. Surgery for Obesity and Related Diseases, 11(1):110-117.
19. Lee, W.J., Huang, M.T., Yu, P.J., Wang, W., Chen, T.C. (2004). Laparoscopic Vertical Banded Gastroplasty and Laparoscopic Gastric Bypass: A Comparison. Obesity Surgery, 14(5):626-634.
20. Monteiro, F., Ponce, D.A., Silva, H., Pitta, F., Carrilho, A.J. (2017). Physical Function, Quality of Life, and Energy Expenditure during Activities of Daily Living in Obese, Post-Bariatric Surgery, And Healthy Subjects. Obesity Surgery, 27(8):2138- 2144.
21. Kolotkin, R.L, Andersen, J.R. (2017). A Systematic Review of Reviews: Exploring The Relationship Between Obesity, Weight Loss and Health Related Quality of Life. Clin Obes, 7 (5):273–89.
22. Sevinçer, G., Coşkun, H., Konuk, N., Bozkurt, S. (2014). Bariatrik Cerrahinin Psikiyatrik Ve Psikososyal Yönleri. Psikiyatride Güncel Yaklaşımlar, 6 (1):32-44.
23. Altinok, D., Cingi, A., Baykan, H. (2014). Obezite Cerrahisinin Yaşam Kalitesi ve Ek Hastalıklar Üzerine Etkisi, 19. Ulusal Cerrahi Kongresi, Antalya, Kongre Bildiri Kitabı.
24. Karabuğa, T., Yoldaş, Ö., Özsan, İ., Alpdoğan, Ö., Aydin, Ü. (2014). Morbid Obezite Cerrahisi Sonrası Cinsel Doyum ve Beden Algısındaki Değişiklikler, 19. Ulusal Cerrahi Kongresi,Antalya, Kongre Bildirileri Kitabı.
25. Sarwer, D.B, Steffen, K.J. (2015). Quality of Life, Body Image and Sexual Functioning in Bariatric Surgery Patients. Eur Eat Disord Rev, 23(6):504–8.
26. Kolotkin, R.L., Zunker, C., Østbye, T. (2012). Sexual Functioning and Obesity: A Review. Obesity, 20(12): 2325-2333.
27. Cooley, M. (2017). Preventing Long-Term Poor Outcomes in the Bariatric Patient Postoperatively. Dimensions of Critical Care Nursing, 36(1):30-35.
28. Güven, B. (2019). Bariatrik Cerrahi Komplikasyonları Ve Hemşirelik Bakımı. Hemşirelikte Eğitim Ve Araştırma Dergisi, 16(2):139-143.
29. Gönenir Erbay, L., Akyüz, M., Şahın, İ., Evren, B., Kayaalp, C., Karlıdağ, R. (2018). Bariatrik Cerrahi Adayı Morbid Obezite Hastalarının Yaşam Doyumunun Beden Algısı ve Benlik Saygısı İle İlişkisi. Fırat Tıp Dergisi, 23(1).
30. Polat, A., Turan, H.S. (2013). Obezite, Tanı, Sınıflandırma ve Epidemiyoloji, Yeme Bozuklukları ve Obezite Tanı ve Tedavi Kitabı. Ed. Yücel B, Karakoç Akdemir A, Gürdal Küey A, Maner F, Vardar E. Türk Psikiyatri Derneği Yayınları, Çalışma Birimleri Dizisi, 15:291-298.
31. Dagsland, V., Andenæs, R., Karlsen, T. (2018). Generic Health-Related Quality of Life May Not Be Associated With Weight Loss 4 Years After Bariatric Surgery: A Cross-Sectional Study. Obesity Surgery, 28(10):3142-3150.
32. Dymek, M.P, Le Grange, D., Neven, K., Alverdy, J. (2002). Quality of Life after Gastric Bypass Surgery: A Cross-Sectional Study. Obesity Research, 10(11):1135- 1142.
33. Lier, H.Ø., Biringer, E., Hove, O., Stubhaug, B., Tangen, T. (2011). Quality of Life among Patients Undergoing Bariatric Surgery: Associations with Mental Health-A 1 Year Follow-Up Study of Bariatric Surgery Patients. Health and Quality of Life Outcomes, 9(1):1.
34. Pilone, V., Mozzi, E., Schettino, A. M., Furbetta, F., Di Maro, A., Giardiello, C., Battistoni, M., Gardinazzi, A., Micheletto, G., Perrotta, N., Busetto, L., & Italian Group for Lap-Band (2012). Improvement in health- related quality of life in first year after laparoscopic adjustable gastric banding. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 8(3), 260–268. https:// doi.org/10.1016/j.soard.2011.12.012
35. Sarwer, D. B., Wadden, T. A., Moore, R. H., Eisenberg, M. H., Raper, S. E., & Williams, N. N. (2010). Changes in quality of life and body image after gastric bypass surgery. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 6(6), 608–614. https:// doi.org/10.1016/j.soard.2010.07.015
36. Kiewiet, R. M., Durian, M. F., Cuijpers, L. P., Hesp, F. L., & van Vliet, A. C. (2008). Quality of life after gastric banding in morbidly obese Dutch patients: Long-term follow- up. Obesity research & clinical practice, 2(3), I–II. https://doi.org/10.1016/j. orcp.2008.03.005