Beyond weight loss after sleeve gastrectomy: improvement in health-related quality of life

Year 2019, Volume: 5 Issue: 1, 29 - 35, 04.01.2019

Evren Dilektaşlı

https://doi.org/10.18621/eurj.413959

Abstract

Objectives: Obesity and
related diseases are increasing and with the bariatric procedures both the
excess weight and the prevalence of these related diseases are decreasing. Both
obesity and related diseases lead to impairment on health-related quality of
life of the patients. We aimed to evaluate the short-term effects of sleeve
gastrectomy operation on health related quality of life in patients that were
operated for morbid obesity.

Methods: Prospectively 62 patients
that had sleeve gastrectomy operation enrolled in the study. The percentage of
excess weight loss (%EWL) and the percentage of excess BMI loss (%EBMIL) were
calculated 6 months after the operation. Anthropometric data and
obesity-related co-morbidities were recorded. SF-36 questionnaire was used in
order to evaluate the general health quality of the patients.

Results: The mean age of the patients was 37 years and the majority of the patients
were female (74.2%). At the postoperative 6^th month, mean %EWL was
calculated as 52.7% and mean %EBMIL was 60.1%. Six months after the
operation, with the significant weight loss achieved, obesity-related
co-morbidities were improved. Short Form-36 subscale scores at 6 months following the operation
were observed, when compared with the preoperative scores (all p< 0.001). The mean physical health
score significantly improved from 46.1 to 83.6 and the median mental health
improved from 52 to 84, just 6 months after the sleeve gastrectomy operation. In
multiple regression analysis %EWL was found to be a significant determinant of DMental
health (B coefficient 0.490, p = 0.025) and D Physical health (B coefficient 0.388, p = 0.047) after adjusting for gender, age, smoking, obstructive sleep apnea
syndrome, hypertension, diabetes
mellitus and coronary disease.

Conclusions: With the successive
weight loss after sleeve gastrectomy, at the postoperative 6^th month,
the physical and mental health-related quality of life was significantly
improved. Early and expedited regain of this quality of life after the
operation is important for the patients and their social surroundings. Moreover
it is important for the countries to decrease the medical expenses and increase
labour productivity. 

Keywords

Sleeve gastrectomy, quality of life, SF-36

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