Abstract

The objective of this study is to compare the scores of health related quality of life (HRQOL) of candidates for bariatric surgery with patients that underwent bariatric surgery at different time intervals. A cross sectional study was performed in the city of Maringa and Paranavai, Parana, Brazil, with 44 candidates to bariatric surgery and 63 individuals submitted to it. The group of individuals submitted to bariatric surgery was divided into 3 subgroups according to the elapsed time of surgery. (more than 18 months - G2; at least 19 and maximum 36 months - G3 and more than 36 months - G4).The quality of life related to the health of the patients was assessed by the SF-36 and BAROS. The comparison among groups was performed by using parametric and non-parametric statistic tests. The magnitude of the effects of the bariatric surgery by effect size (ES) was also evaluated. The assessment of HRQOL shows differences among the groups, with lower scores observed in group 4 when compared to group2. Acomparison of mean scores of the domains of the SF-36 shows that the groups formed by people who underwent bariatric surgery have average scores significantly higher than those presented by candidates to bariatric surgery (p < 0.05). Though not return to the levels of candidates to bariatric surgery, the scores of the areas “Pain body” and “General health”, presented by the groups 2 and 4, as well as those submitted by the groups 2 and 3 for the field “Vitality”, suggest a worsening in HRQOL with the passage of time after surgery. The results of this study indicate that people who suffer from morbid obesity have a strong impact on HRQOL and suggest that the implementation of bariatric surgery is able to promote improvements HRQOL important for these people.

Highlights

  • Assessing quality of life is a complex task, since there is still no fixed definition in the literature of what is ‘quality of life.’ In order to facilitate theirActa Scientiarum

  • The results presented indicate that the domains ‘by limiting physical’ and ‘body pain’ are the most affected in people with obesity grade II and III, and suggest, that bariatric surgery provides significant improvement in the quality of life related to health for people who go through surgery for weight loss

  • In relation to the results of SF-36, this study showed a strong impact of morbid obesity on quality of life related to health and became even more worrisome when we observed that the domain scores for Role Physical Limitation, Body Pain and Limitation due to Emotional Aspects are worse than those of patients with chronic renal failure (PEREIRA et al, 2003)

Read more

Summary

Introduction

Assessing quality of life is a complex task, since there is still no fixed definition in the literature of what is ‘quality of life.’ In order to facilitate theirActa Scientiarum. The obesity is a multifactorial disease with increasing prevalence in many countries worldwide (ABUBAKARI et al, 2008; CZERNICHOW et al, 2009; MONTEIRO et al, 2007; OGDEN et al, 2006) It is associated with several chronic diseases and is responsible for increased mortality (PISCHON et al, 2008; WHITLOCK et al, 2009), besides being related to many psychological problems (CHEN et al, 2009; JORM et al, 2003; STRINE et al, 2008) and lower HRQOL (FONTAINE; BAROFSKY, 2001), making it one of the major public health problems worldwide (WHO, 2002). This association tends to worsen with increasing levels of obesity (DIXON et al, 2003; FONTAINE; BAROFSKY, 2001; WHITLOCK et al, 2009), generating greater concern with quality of life of individuals affected by the disease

Objectives
Methods
Results
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call