Larsen Junilla K, Geenen Rinie, van Ramshorst Bert, Brand Nico, de Wit Pieter, Stroebe Wolfgang, van Doornen Lorenz J P
Department of Health Psychology, Utrecht University, Utrecht, The Netherlands.
Obes Surg. 2003 Aug;13(4):629-36. doi: 10.1381/096089203322190871.
The aim of this cross-sectional study was to examine short and long-term physical, mental and, particularly, social quality of life (QoL) of patients with severe obesity after laparoscopic adjustable gastric banding (LAGB).
250 patients (221 female, 29 male, mean age 39.6 years, age range 22-61) filled out questionnaires to evaluate several aspects of QoL: 93 patients before LAGB, 48 with a follow-up duration of 8 through 24 months, and 109 patients 25 through 68 months after LAGB.
Compared with patients before surgery, patients after surgery, in both follow-up groups, had lower weight and co-morbidity, felt and functioned better on physical and psychological dimensions of QoL, and on most aspects of social QoL. No significant differences emerged between the two postoperative groups. On average, the postoperative QoL was still lower than the age norm group. Mutual correlations between QoL and weight outcome were very low up to 2 years after surgery, but more strongly associated >2 years after surgery.
LAGB could be a long-term solution to morbid obesity with regard to both weight and QoL outcome. The findings of our study emphasize the importance of including social QoL variables in outcome research. They further suggest that when the follow-up duration increases, especially in patients who are single, intervention and consultation should be simultaneously directed at weight and psychosocial variables.
这项横断面研究的目的是调查腹腔镜可调节胃束带术（LAGB）后重度肥胖患者的短期和长期身体、心理，特别是社会生活质量（QoL）。
250例患者（221例女性，29例男性，平均年龄39.6岁，年龄范围22 - 61岁）填写问卷以评估生活质量的多个方面：93例患者在LAGB术前，48例随访时间为8至24个月，109例患者在LAGB术后25至68个月。
与术前患者相比，两个随访组的术后患者体重和合并症较低，在生活质量的身体和心理维度以及社会生活质量的大多数方面感觉更好且功能更佳。两个术后组之间未出现显著差异。平均而言，术后生活质量仍低于年龄正常组。术后2年内生活质量与体重结果之间的相互相关性非常低，但术后2年以上相关性更强。
就体重和生活质量结果而言，LAGB可能是治疗病态肥胖的长期解决方案。我们研究的结果强调了在结果研究中纳入社会生活质量变量的重要性。它们进一步表明，当随访时间增加时，尤其是单身患者，干预和咨询应同时针对体重和心理社会变量。
