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减肥手术后6年的健康相关生活质量：影响结果的因素

Health-related quality of life 6 years after bariatric surgery: factors influencing outcome.

作者信息

Soares Caroline, Pinho André Costa, Sousa Hugo Santos, da Costa Eduardo Lima, Preto John

机构信息

Faculty of Medicine of the University of Porto.

Obesity Integrated Responsibility Unit (CRI-O), São João University Medical Center, Porto, Portugal.

出版信息

Porto Biomed J. 2022 Jun 17;7(3):e163. doi: 10.1097/j.pbj.0000000000000163. eCollection 2022 May-Jun.

DOI:10.1097/j.pbj.0000000000000163
PMID:35801222
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9257307/
Abstract

UNLABELLED

Bariatric surgery is the only proven treatment to significantly improve obesity and its associated comorbidities. The success of bariatric surgery goes beyond weight lost: quality of life (QoL) is acquiring relevance when evaluating outcomes after bariatric surgery but few studies evaluated factors influencing QoL at long term. The main objective of this study is to identify factors that could affect QoL more than 5 years after bariatric surgery.

METHODS

We performed an observational study in which we apply "Moorehead-Ardelt Quality of Life Questionnaire" to 94 patients that were submitted to bariatric surgery with more than 5years of follow-up. Patients questionnaire score was compared to several variables: age, sex, main surgical procedures, primary or revisional surgery, complications, weight loss, and improvement of comorbidities (diabetes, dyslipidemia, hypertension, musculoskeletal disorders, and psychiatry pathology).

RESULTS

QoL was significantly influenced by weight loss outcomes (%excess weight loss, %total weight loss, and final body mass index). QoL was neither significantly influenced by sex or age, type of surgery nor previously failed bariatric surgeries or complications. Improvement of hypertension was related to increased QoL, but improvement of other associated comorbidities did not had significant impact on patient's QoL at long term.

CONCLUSION

It appears that the main factors influencing long-term QoL after bariatric surgery are related to weight loss outcomes.

摘要

未标注

减肥手术是唯一经证实能显著改善肥胖及其相关合并症的治疗方法。减肥手术的成功不仅仅在于体重减轻：在评估减肥手术后的结果时，生活质量（QoL）正变得越来越重要，但很少有研究评估长期影响生活质量的因素。本研究的主要目的是确定减肥手术后5年以上可能影响生活质量的因素。

方法

我们进行了一项观察性研究，对94例接受减肥手术且随访超过5年的患者应用“穆尔黑德 - 阿德尔特生活质量问卷”。将患者的问卷得分与几个变量进行比较：年龄、性别、主要手术方式、初次或修正手术、并发症、体重减轻以及合并症（糖尿病、血脂异常、高血压、肌肉骨骼疾病和精神疾病）的改善情况。

结果

生活质量受体重减轻结果（超重减轻百分比、总体重减轻百分比和最终体重指数）的显著影响。生活质量不受性别、年龄、手术类型、先前失败的减肥手术或并发症的显著影响。高血压的改善与生活质量的提高有关，但其他相关合并症的改善对患者长期生活质量没有显著影响。

结论

看来减肥手术后影响长期生活质量的主要因素与体重减轻结果有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a15/9257307/5784d603fd55/pj9-7-e163-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a15/9257307/221c936dd54f/pj9-7-e163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a15/9257307/ba3dab4b1cbe/pj9-7-e163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a15/9257307/6d393ae813a8/pj9-7-e163-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a15/9257307/5784d603fd55/pj9-7-e163-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a15/9257307/221c936dd54f/pj9-7-e163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a15/9257307/ba3dab4b1cbe/pj9-7-e163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a15/9257307/6d393ae813a8/pj9-7-e163-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a15/9257307/5784d603fd55/pj9-7-e163-g004.jpg

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