Diabetes Complications Research Centre, Conway Institute, University College Dublin, Dublin, Ireland.
Obesity Department, Obesity, Endocrine, and Metabolism Center, King Fahad Medical City, Makkah Al Mukarrama Branch Road, Riyadh, Saudi Arabia.
Obes Surg. 2024 Feb;34(2):583-591. doi: 10.1007/s11695-023-07030-2. Epub 2024 Jan 4.
Obesity is a chronic and complex disease characterized by the excessive accumulation of adipose tissue, which has detrimental effects on health. Evaluating the changes in quality of life (QoL) after bariatric surgery complements the medical benefits which are documented by healthcare professionals.
To study the perceived health benefits 1 year after substantial weight loss induced by bariatric surgery.
This pilot study evaluated patients 1 year after bariatric surgery using 13 questions related to the health domains of the KOSS: airway, body mass, cardiovascular risk, diabetes, economic impact, functional, gonadal impact, health status perceived, image, junction of the gastro-esophagus, kidney, liver, and medication. In addition, the patients were asked to score the most significant benefit as "1," while the least beneficial benefit was scored as "13."
One hundred fourteen consecutive patients were evaluated (men = 37 and women = 77). The responses were divided into functional, metabolic, and mental/social benefits. Patients ranked the functional question, "I became more active, and I can do more things" as the most important (average score of 3.7 ± 0.2), followed by a question related to metabolic status: "I am less worried about my risk of heart disease" (4.5 ± 0.3), and then a social/mental question, "My clothes fit better" (5.4 ± 0.3). The three least valuable benefits for the cohort were sexual life improvements (8.9 ± 0.3), heartburn improvements (9.0 ± 0.3), and urinary incontinence improvements (9.8 ± 0.3).
Our observational pilot study demonstrated that patients value functional benefits after substantial weight loss the most, but that metabolic benefits and social/mental health benefits are also considered important.
肥胖是一种慢性且复杂的疾病，其特征是脂肪组织过度积累，对健康有不利影响。评估减重手术后生活质量（QoL）的变化补充了医疗保健专业人员记录的医疗益处。
研究减重手术后大量体重减轻 1 年后感知到的健康益处。
这项试点研究使用与 KOSS 的健康领域相关的 13 个问题，在减重手术后 1 年评估患者：气道、体重、心血管风险、糖尿病、经济影响、功能、性腺影响、感知健康状况、形象、胃食管交界处、肾脏、肝脏和药物。此外，患者被要求将最显著的益处评为“1”，而最无益的益处评为“13”。
评估了 114 例连续患者（男性 37 例，女性 77 例）。结果分为功能、代谢和心理/社会益处。患者将功能问题“我变得更活跃了，我可以做更多的事情”评为最重要的问题（平均得分为 3.7±0.2），其次是与代谢状况相关的问题：“我不太担心我患心脏病的风险”（4.5±0.3），然后是一个社会/心理问题，“我的衣服更合身了”（5.4±0.3）。对于该队列来说，三个最不重要的益处是改善性生活（8.9±0.3）、改善胃灼热（9.0±0.3）和改善尿失禁（9.8±0.3）。
我们的观察性试点研究表明，患者在大量体重减轻后最重视功能益处，但代谢益处和社会/心理健康益处也被认为很重要。
