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Page 66
J Obes Eat Disord, 2017
ISSN: 2471-8203
August 23-24, 2017 | Toronto, Canada
alliedacademies
INTERNATIONAL OBESITY, BARIATRIC AND
METABOLIC SURGERY SUMMIT AND EXPO
J Obes Eat Disord, 3:2
DOI: 10.21767/2471-8203-C1-003
QoL improves substantially in the first years after GBP.
However, physical and psycho-social issues that ensue
after surgerymight impact onQoL in the long-term. Weaimed
to evaluate QoL and associated factors in the long-term after
GBP in severely obese patients operated in the Hospital das
Clínicas of UFMG. We performed a retrospective cohort study
with random selection of 115 patients operated for ≥ five
years. The SF-36 questionnaire, which provides physical (PCS)
and mental (MCS) component scores of QoL, was applied
to all patients, as well as consultation of patient records,
clinical exam and laboratorial tests. Pre and post-operative
characteristics were compared by Wilcoxon or McNemar
tests. Ordinal logistic regression models were performed
to investigate the association between PCS and MCS and
demographic, clinical and laboratorial characteristics.
Female sex was predominant (95; 82.6%). Mean age and
pre-operative BMI were 40.2 (13.2) years and 51.9 (8.3) kg/
m2. Over 8.7 (2.9) years of follow-up, mean percentage of
excessive BMI loss (%EBL) was 58% (22.1). The prevalence
of hypertension and diabetes decreased (p<0.001) after
surgery, but not of depression(p=0.25). Median PCS and
MCS were 48.5 (9.8) and 48.7 (15.9), respectively. Higher
PCS were associated with %EBL (OR1.03; 95%CI 1.01-1.06)
and improvement of metabolic comorbidities (OR7.88;
95%CI1.08-57.3). None of the characteristics investigated
was associated with MCS. In conclusion, physical well-being
in the long-term after GBP depends on maintenance of
weight loss and good control of metabolic comorbidities.
e:
Quality of life in the long-term after Roux-en-Y gastric bypass surgery (GBP): A cohort study of Brazilian
severely obese patients
Alline M Beleigoli, Roberta S Rodrigues, Nicholas K Magario, Marina H Ferreira, Victor G van Eijk and Maria de Fátima H Diniz
Federal University of Minas Gerais (UFMG), Minas Gerais, Brazil