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Health-Related Quality of Life 5 Years After Roux-en-Y Gastric Bypass in Young (18-25 Years) Versus Older (≥ 26 Years) Adults: a Scandinavian Obesity Surgery Registry Study.
Obesity Center, Karolinska University Hospital, Stockholm, Sweden.
Department of Clinical Science, Karolinska Institutet, Danderyds Hospital and Department of Surgery, Ersta Hospital, Stockholm, Sweden..
Obesity Center, Karolinska University Hospital, Stockholm, Sweden.
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.ORCID iD: 0000-0001-7335-3796
2019 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 29, no 2, p. 434-443Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: To compare changes in health-related quality of life (HRQoL) in young (18-25 years) versus older (≥ 26 years) adults up to 5 years after Roux-en-Y gastric bypass (RYGB).

METHODS: Data on Short Form-36 (SF-36) and obesity-related problems scale (OP) at baseline and 1, 2, and 5 years after RYGB were extracted from the Scandinavian Obesity Surgery Registry. Within-group changes and the effect of age group on 5-year changes in SF-36 and OP were analyzed. Effects sizes (ESs) were calculated.

RESULTS: A total of 2542 young and 12,425 older adults were included at baseline, and 138 young (20.7% of those eligible) and 1021 older (31.8%) adults were followed-up 5 years post-RYGB. At this time, average to large improvements (ES ≥ 0.5) were observed in physical functioning, physical component score and OP in young adults, and in physical functioning, role physical, general health, physical component score, and OP in older adults (all, p ≤ 0.001). Both age groups displayed negligible to weak (ES < 0.5) or no improvements in mental HRQoL (all, p < 0.55). Older adults displayed greater 5-year improvements than their young counterparts in role physical, general health, vitality, social functioning, physical component score, and obesity-related problems scale (all, p < 0.05).

CONCLUSIONS: Both young and older adults displayed improvements in OP and physical HRQoL 5 years post-RYGB compared to baseline, while mental HRQoL did not improve to the same extent. Greater HRQoL-improvements could be expected in older patients why future research on HRQoL post-RYGB should stratify data on age groups.

Place, publisher, year, edition, pages
Springer, 2019. Vol. 29, no 2, p. 434-443
Keywords [en]
HRQoL, RYGB, Young adult
National Category
Surgery
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-5997DOI: 10.1007/s11695-018-3559-3PubMedID: 30426351OAI: oai:DiVA.org:gih-5997DiVA, id: diva2:1386974
Available from: 2020-01-20 Created: 2020-01-20 Last updated: 2020-01-20

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2223242526272825 of 41
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