Quality of Life, Depression, and Food Tolerance, After Primary Sleeve Gastrectomy Among Israeli Patients: A Cross-Sectional National Study
Publication: Bariatric Surgical Practice and Patient Care
Volume 18, Issue Number 4
Abstract
Background: Adequate data on quality-of-life (QoL) after sleeve gastrectomy (SG) is scarce. Our aim was to study QoL, depression, and food tolerance after primary SG.
Methods: Validated, well-accepted questionnaires targeting QoL (36-Item Short Form Survey Instrument [SF-36], Moorehead-Ardelt Quality of Life II (MA II), depression (Center for Epidemiologic Studies Depression Scale [CES-D]), and food tolerance (food tolerance score [FTS]) were administered to two distinct cohorts: “Operated”: A random sample of patients who underwent primary SG, “Candidate”: Candidates for primary bariatric surgery.
Results: The “operated” cohort included 160 patients. Mean time from surgery and mean age were 4.4 ± 0.3 and 44.9 ± 12.1 years, respectively. Sixty two percent were female. The “candidate” cohort included 517 patients with a mean age of 38.1 ± 11.9 years, 75% of which were female. All participants completed the questionnaires (N = 677). Physical function QoL scores in the “operated” and “candidate” cohorts were 76.6 ± 14.9 and 58.2 ± 20.1 (p < 0.0001), respectively, for SF-36 and 0.08 ± 0.3 and −0.01 ± 0.3 (p < 0.0001), respectively, for MA II. Mental health scores in the “operated” and the “candidate” cohorts were 74.7 ± 15.2 and 64.1 ± 19.4 (p < 0.0001), respectively. The “operated” cohort scored better on the CES-D but worse on FTS (p < 0.0001 for both).
Conclusion: Patients undergoing SG surgery report better QoL scores 4–5 years following the procedure than candidates. However, bariatric surgery candidates report better FTSs.
Clinical Trial Registration Number: #NOH-161-2017.
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Information & Authors
Information
Published In
Bariatric Surgical Practice and Patient Care
Volume 18 • Issue Number 4 • December 2023
Pages: 233 - 240
Copyright
Copyright 2023, Mary Ann Liebert, Inc., publishers.
History
Published online: 12 December 2023
Published in print: December 2023
Published ahead of print: 22 March 2023
Topics
Authors
Authors' Contributions
O.B. conceived the study idea, initiated and managed the study, interpreted the statistical data, and wrote the initial draft. A.R. performed the statistical analysis, Y.F. assisted in collecting the data. S.G.S. revised the article, and L.K.-B. and D.G. contributed to critical revision of the article. All authors agreed to be accountable for all aspects of the work.
Author Disclosure Statement
All authors declare that they have no competing interests.
Funding Information
The study received grant support from the Chief Scientist, Israeli Ministry of Health (MOHcso-006-2017).
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