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Obesity Surgery

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Open Access 01-02-2019 | Original Contributions

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

Authors: Helena Dreber, Anders Thorell, Signy Reynisdottir, Erik Hemmingsson

Published in: Obesity Surgery | Issue 2/2019

Abstract

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.

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Title: 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
Authors: Helena Dreber
Anders Thorell
Signy Reynisdottir
Erik Hemmingsson
Publication date: 01-02-2019
Publisher: Springer US
Published in: Obesity Surgery / Issue 2/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-018-3559-3

At a glance: The STEP trials

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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