Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding

Abstract

Background and objectives:

Long term evaluation of bariatric surgery must include quality of life measurement.

Methods:

Quality of life (QoL) was evaluated using the original Moorehead–Ardelt questionnaire for 200 patients operated for massive obesity in a single centre between 1994 and 2003. QoL and physical data were obtained by retrospective mail questionnaire. Surgical procedures were vertical-banded gastroplasty according to Mason (VBGM) and adjustable gastric banding (AGB) in 61 and 39% of patients, respectively. The aim of the study was to assess the nutritional outcome and QoL according to the procedure.

Results:

Overall, the body mass index (BMI) decreased from 50±8 kg/m2 before surgery to 35.2±7.5 kg/m2 at the time of the questionnaire. The percentage of weight loss was 28.8±12.2%. In the group treated with VBGM, the mean initial weight (P=0.003) and the percentage of weight loss (P<0.001) were significantly higher, and the QoL was better (P=0.003) than in the group treated with AGB. On the basis of the time spent since surgery, a regular weight loss was observed during the first 5 years, whereas weight subsequently increased over the five following years. Similarly, the total QoL score gradually improved during the first 5 years and worsened thereafter. However, it remained better than before surgery. A linear regression analysis showed a positive correlation between the percentage of weight loss and the QoL score (P<0.001).

Conclusions:

This study suggests that the bariatric surgery, particularly the VBGM technique, improved the QoL of obese patients, at least in the first 5 years following surgery.

Your institute does not have access to this article

Relevant articles

Open Access articles citing this article.

Access options

Buy article

Get time limited or full article access on ReadCube.

$32.00

All prices are NET prices.

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

References

  • Alvarez-Leite JI (2004). Nutrition deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care 7, 569–575.

    Article  Google Scholar 

  • Ardelt E, Moorehead MK (1998). The validation of Moorehead–Ardelt Quality of Life questionnaire. Obes Surg 8, 500–504.

    Article  Google Scholar 

  • Ardelt E, Moorehead MK (1999). The validation of Moorehead–Ardelt Quality of Life questionnaire. Obes Surg 11, 13.

    Google Scholar 

  • Ballantyne GH (2003). Measuring outcomes following bariatric surgery: weight loss parameters, improvement in co-morbid conditions, change in quality of life and patient satisfaction. Obes Surg 13, 954–964.

    Article  Google Scholar 

  • Basdevant A, Charles MA (2006) Le surpoids et l’obésité en France, ObEpi—Roche 2006, 4ème enquête épidémiologique nationale sur l’obésité et le surpoids en France. Enquête INSERM/Institut Roche de l’obésité/TNS-SOFRES.

  • Boan J, Kolotkin RL, Westman EC, McMahon RL, Grant JP (2004). Binge eating, quality of life and physical activity improve after Roux-en-Y gastric bypass for morbid obesity. Obes Surg 14, 341–348.

    Article  Google Scholar 

  • Bocchieri LE, Meana M, Fisher BL (2002). Perceived psychosocial outcomes of gastric bypass surgery: a qualitative study. Obes Surg 12, 781–788.

    Article  Google Scholar 

  • Butler GS, Vallis TM, Perey B, Veldhuyzen Van Zanten SJ, Donald AS et al. (1999). The obesity adjustment survey: development of a scale to assess psychological adjustment to morbid obesity. Int J Obes Relat Metab Disord 23, 505–511.

    CAS  Article  Google Scholar 

  • Choban PS, Onyejekwe J, Burge JC, Fnacbaum L (1999). A health status assessment of the impact of weight loss following Roux-en Y gastric bypass for clinically severe obesity. J Am Coll Surg 188, 491–497.

    CAS  Article  Google Scholar 

  • Delin CR, Watts JMcK (1995). Success in surgical intervention for morbid obesity: is weight loss enough? Obes Surg 5, 189–191.

    CAS  Article  Google Scholar 

  • Dymek MP, Le Grange D, Neven K, Alverdy J (2002). Quality of life after gastric bypass surgery: a cross-sectional study. Obes Res 10, 1135–1142.

    Article  Google Scholar 

  • Fielding GA (2003). Laparoscopic adjustable gastric banding for massive superobesity (&gt;60 body mass index kg/m2). Surg Endosc 17, 1541–1545.

    CAS  Article  Google Scholar 

  • Flanagan SA (1996). Obesity: the last bastion of prejudice. Obes Surg 6, 430–437.

    CAS  Article  Google Scholar 

  • Fontaine KR, Bartlett SJ, Barofsky I (2000). Health-related quality of life among obese persons seeking and not currently seeking treatment. Int J Eat Disord 27, 101–105.

    CAS  Article  Google Scholar 

  • Hafner RJ, Watts JM, Rogers J (1991). Quality of life after gastric bypass for morbid-obesity. Int J Obes 15, 555–560.

    CAS  PubMed  Google Scholar 

  • Hawke A, O’Brien P, Watts JM (1990). Psychosocial and physical activity changes after gastric restrictive procedures for morbid obesity. Obes Surg 60, 755–758.

    CAS  Google Scholar 

  • Hell E, Miller KA, Moorehead MK, Samuels N (2000). Evaluation of health status and quality of life after bariatric surgery: comparison of standard Roux-en-Y gastric bypass, vertical banded gastroplasty and laparoscopic adjustable silicone gastric banding. Obes Surg 10, 214–219.

    CAS  Article  Google Scholar 

  • Herpetz S, Kielmann R, Wolf AM, Hebebrand J, Senf W (2004). Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obes Res 12, 1554–1569.

    Article  Google Scholar 

  • Herpetz S, Kielmann R, Wolf AM, Langkafel M, Senf W, Hebebrand J (2003). Does obesity surgery improve psychological functioning? A systematic review. Int J Obes 27, 1300–1314.

    Article  Google Scholar 

  • Houdent C, Verger N, Courtois H, Ahtoy P, Teniere P (2003). Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity. Rev Med Interne 24, 476–477.

    CAS  Article  Google Scholar 

  • Kalfarentzos F, Kechagias I, Soulikia K, Loukidi A, Mead N (2001). Weight loss following vertical banded gastroplasty: intermediate results of a prospective study. Obes Surg 11, 265–270.

    CAS  Article  Google Scholar 

  • Kolotkin RL, Binks M, Crosby RD, Ostbye T, Gress RE, Adams TD (2006). Obesity and sexual quality of life. Obesity 14, 472–478.

    Article  Google Scholar 

  • Kolotkin RL, Crosby RD, Williams GR (2002). Health-related quality of life varies among obese subgroups. Obes Res 10, 748–756.

    Article  Google Scholar 

  • Kopelman PG (2000). Obesity as a medical problem. Nature 404, 635–643.

    CAS  Article  Google Scholar 

  • Kral JG, Sjostrom LV, Sullivan MB (1992). Assessment of quality of life before and after surgery for severe obesity. Am J Clin Nutr 55 (Suppl 2), S611–S614.

    Article  Google Scholar 

  • Leonetti F, Silecchia G, Iacobellis G, Ribaudo MC, Zappaterreno A, Tiberti C et al. (2003). Different plasma ghrelin levels after laparoscopic gastric bypass and adjustable gastric banding in morbid obese subjects. J Clin Endocrinol Metab 88, 4227–4231.

    CAS  Article  Google Scholar 

  • MacLean LD, Rhode BM, Shizgal HM (1983). Nutrition following gastric operations for morbid obesity. Ann Surg 198, 347–355.

    CAS  Article  Google Scholar 

  • Marcus DA (2004). Obesity and the impact of chronic pain. Clin J Pain 20, 186–191.

    Article  Google Scholar 

  • Moorehead MK, Ardelt-Gattinger E, Lechner H, Oria HE (2003). The validation of the Moorehead–Ardelt quality of life questionnaire II. Obes Surg 13, 684–692.

    Article  Google Scholar 

  • Naslund I, Agren G (1991). Social and economic effects of bariatric surgery. Obes Surg 1, 137–140.

    CAS  Article  Google Scholar 

  • Nguyen NT, Goldman C, Rosenquist J (2001). Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg 234, 279–289.

    CAS  Article  Google Scholar 

  • Nini E, Slim K, Scesa JL, Chipponi J (2002). Assessment of laparoscopic bariatric surgery by the BAROS score. Ann Chir 127, 107–114.

    CAS  Article  Google Scholar 

  • O’Brien PE, McPhail T, Chaston TB, Dixon JB (2006). Systematic review of medium-term weight loss after bariatric operations. Obes Surg 16, 1032–1040.

    Article  Google Scholar 

  • Oria HE, Moorehead MK (1998). Bariatric analysis and reporting outcome system (BAROS). Obes Surg 8, 487–499.

    CAS  Article  Google Scholar 

  • Pi-Sunyer FX (1993). Medical hazards of obesity. Ann Int Med 119, 655–660.

    CAS  Article  Google Scholar 

  • Quar Bozbora A, Coskun H, Ozarmagan S, Erbil Y, Ozbey N, Orham Y (2000). A rare complication of adjustable gastric banding: Wernicke's encephalopathy. Obes Surg 10, 274–275.

    Article  Google Scholar 

  • Sarwer DB, Wadden TA, Fabricatore AN (2005). Psychosocial and behavioral aspects of bariatric surgery. Obes Res 13, 639–648.

    Article  Google Scholar 

  • Seehra H, Macdermott N, Lascelles RG, Taylor TV (1996). Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity. B M J 312, 434.

    CAS  Article  Google Scholar 

  • Sjöström CD (2003). Surgery as an intervention for obesity. Results from the Swedish obese subjects study. Growth Horm IGF Res 13 (Suppl A), S22–S26.

    Article  Google Scholar 

  • Wolf AM, Falcone AR, Kortner B, Kuhlmann HW (2000). BAROS: an effective system to evaluate the results of patients after bariatric surgery. Obes Surg 10, 445–450.

    CAS  Article  Google Scholar 

Download references

Acknowledgements

We thank Richard Medeiros, Rouen University Hospital medical editor, for his valuable advice in editing the manuscript. We also thank the staff of the departments for their help in the evaluation of patients’ charts.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P Déchelotte.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Folope, V., Hellot, MF., Kuhn, JM. et al. Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding. Eur J Clin Nutr 62, 1022–1030 (2008). https://doi.org/10.1038/sj.ejcn.1602808

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1602808

Keywords

  • quality of life
  • bariatric surgery
  • gastroplasty
  • gastric banding

Further reading

Search

Quick links