Abstract
Background
Numerous studies have demonstrated that bariatric surgery is an effective intervention
for morbid obesity, but study samples are characterized by an underrepresentation
of young adult patients.
Objectives
The aim of this study was to evaluate weight loss, dietary adherence, and quality
of life (QoL) in a multicenter, young adult sample, in the first 6 years after bariatric
surgery.
Setting
Four general hospitals in the Netherlands.
Methods
A total of 184 young adult patients who underwent bariatric surgery between 6 and
74 months previously at the age of 18 to 24 years were included, interviewed by phone,
and sent questionnaires assessing postoperative weight, QoL, and lifestyle behaviors
including dietary adherence. Complete data were available for those 96 patients who
returned the questionnaires.
Results
Mean percent weight loss was 30.2 (SD 10.7) for laparoscopic sleeve gastrectomy and
35.6 (SD 6.9) for laparoscopic Roux-en-Y gastric bypass. Adherence to postoperative
dietary recommendations declined over the years (r = –.25, P = .02) and explained 8.3% of the variance in weight loss (r = .29, P = .005). QoL scores lagged behind national norms for young adults and were largely
unrelated to weight loss. A quarter of patients (25%) turned out to be not in education,
employment, or training and 38% had used mental healthcare services since surgery,
which occurred independent of weight loss and concurred with poorer QoL.
Conclusion
Young adult patients achieve weight loss comparable to adult patients after bariatric
surgery. However, postoperative adherence to behavioral recommendations and psychosocial
functioning clearly demonstrate room for improvement and require adjunctive interventions.
Keywords
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Article info
Publication history
Published online: March 07, 2017
Accepted:
February 24,
2017
Received:
November 1,
2016
Identification
Copyright
© 2017 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
