Advertisement
Integrated Health Article| Volume 14, ISSUE 11, P1700-1704, November 2018

Bariatric surgery improves the employment rate in people with obesity: 2-year analysis

      Abstract

      Background

      Beyond medical complications, people with obesity experience dramatic impairment of quality of life, including adverse workplace effects. Obesity results in weight-based discrimination and a high rate of unemployment because of work disability, absenteeism, loss of productivity, and cost. A few studies have been performed to assess the relationship between obesity surgery and the workplace, finding an improvement in weekly working hours and productivity and a decrease in absenteeism, days of sick leave, and state benefit claims. However, the results are still controversial concerning the overall employment rate.

      Objectives

      This study aimed to compare the employment rate before and 2 years after obesity surgery and to evaluate the difference in weight loss between worker and nonworker patients.

      Setting

      Participants were recruited from a tertiary care university hospital in France.

      Methods

      The 2-year outcomes of all patients who underwent obesity surgery between 2010 and 2015 were retrospectively reviewed. The employment status was recorded preoperatively and postoperatively. Retired or permanently disabled patients were excluded from the analysis.

      Results

      Preoperatively, 158 of 238 patients were employed compared with 199 of 238 postoperatively (P < .0001). There was no difference in weight loss between the worker and nonworker patients regarding the percentage of excess weight loss and the change in body mass index.

      Conclusion

      This study supports the finding that bariatric surgery also has a positive impact on the professional sphere, providing the opportunity for unemployed patients to return to work.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery for Obesity and Related Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Obesity and overweight [homepage on the Internet]. Geneva: World Health Organization; c2018 [updated 16 Feb 2018; cited 2018 Feb 19]. Available from: http://www.who.int/mediacentre/factsheets/fs311/en.

        • Finkelstein EA
        • Khavjou OA
        • Thompson H
        • et al.
        Obesity and severe obesity forecasts through 2030.
        Am J Prev Med. 2012; 42: 563-570
        • Hales CM
        • Carroll MD
        • Fryar CD
        • Ogden CL
        Prevalence of obesity among adults and youth: United States, 2015–2016.
        NCHS Data Brief. 2017; : 1-8
        • Obesity update 2017 [monograph on the Internet]
        OECD, Paris2017 ([cited yr mo d]. Available from https://www.oecd.org/els/health-systems/Obesity-Update-2017.pdf. Acceded January 2018)
        • NCD Risk Factor Collaboration (NCD-RisC)
        Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults.
        Lancet. 2017; 390: 2627-2642
        • Clark JM
        The epidemiology of nonalcoholic fatty liver disease in adults.
        J Clin Gastroenterol. 2006; 40: S5-10
        • Colquitt JL
        • Pickett K
        • Loveman E
        • Frampton GK
        Surgery for weight loss in adults.
        Cochrane Database Syst Rev. 2014; (CD003641)
        • Romero-Corral A
        • Caples SM
        • Lopez-Jimenez F
        • Somers VK
        Interactions between obesity and obstructive sleep apnea: implications for treatment.
        Chest. 2010; 137: 711-719
        • Kolotkin RL
        • Andersen JR
        A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life.
        Clin Obes. 2017; 7: 273-289
        • Kim JH
        • So WY
        Association between overweight/obesity and academic performance in South Korean adolescents.
        Cent Eur J Public Health. 2013; 21: 179-183
        • Schaefer DR
        • Simpkins SD
        Using social network analysis to clarify the role of obesity in selection of adolescent friends.
        Am J Public Health. 2014; 104: 1223-1229
        • Sikorski C
        • Spahlholz J
        • Hartlev M
        • Riedel-Heller SG
        Weight-based discrimination: an ubiquitary phenomenon?.
        Int J Obes (Lond). 2016; 40: 333-337
        • Shrestha N
        • Pedisic Z
        • Neil-Sztramko S
        • Kukkonen-Harjula KT
        • Hermans V
        The impact of obesity in the workplace: a review of contributing factors, consequences and potential solutions.
        Curr Obes Rep. 2016; 5: 344-360
        • Kudel I
        • Huang JC
        • Ganguly R
        Impact of obesity on work productivity in different us occupations: analysis of the national health and wellness survey 2014 to 2015.
        J Occup Environ Med. 2018; 60: 6-11
        • Dee A
        • Kearns K
        • O'Neill C
        • et al.
        The direct and indirect costs of both overweight and obesity: a systematic review.
        BMC Res Notes. 2014; 7: 242
        • Goettler A
        • Grosse A
        • Sonntag D
        Productivity loss due to overweight and obesity: a systematic review of indirect costs.
        BMJ Open. 2017; 7e014632
        • Sarkhosh K
        • Switzer NJ
        • El-Hadi M
        • Birch DW
        • Shi X
        • Karmali S
        The impact of bariatric surgery on obstructive sleep apnea: a systematic review.
        Obes Surg. 2013; 23: 414-423
        • Hannah Jr., WN
        • Harrison SA
        Effect of weight loss, diet, exercise, and bariatric surgery on nonalcoholic fatty liver disease.
        Clin Liver Dis. 2016; 20: 339-350
        • Hachem A
        • Brennan L
        Quality of life outcomes of bariatric surgery: a systematic review.
        Obes Surg. 2016; 26: 395-409
        • Wagner AJ
        • Fabry Jr, JM
        • Thirlby RC
        Return to work after gastric bypass in Medicaid-funded morbidly obese patients.
        Arch Surg. 2007; 142 (discussion 941): 935-940
        • Turchiano M
        • Saunders JK
        • Fernandez G
        • Navie L
        • Labrador L
        • Parikh M
        Bariatric surgery may improve employment status in unemployed, underserved, severely obese patients.
        Obes Surg. 2014; 24: 692-695
        • Velcu LM
        • Adolphine R
        • Mourelo R
        • Cottam DR
        • Angus LD
        Weight loss, quality of life and employment status after Roux-en-Y gastric bypass: 5-year analysis.
        Surg Obes Relat Dis. 2005; 1 (discussion 417): 413-416
        • Sockalingam S
        • Wnuk S
        • Kantarovich K
        • et al.
        Employment outcomes one year after bariatric surgery: the role of patient and psychosocial factors.
        Obes Surg. 2015; 25: 514-522
        • Hawkins SC
        • Osborne A
        • Finlay IG
        • Alagaratnam S
        • Edmond JR
        • Welbourn R
        Paid work increases and state benefit claims decrease after bariatric surgery.
        Obes Surg. 2007; 17: 434-437
        • Andersen JR
        • Hernæs UJ
        • Hufthammer KO
        • Våge V
        Employment status and sick-leave following obesity surgery: a five-year prospective cohort study.
        PeerJ. 2015; 3: e1285
        • Durand-Moreau Q
        • Gautier A
        • Bécouarn G
        • Topart P
        • Rodien P
        • Sallé A
        Employment and professional outcomes in 803 patients undergoing bariatric surgery in a French reference center for obesity.
        Int J Occup Environ Med. 2015; 6: 95-103
        • Courtney MJ
        • Mahawar K
        • Burnell P
        • et al.
        Occupational outcomes of obesity surgery-do the employed return to work, and do the unemployed find work?.
        Obes Surg. 2018; 28: 963-969
        • Hanvold SE
        • Løken EB
        • Paus SF
        • et al.
        Great health benefits but no change in employment or psychopharmaceutical drug use 2 years after Roux-en-Y gastric bypass.
        Obes Surg. 2015; 25: 1672-1679
        • Sharples AJ
        • Cheruvu CV
        Systematic review and meta-analysis of occupational outcomes after bariatric surgery.
        Obes Surg. 2017; 27: 774-781
        • Reid RER
        • Jirasek K
        • Carver TE
        • et al.
        Effect of employment status on physical activity and sedentary behavior long-term post-bariatric surgery.
        Obes Surg. 2018; 28: 869-873
        • Puhl R
        • Brownell KD
        Bias, discrimination, and obesity.
        Obes Res. 2001; 9: 788-805
        • Flint SW
        • Čadek M
        • Codreanu SC
        • Ivić V
        • Zomer C
        • Gomoiu A
        Obesity Discrimination in the recruitment process: "You're Not Hired!".
        Front Psychol. 2016; 7: 647
        • Thorpe Jr., RJ
        • Parker LJ
        • Cobb RJ
        • Dillard F
        • Bowie J
        Association between discrimination and obesity in African-American men.
        Biodemography Soc Biol. 2017; 63: 253-261
        • Charras L
        • Savall F
        • Descazaux T
        • Soulat JM
        • Ritz P
        • Herin F
        Comment on: systematic review and meta-analysis of occupational outcomes after bariatric surgery.
        Obes Surg. 2017; 27: 811-812
        • Sharples AJ.
        Response to comment on: systematic review and meta-analysis of occupational outcomes after bariatric surgery.
        Obes Surg. 2017; 27: 813