Bariatric Surgery: An Opportunity to Improve Quality of Life and Healthy Habits

• Published in: Nutrients 2024-05, Vol.16 (10), p.1466
• Main Authors: Díaz-González, Beatriz Vanessa, Bautista-Castaño, Inmaculada, Hernández García, Elisabeth, Cornejo Torre, Judith, Hernández Hernández, Juan Ramón, Serra-Majem, Lluis
• Format: Article
• Language: English
• Subjects: Adult; Analysis; bariatric surgery; Bariatric Surgery - psychology; Body mass index; Cancer; Care and treatment; depression; Depression - psychology; Depression, Mental; Diabetes; Diet; Exercise; Exercise - psychology; Feeding Behavior - psychology; Female; Gastrointestinal surgery; Health care; health-related quality of life; Humans; Hypertension; Intervention; Male; Mediterranean diet; Mental depression; Mental health; Middle Aged; morbid obesity; Mortality; Obesity; Obesity - psychology; Obesity - surgery; physical activity; Public health; Quality of Life; Questionnaires; Surgery; Surveys; Surveys and Questionnaires; Treatment Outcome; Type 2 diabetes; Weight control; Weight Loss
• ISSN: 2072-6643; 2072-6643
• DOI: 10.3390/nu16101466

Bariatric surgery therapy (BST) is an effective treatment for obesity; however, little is known about its impacts on health-related quality of life (HRQoL) and related factors. This study aimed to evaluate changes in HRQoL and its relationship with weight loss, depression status, physical activity (PA), and nutritional habits after BST. Data were obtained before and 18 months postprocedure from 56 obese patients who underwent BST. We administered four questionnaires: Short Form-36 health survey for HRQoL, 14-item MedDiet adherence questionnaire, Rapid Assessment of PA (RAPA) questionnaire, and Beck's Depression Inventory-II. Multivariable linear regression analysis was used to identify factors associated with improvement in HRQoL. After the surgery, MedDiet adherence and HRQoL improved significantly, especially in the physical component. No changes in PA were found. Patients without previous depression have better mental quality of life, and patients who lost more than 25% of %TBWL have better results in physical and mental quality of life. In the multivariable analysis, we found that %TBWL and initial PCS (inversely) were related to the improvement in PCS and initial MCS (inversely) with the MCS change. In conclusion, BST is an effective intervention for obesity, resulting in significant weight loss and improvements in HRQoL and nutritional habits.