The effectiveness of bariatric surgery on long term psychosocial quality of life – A systematic review

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Jumbe, S. ; Bartlett, C. ; Jumbe, S. ; Meyrick, J. (2016)

Summary\ud \ud Background\ud \ud Little is known about the psychological effects of bariatric surgery. This review aimed to assess long term effectiveness of bariatric surgery on psychosocial quality of life (QoL) of obese adults compared to non-surgical interventions.\ud \ud Methods\ud \ud A systematic review of the literature was conducted, six electronic databases, plus other relevant sources were searched from inception to January 2014. The main outcome sought was a QoL measure with a minimum 12 months follow-up. Three reviewers screened records, extracted data and independently read through full articles for eligibility and quality using standardised forms. Findings were analysed using narrative synthesis.\ud \ud Results\ud \ud Of 4383 identified references included in the review, 11 studies showed bariatric surgery to be effective long term for overall QoL than non-surgical treatments with specifically modest benefits psychosocially. Significant improvements in psychosocial QoL alongside improved physical QoL were observed after 2 year follow-up post-surgery compared to non-surgical interventions. However improvements in psychosocial QoL after surgery at 10 year follow up were minimal when compared to non-surgical interventions. When compared to untreated control groups, long term psychosocial QoL did not improve after bariatric surgery despite major improvements in physical QoL, significant weight loss and co-morbidities.\ud \ud Conclusions\ud \ud Results on long term psychosocial QoL remain uncertain with some suggestion of psychological disorder persisting. This highlights need for psychological intervention post-surgery and further research to provide more data on long-term psychosocial QoL following bariatric surgery.
  • References (73)
    73 references, page 1 of 8

    1. The NHS Information Centre. Health Survey for England - 2008, physical activity and fitness; vol. 2 - methods and documentation. (accessed on 31.12.13).

    2. Sutton R. Adult anthropometric measures, overweight and obesity. The Health and Social Care Information Centre; 2011. Retrieved from

    3. Ogden CL, Yanovski SZ, Carroll MD, Flegal KM. The epidemiology of obesity. Gastroenterology, 2007; 132(6):2087-102.

    4. Salome CM, King GG & Berend N. Physiology of obesity and effects on lung function. Journal of Applied Physiology, 2010; 108:206-11.

    5. Whiteman DC, Sadeghi S, Pandeya N, Smithers BM, Gotley DC, Bain CJ,et al. Combined effects of obesity, acid reflux and smoking on the risk of adenocarcinomas of the oesophagus. Gut, 2008; 57(2):173-80

    6. Griffiths LJ, Parsons TJ, Hill AJ. Self-esteem and quality of life in obese children and adolescents: a systematic review. International Journal of Pediatric Obesity, 2010; 5(4):282-304.

    7. Wang F, Wild TC, Kipp W, Kuhle S, Veugelers PJ. The influence of childhood obesity on the development of self-esteem. Statistics Canada, Health Reports, 2009; 20(2):21-7. (Accessed on 27 Jan 2014)

    8. Puhl RM & Heuer CA. Obesity Stigma: Important Considerations for Public Health. American Journal of Public Health, 2010; 100(6):1019-1028. doi: 10.2105/AJPH.2009.159491. PMCID: PMC2866597

    9. Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Annals of Internal Medicine, 2005; 142(7):547-59.

    10. Dombrowski SU, Knittle K, Avenell A, Araújo-Soares V & Sniehotta FF. Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review and meta-analyses of randomised controlled trials. British Medical Journal, 2014; 348:g2646. doi: 10.1136/bmj.g2646.

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