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Obesity Facts
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Obesity Facts
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Obesity Facts
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Impact of Depression on Weight Variation after Bariatric Surgery: A Three-Year Observational Study

Authors: Pedro, J; Neves, JS; Ferreira, MJ; Guerreiro, V; Salazar, D; Viana, S; Mendonça, F; +6 Authors

Impact of Depression on Weight Variation after Bariatric Surgery: A Three-Year Observational Study

Abstract

<b><i>Introduction:</i></b> The association between obesity and depression has been repeatedly established. However, little is known about the impact that the diagnosis of depression before bariatric surgery (DDBS) may have on weight loss. <b><i>Objective:</i></b> To evaluate the impact of DDBS on weight outcomes. <b><i>Methods:</i></b> Retrospective study of patients submitted to BS. Patients with no weight, no current medication data, or those submitted to revision surgery were excluded. Patients were considered to have DDBS based on taking antidepressants prior to BS or if there was a medical history of past or current depression. Patients with and without a depression history were compared using independent t test. A multivariate logistic regression model was created to evaluate predictors of weight variation (variables included: age, sex, and type of surgery). <b><i>Results:</i></b> A total of 616 patients did not have a history of depression and 230 had DDBS. There was a statistically significant difference in the BMI variation between groups. On average, individuals with DDBS lost 1.4 kg/m<sup>2</sup> less than those without DDBS. In the multivariate analysis, the group with DDBS, compared with the group without DDBS, presented on average less –0.9 kg/m<sup>2</sup> (95% CI –1.7 to –0.2, <i>p</i> = 0.018) BMI variation. <b><i>Conclusion:</i></b> DDBS is a predictor of lower weight loss after the surgical procedure. Even after adjusting for confounding variables such as age, sex, and BS type, this effect remains.

Keywords

Adult, Male, RC620-627, bariatric surgery, Bariatric Surgery, Depression / surgery, Obesity, Morbid / complications, Body Weight / physiology, Weight Loss / physiology, Weight Loss, Depression / complications, Depression / epidemiology, Humans, TX341-641, Obesity, Morbid / epidemiology, Obesity, Morbid / psychology, Nutritional diseases. Deficiency diseases, Retrospective Studies, Bariatric Surgery / methods, Nutrition. Foods and food supply, Depression, Body Weight, Middle Aged, Obesity, Morbid, bmi, psychiatric aspects, Obesity, Morbid / surgery, depression, Female, weight loss, Follow-Up Studies

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    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Top 10%
Average
Top 10%
Green
gold