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Psychosocial functioning improves following adolescent bariatric surgery.
Meg H Zeller1, Avani C Modi, Jennie G Noll
1Division of Behavioral Medicine and Clinical Psychology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. meg.zeller@cchmc.org
Obesity (Silver Spring, Md.)
|January 24, 2009
Summary
Roux-en-Y gastric bypass (RYGBP) significantly improves health-related quality of life (HRQOL) and reduces depressive symptoms in adolescents with extreme obesity within one year. Improvements decelerate after six months, except for weight-related social relations.
Area of Science:
- Pediatric Surgery
- Adolescent Health
- Bariatric Surgery Outcomes
Background:
- Extreme obesity in adolescents is associated with significant health-related quality of life (HRQOL) impairments and depressive symptoms.
- Roux-en-Y gastric bypass (RYGBP) is a surgical option for adolescents with extreme obesity.
Purpose of the Study:
- To examine changes in HRQOL and depressive symptoms in adolescents post-RYGBP during the first postoperative year.
- To identify trends and potential deceleration in these changes over time.
Main Methods:
- Prospective longitudinal observational study of 31 adolescents undergoing RYGBP.
- Assessment of HRQOL (PedsQL, IWQOL-Kids) and depressive symptoms (Beck Depression Inventory) at baseline, 6, and 12 months.
- Measurement of Body Mass Index (BMI) at the same time points.
Main Results:
- Significant improvements in HRQOL and reductions in depressive symptoms were observed from baseline to 12 months post-RYGBP.
- Nonlinear changes were detected in BMI, depressive symptoms, and most HRQOL domains, with deceleration after 6 months.
- Weight-related social relations showed linear improvement throughout the first postoperative year.
Conclusions:
- Adolescent RYGBP leads to significant improvements in HRQOL and depressive symptomatology within the first year.
- Continued follow-up is essential to understand long-term weight trajectories and the role of psychosocial factors.
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