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Does the Attention Deficit Hyperactivity Disorder interfere with bariatric surgery results?
Doglas Gobbi Marchesi1, Jovana Gobbi Marchesi Ciriaco2, Gustavo Peixoto Soares Miguel1
1- Federal University of Espírito Santo, Department of Surgical Clinics, Vitória, Espírito Santo State, Brazil.
Revista Do Colegio Brasileiro De Cirurgioes
|June 29, 2017
Summary
Attention Deficit Hyperactivity Disorder (ADHD) is linked to higher BMI in bariatric surgery patients. However, ADHD does not negatively impact surgery success or BMI reduction one year post-procedure.
Area of Science:
- Bariatric Surgery Outcomes
- Psychiatric Comorbidities
Background:
- Obesity is a complex condition often managed with bariatric surgery.
- Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder.
- The impact of psychiatric comorbidities like ADHD on bariatric surgery success requires further investigation.
Purpose of the Study:
- To investigate the potential negative effects of Attention Deficit Hyperactivity Disorder (ADHD) on bariatric surgery outcomes.
- To compare body mass index (BMI) and weight reduction between bariatric surgery patients with and without ADHD.
Main Methods:
- A cohort of forty patients undergoing bariatric surgery with at least one year of follow-up was evaluated.
- The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) ADHD questionnaire was administered.
- Postoperative data, including BMI and surgery success, were analyzed.
Main Results:
- 38% of patients screened positive for ADHD.
- Patients with ADHD had a significantly higher baseline BMI compared to those without ADHD (45.8 vs. 40.9 kg/m², p=0.017).
- No statistically significant differences were observed in surgery success (33.3% vs. 66.7%, p=0.505) or BMI reduction (30.71% vs. 31.88%, p=0.671) at one year.
Conclusions:
- While ADHD is associated with higher pre-operative BMI in bariatric surgery candidates, it does not appear to negatively influence surgical success.
- The presence of ADHD does not significantly affect BMI reduction one year after bariatric surgery.
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