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Bariatric surgery and menopause
Maciej Walędziak1, Anna Maria Różańska-Walędziak2
1Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Przeglad Menopauzalny = Menopause Review
|January 27, 2023
Summary
Menopause impacts bariatric surgery outcomes. Postmenopausal women experience less weight loss and BMI reduction compared to premenopausal women after surgery.
Area of Science:
- Endocrinology
- Metabolic Health
- Surgical Outcomes
Background:
- Menopause is characterized by hormonal shifts, particularly declining estrogen levels.
- These hormonal changes can increase the risk of obesity and type 2 diabetes mellitus.
- Understanding menopause's impact on metabolic processes is crucial for women's health.
Purpose of the Study:
- To evaluate how menopausal status influences the effectiveness of bariatric surgery.
- To compare weight loss outcomes in postmenopausal versus premenopausal women following bariatric procedures.
Main Methods:
- A cohort of 614 women with prior bariatric surgery was analyzed.
- Participants were categorized into two groups based on menopausal status: premenopausal and postmenopausal.
- Key metrics including percentage of estimated weight loss (%EWL), total weight loss (TWL), percentage of total weight loss (%TWL), and changes in body mass index (BMI) were assessed.
Main Results:
- Postmenopausal women demonstrated significantly lower %EWL, TWL, %TWL, and BMI reduction compared to premenopausal women.
- Menopausal status was associated with differential weight loss outcomes after bariatric surgery.
- These findings highlight a potential disparity in surgical efficacy based on menopausal stage.
Conclusions:
- Menopause emerges as a significant factor affecting bariatric surgery's efficacy.
- Postmenopausal women may experience reduced benefits from bariatric interventions.
- Further research is warranted to explore mechanisms and optimize surgical outcomes for menopausal women.
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