Date: 15 May 2014
Is Social Deprivation Associated with Weight Loss Outcomes Following Bariatric Surgery? A 10-Year Single Institutional Experience
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Social deprivation is associated with a greater morbidity and shorter life expectancy. This study evaluates differences in weight loss following bariatric surgery and deprivation, based on UK deprivation measures in a London bariatric centre.
All patients undergoing bariatric surgery between 2002 and 2012 were retrospectively identified. Demographic details, type of surgery and percentage excess weight loss data were collected. UK Index of Multiple Deprivation (IMD, 2010) and IMD domain of the Health Deprivation and Disability (HDD) scores were used to assess deprivation (where 1 is the most deprived in rank order and 32,482 is the least deprived). Two-way between-subjects analysis of variance (ANOVA) was performed to examine the effect of IMD score, deprivation, procedure type and gender on percentage excess weight loss.
Data were included from 983 patients (178 male, 805 female) involving 3,663 patient episodes. Treatments comprised laparoscopic gastric bands (n = 533), gastric bypass (n = 362) and gastric balloons (n = 88). The average percentage excess weight loss across all procedures was 38 % over a follow-up period (3 months–9 years). There was no correlation between weight loss and IMD/HDD rank scores. Gastric bypass was significantly more effective at achieving weight loss than the other two procedures at 3-, 6- and 9-month and 1-year follow-up.
Social deprivation does not influence weight loss after bariatric surgery, suggesting that all socioeconomic groups may equally benefit from surgical intervention. Social deprivation should not therefore negatively influence the decision for surgical intervention in these patients.
Maryam Alfa Wali and Hutan Ashrafian are joint first authors.
An erratum to this article can be found at http://dx.doi.org/10.1007/s11695-014-1297-8.
Ashrafian H, Athanasiou T, Li JV, et al. Diabetes resolution and hyperinsulinaemia after metabolic Roux-en-Y gastric bypass. Obes Rev : An Offic J Int Assoc Study Obes. 2011;12(5):e257–72.CrossRef
World Health Organization. Obesity and overweight, factsheet March 2013. http://www.who.int/mediacentre/factsheets/fs311/en/. 2013.
Kelly T, Yang W, Chen CS, et al. Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond). 2008;32(9):1431–7.CrossRef
Janssen I, Boyce WF, Simpson K, et al. Influence of individual- and area-level measures of socioeconomic status on obesity, unhealthy eating, and physical inactivity in Canadian adolescents. Am J Clin Nutr. 2006;83(1):139–45.PubMed
Hatoum IJ, Stein HK, Merrifield BF, et al. Capacity for physical activity predicts weight loss after Roux-en-Y gastric bypass. Obesity (Silver Spring). 2009;17(1):92–9.CrossRef
Townsend P. Deprivation. J Soc Pol. 1987;16(02):125–46.CrossRef
NICE. Guidance on the use of surgery to aid weight reduction for people with morbid obesity: technology appraisal guidance no. 46. 2002.
NICE. Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children. 2006.
Government CaL. English indices of deprivation 2010: guidance. In: government CaL, editor. 2011.
Ashrafian H, Bueter M, Ahmed K, et al. Metabolic surgery: an evolution through bariatric animal models. Obes Rev : An Offic J Int Assoc Study Obes. 2010;11(12):907–20.CrossRef
RightCare. The NHS atlas of variation in healthcare. 2011
- Is Social Deprivation Associated with Weight Loss Outcomes Following Bariatric Surgery? A 10-Year Single Institutional Experience
Volume 24, Issue 12 , pp 2126-2132
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
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- Social deprivation
- Bariatric surgery
- Weight loss
- Industry Sectors
- Author Affiliations
- 1. The Department of Bariatric and Metabolic Surgery, Chelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK
- 2. The Department of Surgery and Cancer, Imperial College London, 10th Floor Queen Elizabeth the Queen Mother (QEQM) Building, St Mary’s Hospital, Praed Street, London, W2 1NY, UK
- 3. The Department of Social, Genetic and Developmental Psychology, King’s College London, Box PO77, Henry Wellcome Building, De Crespigny Park, Denmark Hill, London, SE5 8AF, UK