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Screening Risks of Alcohol Abuse, Depressive Symptoms, and Decreased Health-Related Quality of Life in Post-Bariatric Patients and Their Relations to Weight Regain

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Abstract

Purpose

Not all patients who underwent bariatric surgery keep their regular medical follow-up. We screened alcohol use, depressive symptoms, and health-related quality of life (HRQoL) in post-bariatric patients who have lost medical follow-up at their first appointment in our healthcare unit. These screened disorders were compared between low vs. high ratios of weight regain (RWR) and correlated with surgical outcomes.

Material and Methods

Ninety-four post-bariatric patients without medical follow-up (87.2% female, aged 42 ± 9 years, BMI = 32.9 ± 6.5kg/m2) were included. They underwent Roux-en-Y gastric bypass (n = 80) or sleeve gastrectomy (n = 14). They were divided into high RWR (≥ 20%) and low RWR (< 20%) groups. We used Alcohol Use Disorders Inventory Test, Beck Depression Inventory, and 36-Item Short-Form Health Survey.

Results

Neck and waist circumferences, diastolic blood pressure, and time since surgery were higher in the high than low RWR group (P≤ 0.05). No differences between groups for alcohol use and depressive symptoms were detected (P≥ 0.07), but those who regained more weight exhibited poorer health scores in physical functioning, physical role limitations, bodily pain, and vitality (P≤ 0.05). In the low RWR group, the RWR was inversely correlated to physical/social functioning and vitality. Positive associations were present between RWR vs. depressive symptoms, while negative ones were noted to physical functioning and general health perception in the high RWR group.

Conclusions

HRQoL has deteriorated in those post-bariatric patients without medical follow-up who regained more weight, possibly indicating the need for regular long-term health care.

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Acknowledgements

The study was funded by Carlos Chagas Filho Foundation for the Research Support in the State of Rio de Janeiro (FAPERJ, process number 250304, recipient LGK-A), by National Council for Scientific and Technologic Development (CNPq, process number 304335/2019-3, recipient LGK-A), and by a grant from Coordination for the Improvement of Higher Education Personnel (CAPES, process number 88882.463218/2019-01, recipient KGL).

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Authors and Affiliations

  1. Postgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Eline Coan Romagna, Karynne Grutter Lopes & Luiz Guilherme Kraemer-Aguiar

  2. Obesity Unit, Centro de Pesquisas Clínicas Multiusuário (CePeM), Hospital Universitário Pedro Ernesto (HUPE), State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Eline Coan Romagna, Karynne Grutter Lopes & Luiz Guilherme Kraemer-Aguiar

  3. MídiaCom / Postgraduate Program on Electrical and Telecommunications Engineering (PPGEET), Fluminense Federal University, Niteroi, RJ, Brazil

    Diogo Menezes Ferrazani Mattos

  4. Endocrinology, Department of Internal Medicine, Faculty of Medical Sciences, State University of Rio de Janeiro, Boulevard 28 de setembro, 77, Vila Isabel, Rio de Janeiro, RJ, Brazil

    Luiz Guilherme Kraemer-Aguiar

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  1. Eline Coan Romagna
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Contributions

Conception and design of the study: KGL and LGK-A. Acquisition, analysis, and interpretation of data: ECR, DMFM, KGL, and LGK-A. Drafting the manuscript: ECR, KGL, and DMFM. Revising the manuscript: KGL and LGK-A. Final critical review: LGK-A. All authors approved the final version of the manuscript.

Corresponding author

Correspondence to Luiz Guilherme Kraemer-Aguiar.

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Ethical Approval

All procedures performed involving the participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the local Ethics Committee (CAAE: 07662918.1.0000.5259) and registered in ClinicalTrials.gov (NCT04193384).

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Key points

• High weight regain may occur in post-bariatric patients without medical follow-up.

• Health-related quality of life deteriorates in those who regain more weight.

• Alcohol use and depressive symptoms did not differ in those with higher weight regain.

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Romagna, E.C., Mattos, D.M.F., Lopes, K.G. et al. Screening Risks of Alcohol Abuse, Depressive Symptoms, and Decreased Health-Related Quality of Life in Post-Bariatric Patients and Their Relations to Weight Regain. OBES SURG 33, 1797–1805 (2023). https://doi.org/10.1007/s11695-023-06605-3

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