Obesity Surgery

, Volume 20, Issue 3, pp 340–345 | Cite as

Health-Related Quality of Life and Paid Work Participation after Duodenal Switch

  • John Roger Andersen
  • Anny Aasprang
  • Per Bergsholm
  • Nils Sletteskog
  • Villy Våge
  • Gerd Karin Natvig
Clinical Research

Abstract

Background

Morbid obesity can reduce the health-related quality of life (HRQL) and paid work participation, and the duodenal switch (DS) can induce large weight loss in patients suffering from this disease. However, data about HRQL combined with paid work participation after duodenal switch are lacking. The aim of this study was to provide longitudinal data of these issues.

Methods

Fifty-one consecutive morbidly obese patients accepted for DS gave their informed consent to participate in the study. Mean age was 37.7 years (SD, 8.0), and 54.9% were women. HRQL was assessed using the “Short-Form 36 Health Status Survey”. Eight subscores, the physical component summary (PCS), and the mental component summary (MCS) were calculated. Paid-work participation was assessed as performing or not performing paid work. Data were assessed before DS (T0), 1 year after DS (T1), and 2 years after DS (T2).

Results

All the SF-36 scores improved significantly from T0 to T1 and T2 (p < 0.001), when they were in the normal range compared to the population norm. The number of patients performing paid work increased from 28 (54.9%) at T0 to 34 (66.7%) at T2, p = 0.031. The patients who performed paid work had significantly better PCS and MCS scores than those who did not before, but not after, DS.

Conclusion

Our data indicate that the SF-36 scores of the patients were normalized after DS. A marked improvement in the paid work participation was also observed.

Keywords

Health-related quality of life Morbid obesity Paid work participation Employment Bariatric surgery Duodenal switch 

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Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • John Roger Andersen
    • 1
    • 4
  • Anny Aasprang
    • 1
  • Per Bergsholm
    • 2
  • Nils Sletteskog
    • 3
  • Villy Våge
    • 3
  • Gerd Karin Natvig
    • 4
  1. 1.Faculty of Health StudiesSogn and Fjordane University CollegeFørdeNorway
  2. 2.Department of PsychiatryFørde Central HospitalFørdeNorway
  3. 3.Department of SurgeryFørde Central HospitalFørdeNorway
  4. 4.Section of Nursing Science, Department of Public Health and Primary Health CareUniversity of BergenBergenNorway

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