Skip to main content
SpringerLink
Log in

Predictors of Weight Loss at 1 Year After Laparoscopic Adjustable Gastric Banding and the Role of Presurgical Quality of Life

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

There is uncertainty regarding preoperative predictors of a successful outcome for bariatric surgery (BarSurg), on which to determine appropriateness for such a procedure. Our aims were to identify preoperative clinical and psychosocial predictors of success following BarSurg and to explore the influence of body mass index (BMI) on these parameters.

Methods

Preoperative data, including Impact of Weight on Quality of Life—Lite (IWQOL-Lite) scores transformed to Health-Related Quality of Life (HRQOL) scores, were accrued from 76 morbidly obese adults awaiting BarSurg. Pre- and postoperative data were also accrued for 26 patients who had completed 1-year follow-up post-bariatric surgery (laparoscopic adjustable gastric banding—LAGB). Statistical analysis was performed to assess the relationships between preoperative HRQOL scores, preoperative BMI and excess weight loss 1 year following BarSurg (EWL-1 year).

Results

Preoperative BMI showed a significant independent, negative linear correlation with the public distress domain of preoperative quality of life (QOL) (r = −0.368, p = 0.001; β = −0.245, p = 0.009). Preoperative BMI had a significant, positive and independent association with EWL-1 year (r = 0.499, p = 0.009; β = 0.679, p = 0.015). Preoperative QOL scores had no association with EWL-1 year.

Conclusions

Preoperative BMI appears to predict EWL-1 year following restrictive bariatric surgery (LAGB). Preoperatively, patients with higher BMI appear to manifest greater public distress. Preoperative QOL scores, however, do not appear to have any predictive value for EWL-1 year post-LAGB. Preoperative BMI should therefore be employed as a predictor of EWL-1 year post-LAGB. Other measures of successful outcomes of bariatric surgeries (such as effects on QOL scores at 1 year) should be explored in future, larger and longer term studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

BarSurg:

Bariatric (weight loss) surgery

LAGB:

Laparoscopic adjustable gastric banding

BMI:

Body mass index

EWL-1 year:

Excess weight loss at 1 year post-bariatric surgery

HRQOL:

Health-Related Quality of Life score

IWQOL-Lite:

Impact of Weight on Quality of Life—Lite: a validated self-reported 31-item measure of physical function self-esteem, sexual life, public distress and work-related domains of obesity-specific quality of life score

QOL:

Quality of life

UHCW:

University Hospitals Coventry and Warwickshire

WISDEM:

Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism

References

  1. Tessier A, Zavorsky GS, Kim DJ, et al. Understanding the determinants of weight related quality of life among bariatric surgery candidates. J Obes. 2012. doi:10.1155/2012/713426. ID 713426.

    PubMed Central  PubMed  Google Scholar 

  2. Hensrud D, Klein S. Extreme obesity: a new medical crisis in the United States. Mayo Clin Proc. 2006;81(supplement 10):S5–S10.

    Article  PubMed  Google Scholar 

  3. Residori L, García-Lorda P, Flancbaum L, et al. Prevalence of co-morbidities in obese patients before bariatric surgery: effect of race. Obes Surg. 2003;13:333–40.

    Article  PubMed  Google Scholar 

  4. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.

    Article  CAS  PubMed  Google Scholar 

  5. Friedman MA, Brownel KD. Psychological consequences of obesity. In: Fairburn CG, Brownell KD, editors. Eating disorders and obesity: a comprehensive handbook. 2nd ed. New York: Guilford; 2002. p. 393–8.

    Google Scholar 

  6. van Hout GCM, van Oudheusden I, van Heck GL. Psychological profile of the morbidly obese. Obes Surg. 2004;14:579–88.

    Article  PubMed  Google Scholar 

  7. Fontaine KR, Barofsky I. Obesity and health-related quality of life. Obes Rev. 2001;2:173–82.

    Article  CAS  PubMed  Google Scholar 

  8. Kolotkin RL, Crosby RD, Kosloski KD, et al. Development of a brief measure to assess quality of life in obesity. Obes Res. 2001;9(2):102–11.

    Article  CAS  PubMed  Google Scholar 

  9. Abilés V, Rodríguez-Ruiz S, Abilés J, et al. Psychological characteristics of morbidly obese candidates for bariatric surgery. Obes Surg. 2010;20(2):161–7.

    Article  PubMed  Google Scholar 

  10. Snyder AG. Psychological assessment of the patient undergoing bariatric surgery. Ochsner J. 2009;9(3):144–8.

    PubMed Central  PubMed  Google Scholar 

  11. Pawlow LA, O’Neil PM, White MA, et al. Findings and outcomes of psychological evaluations of gastric bypass applicants. Surg Obes Relat Dis. 2005;1(6):523–7.

    Article  PubMed  Google Scholar 

  12. O’Neil PM. Editorial: lessons from, and on, the psychological assessment of bariatric surgery patients. Surg Obes Relat Dis. 2006;2(2):133–5.

    Article  PubMed  Google Scholar 

  13. Andrés A, Saldaña C, Mesa J, et al. Psychometric evaluation of the IWQOL-Lite (Spanish version) when applied to a sample of obese patients awaiting bariatric surgery. Obes Surg. 2012;22(5):802–9.

    Article  PubMed  Google Scholar 

  14. Forhan M, Vrkljan B, MacDermid J. A systematic review of the quality of psychometric evidence supporting the use of an obesity-specific quality of life measure for use with persons who have class III obesity. Obes Rev. 2010;11(3):222–8.

    Article  CAS  PubMed  Google Scholar 

  15. Buchwald H, Oien DM. Bariatric/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427–36.

    Article  PubMed  Google Scholar 

  16. Wadden TA, Sarwer DB, Fabricatore AN, et al. Psychosocial and behavioral status of patients undergoing bariatric surgery: what to expect before and after surgery. Med Clin North Am. 2007;91(3):451–69. xi-xii.

    Article  PubMed  Google Scholar 

  17. Zabelina DL, Erickson AL, Kolotkin RL, et al. The effect of age on weight-related quality of life in overweight and obese individuals. Obesity (Silver Spring). 2009;17(7):1410–3.

    Google Scholar 

  18. Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13(4):639–48.

    Article  PubMed  Google Scholar 

  19. Sirtori A, Brunani A, Villa V, et al. Obesity is a marker of reduction in QoL and disability. Sci World J. 2012;2012:167520.

    Article  Google Scholar 

  20. Kolotkin RL, Crosby RD, Williams GR. Assessing weight-related quality of life in obese persons with type 2 diabetes. Diabetes Res Clin Pract. 2003;61(2):125–32.

    Article  PubMed  Google Scholar 

  21. Livhits M, Mercado C, Yermilov I, et al. Preoperative predictors of weight loss following bariatric surgery: systematic review. Obes Surg. 2012;22(1):70–89.

    Article  PubMed  Google Scholar 

  22. Ortega E, Morínigo R, Flores L, et al. Predictive factors of excess body weight loss 1 year after laparoscopic bariatric surgery. Surg Endosc. 2012;26(6):1744–50.

    Article  PubMed  Google Scholar 

  23. Vallis TM, Ross MA. The role of psychological factors in bariatric surgery for morbid obesity: identification of psychological predictors of success. Obes Surg. 1993;3:346–59.

    Article  PubMed  Google Scholar 

  24. van Hout GC, Verschure SK, van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60.

    Article  PubMed  Google Scholar 

Download references

Conflict of Interest

All authors state that there are no conflicts of interest and no relevant financial disclosures.

Author information

Authors and Affiliations

  1. Division of Metabolic and Vascular Health, Warwick Medical School, The University of Warwick, Clinical Sciences Research Laboratories, Clinical Sciences Building, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK

    S. A. Saboor Aftab, M. K. Piya, N. Reddy, S. Kumar & T. M. Barber

  2. Weight Management Services, Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK

    S. A. Saboor Aftab, L. Halder, M. K. Piya, N. Reddy, I. Fraser, V. Menon, S. Bridgwater, D. Kendrick, S. Kumar & T. M. Barber

  3. Division of General Surgery, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK

    I. Fraser & V. Menon

Authors
  1. S. A. Saboor Aftab
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. L. Halder
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. K. Piya
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. N. Reddy
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. I. Fraser
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. V. Menon
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. S. Bridgwater
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. D. Kendrick
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. S. Kumar
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. T. M. Barber
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to T. M. Barber.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Saboor Aftab, S.A., Halder, L., Piya, M.K. et al. Predictors of Weight Loss at 1 Year After Laparoscopic Adjustable Gastric Banding and the Role of Presurgical Quality of Life. OBES SURG 24, 885–890 (2014). https://doi.org/10.1007/s11695-014-1184-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-014-1184-3

Keywords

Search

Navigation