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Low Educational Status and Childhood Obesity Associated with Insufficient Mid-Term Weight Loss After Sleeve Gastrectomy: a Retrospective Observational Cohort Study

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Abstract

Purpose

Successful weight loss after bariatric surgery has been associated with a variety of factors. The aim of this study was to determine the effects of educational status on surgical weight loss for patients undergoing sleeve gastrectomy (SG).

Materials and Methods

This retrospective cohort study was carried out on patients undergoing SG between September 2013 and July 2015. Six months after surgery, the patients were classified into two groups according to their success in the percentage of excess weight loss (%EWL). Group 1: <%50EWL (insufficient WL) and group 2: ≥%50EWL (successful WL) in the sixth month. The independent predictors for insufficient weight loss six months after SG were analyzed.

Results

In the sixth post-operative month, their mean %EWL and percentage of excess body mass index loss (%EBMIL) were 50 ± 15.4 and 58.2 ± 19.3, respectively. In univariate analysis, group 1 patients were found to be significantly older when compared to group 2 patients while the education level of group 2 patients was significantly higher when compared to group 1. A tertiary educational level at a university or higher was associated with a nearly fourfold increased success in weight loss (AOR 3.772, p = 0.03) 6 months after SG. Multivariate analysis showed that patients with a history of childhood obesity were more likely to have insufficient weight loss (AOR 0.390, p = 0.045).

Conclusion

Childhood obesity and a lower level of education are associated with insufficient weight loss 6 months after SG. However, prospective external validation is warranted, with a long-term follow-up of a large bariatric surgery population.

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Authors and Affiliations

  1. Department of General Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

    Evren Dilektasli, Mehmet Fatih Erol, Haci Murat Cayci, Mehmet Emrah Bayam, Ugur Duman, Necdet D. Tihan & Umut Erdogdu

  2. Department of Biostatistics, Uludag University Faculty of Medicine, Bursa, Turkey

    Guven Ozkaya

  3. Department of Endocrinology, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

    Gurcan Kisakol

Authors
  1. Evren Dilektasli
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  2. Mehmet Fatih Erol
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Corresponding author

Correspondence to Evren Dilektasli.

Ethics declarations

All procedures performed in studies involving human 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.

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

For this type of study, formal consent is not required.

Native English Proofreading

Native English proofreading of this text was carried out by Claire Olmez (B.Ed., M.Sc.).

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Dilektasli, E., Erol, M.F., Cayci, H.M. et al. Low Educational Status and Childhood Obesity Associated with Insufficient Mid-Term Weight Loss After Sleeve Gastrectomy: a Retrospective Observational Cohort Study. OBES SURG 27, 162–168 (2017). https://doi.org/10.1007/s11695-016-2273-2

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