Skip to main content


Log in

Health-related quality of life in morbid obesity: the impact of laparoscopic sleeve gastrectomy

  • Research Article
  • Published:
Central European Journal of Medicine


Our aim in this prospective study was to determine the impact of laparoscopic sleeve gastrectomy on the quality of life of patients with morbid obesity in comparison with population standards. The study evaluated 76 morbidly obese patients who underwent laparoscopic sleeve gastrectomy. The short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) was used to evaluate quality of life in the following four areas: physical health, mental health, social relations, and environment. Patients completed the questionnaire before their planned operation and again 3 and 6 months after surgery. Compared with the population standard, patients with morbid obesity had significantly lower quality of life scores in the physical and mental health domains, including on independent questions related to of overall health and quality of life (p<0.001). Women scored lower on indicators of mental health than men. Three and 6 months following surgery a significant trend of body mass index (BMI) reduction was seen, as well as increased quality of life in all indicated areas (p<0.001). Laparoscopic sleeve gastrectomy treatment in morbidly obese patients reduced BMI on a long-term basis, a change seen as early as 3 months after surgery. By 6 months after surgery, patients had the same quality of life scores as the reference population.

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

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

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

Instant access to the full article PDF.

Similar content being viewed by others


  1. Obesity: Preventing and managing the global epidemic. Report of a WHO consultation, WHO Technical Report Series 894, Geneva, 2000

  2. James W.P.T., Rigby N., Leach R., The obesity epidemic, metabolic syndrome and future prevention strategies, Eur J Cardiovasc Prev Rehabil, 2004, 11, 3–8

    Article  PubMed  Google Scholar 

  3. Matoulek M., Svačina Š., Lajka J., Výskyt obezity a jejich komplikací v České republice, Vnitřní lékařství, 2010, 56, 1019–1027, (In Czech)

    CAS  PubMed  Google Scholar 

  4. Bray G.A., Bouchard C., Handbook of obesity-Etiology and Pathophysiology, 2nd ed. New York, 2003

    Book  Google Scholar 

  5. Dragomírecká E., Bartoňová J., WHOQOL-BREF: Příručka pro uživatele české verze dotazníků kvality života světové zdravotnické organizace, Praha, Psychiatrické centrum Praha, 2006, (In Czech)

    Google Scholar 

  6. Jia H., Lubetkin E.I., The impact of obesity on health-related quality of life in the general adult US population, J Public health, 2005, 27, 156–164

    Article  Google Scholar 

  7. Sach, T.H., Barton G.R., Doherty M. et al., The relationship between body mass index and health-related quality of life: comparing the EQ-5D, EuroQol VAS and SF-6D, Int J obes, 2007, 31, 189–196

    Article  CAS  Google Scholar 

  8. Mannucci E., Petoni M.L., Villanova N., Clinical and psychological correlates of health-related quality of life in obese patients, Health and quality of life outcomes, 2010, 8, 90

    Article  PubMed Central  PubMed  Google Scholar 

  9. Chang C.Y., Hung C.K., Chang Y.Y. et al., Prospective study of health-related quality of life after Roux-en-Y bypass surgery for morbid obesity, British Journal of Surgery, 2010, 97, 1541–1546

    Article  PubMed  Google Scholar 

  10. Livingston E.H., Fink A.S., Quality of life: cost and future of bariatric surgery, Arch Surg, 2003, 138, 383–388

    Article  PubMed  Google Scholar 

  11. Chang C.Y., Hung C.K., Chang Y.Y. et al., Healthrelated Quality of Life in Adult Patients with Morbid Obesity Coming for Bariatric Surgery, Obes Surg, 2010, 20, 1121–1127

    Article  PubMed Central  PubMed  Google Scholar 

  12. O’Brien, P.E., Dixon J.B., Laurie C. et al., Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program: a randomized trial, Ann Intern Med, 2006, 144, 625–633

    Article  PubMed  Google Scholar 

  13. Kaukua J., Pekkarinen T., Sane T. et al., Healthrelated quality of life in obese outpatients losing weight with very-low-energy diet and behavior modification — a 2-y follow-up study, International Journal of Obesity, 2003, 27, 1233–1241

    Article  CAS  PubMed  Google Scholar 

  14. Fried M., Hainer V., Basdevant A., et al., Interdisciplinary European guidelines on surgery of severe obesity, Int J Obes, 2007, 31, 569–577

    CAS  Google Scholar 

  15. Buchwald H., Avidor Y., Braunwald E. et al., Bariatric surgery: A systematic review and metaanalysis, JAMA, 2004, 292, 1724–1737

    Article  CAS  PubMed  Google Scholar 

  16. Duda M., Gryga A., Czudek S., et al., Twenty years of minimally invasive surgery in the Czech Republic, Videosurgery and other miniinvasive techniques, 2011, 6, 42–47

    Article  Google Scholar 

  17. Stefaniak T.J., Adamczyk K., Walerzak A. et al., Body image is an important augmentation to quality of life in evaluating the results of laparoscopic versus classic surgery, Videosurgery and other miniinvasive techniques, 2010, 5, 146–151

    Article  Google Scholar 

  18. Mathus-Vliege E.M., de Weerd S., de Wit L.T., Health-related quality-of-life in patients with morbid obesity after gastric banding for surgically induced weight loss, Surgery, 2004, 135, 489–497

    Article  Google Scholar 

  19. Herpertz S., Kielmann R., Wolf A.M. et al., Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review, Obe Res, 2004, 12, 1554–1569

    Article  CAS  Google Scholar 

  20. Brunault P., Jacobi D., Léger J., Observation Regarding Quality of Life and Comfort with Food After Bariatric Surgery: Comparison between Laparoscopic Adjustable Gastric Banding and Sleeve Gastrectomy, Obes Surg, 2011, 21, 1225–1231

    Article  PubMed  Google Scholar 

  21. Helmio M., Salminen P., Sintonen H. et al., A 5-Year Prospective Quality of Life Analysis Following Laparoscopic Adjustable Gastric Banding for Morbid Obesity, Obes Surg, 2011, 10, 1585–1591

    Article  Google Scholar 

  22. Lund R.S., Karlsen T.I., Hofso, D. et al., Employment Is Associated with the Health-Related Quality of Life of Morbidly Obese Persons, Obes Surg, 2010, 21, 1704–1709

    Article  PubMed Central  Google Scholar 

  23. Therrien F., Marceau P., Turgeon N. et al., The laval questionnaire: a new instrument to measure quality of life in morbid obesity, Health and quality of life outcomes, 2011, 9, 66

    Article  PubMed Central  PubMed  Google Scholar 

  24. Zwaan M., Mitchell J., Howell L.M. et al., Two Measures of Health-Related Quality of Life in Morbid Obesity, Obesity Research, 2002, 10, 1143–1151

    Article  PubMed  Google Scholar 

  25. Bužgová R., Hájková M., Jasioková A., Zkušenosti s měřením kvality života dotazníkem WHOQOLBREF u vybraných skupin pacientů. Kontakt, 2009, 11, 152–157 (In Czech)

    Google Scholar 

  26. Bužgová R., Bužga M., Kristiníková J., WHOQOL: Assessment of Quality of Life in Patients after Lower Limb Amputation, Acta Medica Martiniana, 2009, 9, 33–40

    Google Scholar 

  27. Andersen J., Aasprang A., Bergsholm P. et al., Anxiety and depression in association with morbid obesity: changes with improved physical health after duodenal switch, Health and Quality of Life Outcomes, 2010, 8, 52

    Article  PubMed Central  PubMed  Google Scholar 

  28. Fezzi M., Kolotkin R.L., Nedelcu M. et al., Improvement in Quality of Life After Laparoscopic Sleeve Gastrectomy, Obes Surg, 2011, 21, 1161–1167

    Article  PubMed  Google Scholar 

  29. Dadan J., Iwacewicz P., Hady H.R., Quality of life evaluation after selected bariatric procedures using the Bariatric Analysis and Reporting Outcome System, Videosurgery, 2010, 5, 93–99

    Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Radka Bužgová.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bužgová, R., Bužga, M. & Holéczy, P. Health-related quality of life in morbid obesity: the impact of laparoscopic sleeve gastrectomy. 9, 374–381 (2014).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: