Psychosocial functioning improves following adolescent bariatric surgery

Meg H. Zeller, Avani C. Modi, Jennie G. Noll, Jeffrey D. Long, Thomas H. Inge

Research output: Contribution to journalArticle

81 Citations (Scopus)

Abstract

The aims of the present study were to examine changes in health-related quality of life (HRQOL) and depressive symptoms in adolescents with extreme obesity undergoing Roux-en-Y gastric bypass (RYGBP) across the first postoperative year. A prospective longitudinal observational study of 31 adolescent patients undergoing RYGBP at a pediatric medical center (mean = 16.4 years; 64.5% females, mean BMI 63.5; 97% of study eligible and consecutive patients) was conducted. Participants completed two adolescent HRQOL measures, the PedsQL (generic) and the IWQOL-Kids (weight-related), the Beck Depression Inventory (BDI), and height and weight were measured at three time points: baseline, and 6 and 12 months following RYGBP. Prior to RYGBP, significant impairments in HRQOL were documented and 38.7% reported depressive symptomatology in the clinical range. As expected, BMI and depressive symptoms decreased and HRQOL improved from baseline to 12 months post-RYGBP. Linear mixed modeling analyses detected several nonlinear slopes in BMI, depressive symptoms, and the majority of HRQOL domains over time with deceleration in these postoperative changes beginning at the 6th month time point. In contrast, the rate of change in weight-related social relations was linear (e.g., no deceleration), ndicating continued improvement across the first postoperative year. Adolescent RYGBP results in significant improvement in HRQOL and depressive symptomatology over the first ostoperative year. Longer-term follow-up will be critical to determine adolescent weight and sychosocial trajectories, their interrelations, and what role psychosocial status plays in continued weight loss, maintenance, and regain.

Original languageEnglish (US)
Pages (from-to)985-990
Number of pages6
JournalObesity
Volume17
Issue number5
DOIs
StatePublished - May 1 2009

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Bariatric Surgery
Gastric Bypass
Quality of Life
Depression
Weights and Measures
Deceleration
Observational Studies
Longitudinal Studies
Weight Loss
Obesity
Maintenance
Pediatrics
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics

Cite this

Zeller, Meg H. ; Modi, Avani C. ; Noll, Jennie G. ; Long, Jeffrey D. ; Inge, Thomas H. / Psychosocial functioning improves following adolescent bariatric surgery. In: Obesity. 2009 ; Vol. 17, No. 5. pp. 985-990.
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Psychosocial functioning improves following adolescent bariatric surgery. / Zeller, Meg H.; Modi, Avani C.; Noll, Jennie G.; Long, Jeffrey D.; Inge, Thomas H.

In: Obesity, Vol. 17, No. 5, 01.05.2009, p. 985-990.

Research output: Contribution to journalArticle

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