No association between history of psychiatric treatment and postoperative weight reduction after bariatric surgery.

IF 2.9 3区医学 Q2 PSYCHIATRY

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Pub Date : 2024-03-15 DOI:10.1007/s40519-024-01645-9

Magdalena Kozela, Urszula Stepaniak, Karolina Koziara, Izabela Karpińska, Piotr Major, Maciej Matyja

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Abstract

Purpose: The objective of the study was to assess whether the history of psychiatric treatment was associated with (1) body weight and BMI on admission for bariatric surgery, (2) weight loss > 5 kg prior to bariatric surgery, and (3) postoperative body weight reduction.

Methods: Data from medical records of all consecutive patients admitted for surgical treatment of obesity in the 2nd Department of General Surgery Jagiellonian University Medical College were obtained. There were 1452 records of patients who underwent bariatric surgery between 2009 and 2021 included in the study.

Results: History of psychiatric treatment was found in 177 (12%) of the sample and was inversely associated with body weight and BMI on admission for surgery in women. Men with history of psychiatric treatment were 54% less likely to lose > 5 kg before the surgery (OR = 0.46 95% CI = 0.24-0.88). Both in men and women %TWL did not differ significantly by history of psychiatric treatment (Me: 40.7 vs. 45.9; p = 0.130 and Me: 27.0 vs. 23.9; p = 0.383, respectively). After adjustment for covariates no association was found between history of psychiatric treatment and body weight reduction one year after surgery.

Conclusion: Although men with preoperative history of psychiatric treatment had lower odds of losing weight before the surgery, psychiatric treatment did not differentiate the effectiveness of bariatric treatment in 1 year of observation. Bariatric surgery appears to be an effective obesity care for people treated for mental disorders.

Level of evidence: III Evidence obtained from cohort or case-control analytic studies.

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减肥手术后，精神病治疗史与术后体重减轻之间没有关联。

目的：该研究旨在评估精神病治疗史是否与以下因素有关：(1) 减肥手术入院时的体重和体重指数；(2) 减肥手术前体重下降大于 5 公斤；(3) 术后体重减轻：从雅盖隆大学医学院普通外科第二系所有连续入院接受肥胖症手术治疗的患者病历中获取数据。2009年至2021年期间，共有1452名接受减肥手术的患者被纳入研究范围：在样本中有 177 人（12%）有精神病治疗史，女性患者的体重和入院手术时的体重指数成反比。有精神病治疗史的男性在手术前体重减轻大于 5 公斤的几率比女性低 54%（OR = 0.46 95% CI = 0.24-0.88）。男性和女性的体重减轻百分比在精神病治疗史上没有显著差异（分别为：40.7 vs. 45.9; p = 0.130 和 Me: 27.0 vs. 23.9; p = 0.383）。在对协变量进行调整后，未发现精神病治疗史与术后一年体重减轻之间存在关联：结论：虽然术前有精神病治疗史的男性在手术前减轻体重的几率较低，但在一年的观察中，精神病治疗并不会影响减肥治疗的效果。减肥手术似乎是针对精神障碍患者的一种有效的肥胖治疗方法：III 从队列或病例对照分析研究中获得的证据。

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来源期刊

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 医学-精神病学

CiteScore

6.50

自引率

10.30%

发文量

170

审稿时长

>12 weeks

期刊介绍： Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.