Ida Birn1,2, Inger Mechlenburg3,4, Anette Liljensøe3, Kjeld Soballe3, Jens Fromholt Larsen5. 1. Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark. ida_birn@hotmail.com. 2. Department of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Nørrebrogade 44, DK-8000, Aarhus C, Denmark. ida_birn@hotmail.com. 3. Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark. 4. Centre of Research in Rehabilitation (CORIR), Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark. 5. Department of Bariatric Surgery, Mølholm Private Hospital, Vejle, Denmark.
Abstract
BACKGROUND: Weight loss after bariatric surgery is shown to reduce knee and hip pain in the majority of the severely obese. Studies indicate that with a reduction in musculoskeletal symptoms, quality of life (QoL) will improve. The group of severely obese with knee and hip symptoms might therefore have potential for a large improvement in QoL after a bariatric surgery. This study aimed therefore to assess the association between the degree of knee and hip symptoms before a laparoscopic Roux-en-Y gastric bypass (LRYGB) and the improvement of QoL, 1 year after the surgery, in severely obese. METHODS: This study is a historical cohort study based on data collected consecutively at the private hospital Mølholm, Denmark. Before LRYGB surgery, 4548 severely obese completed a questionnaire on knee and hip symptoms of obesity and QoL. One year after surgery, 2862 (62.9 %) of the participants answered the same questionnaire again. RESULTS: Participants with moderate or severe knee or hip symptoms, before the surgery, experienced a statistically significantly larger improvement of their QoL, compared to participants without symptoms before the surgery. Furthermore, an association between the reduction of knee and hip symptoms and the improvement in QoL was found. CONCLUSIONS: Severely obese with moderate or severe preoperative knee and hip symptoms experienced a larger improvement of their QoL after a LRYGB compared to participants without symptoms before the operation.
BACKGROUND:Weight loss after bariatric surgery is shown to reduce knee and hip pain in the majority of the severely obese. Studies indicate that with a reduction in musculoskeletal symptoms, quality of life (QoL) will improve. The group of severely obese with knee and hip symptoms might therefore have potential for a large improvement in QoL after a bariatric surgery. This study aimed therefore to assess the association between the degree of knee and hip symptoms before a laparoscopic Roux-en-Y gastric bypass (LRYGB) and the improvement of QoL, 1 year after the surgery, in severely obese. METHODS: This study is a historical cohort study based on data collected consecutively at the private hospital Mølholm, Denmark. Before LRYGB surgery, 4548 severely obese completed a questionnaire on knee and hip symptoms of obesity and QoL. One year after surgery, 2862 (62.9 %) of the participants answered the same questionnaire again. RESULTS:Participants with moderate or severe knee or hip symptoms, before the surgery, experienced a statistically significantly larger improvement of their QoL, compared to participants without symptoms before the surgery. Furthermore, an association between the reduction of knee and hip symptoms and the improvement in QoL was found. CONCLUSIONS: Severely obese with moderate or severe preoperative knee and hip symptoms experienced a larger improvement of their QoL after a LRYGB compared to participants without symptoms before the operation.
Entities:
Keywords:
Laparoscopic Roux-en-Y gastric bypass; Musculoskeletal symptoms; Obesity; Quality of life
Authors: John Roger Andersen; Anny Aasprang; Per Bergsholm; Nils Sletteskog; Villy Våge; Gerd Karin Natvig Journal: Surg Obes Relat Dis Date: 2008-12-14 Impact factor: 4.734
Authors: Daphne P Guh; Wei Zhang; Nick Bansback; Zubin Amarsi; C Laird Birmingham; Aslam H Anis Journal: BMC Public Health Date: 2009-03-25 Impact factor: 3.295