[Quality of life of patients subjected to gastric bypass more than one year ago: influence of socioeconomic status].
BACKGROUND
The study of the effects of bariatric surgery on quality of life in patients of different socioeconomic levels (SEL) is worthwhile.


OBJECTIVE
To study quality of life (QoL), eating behavior, depressive symptoms and sexuality in patients subjected to a gastric bypass (GBP) more than 1 year before.


METHODS
The sample was composed of 33 GPB patients (19 high SEL and 14 low SEL), and 27 non-operated women (18 high SEL and 9 low SEL) of similar weight and age, as controls. Assessment included medical history anthropometry radiological densitometry. Eating behavior was assessed using the three factor eating questionnaire, quality of life using SF-36 and the Bariatric Analysis of Reporting Outcome System (BAROS) depressive symptoms were assessed using the Beck scale version II and sexual behavior using the female sexual function index (FSFI).


RESULTS
QoL was lower in operated patients from low SEL, especially when compared to high SEL control women. Operated patients had a predominantly restrictive pattern of eating behavior Eating behavior disorders were detected in 5 of 33 operated patients versus 4 of 27 controls (p =ns). Sexual function was absent or dysfunctional in 22 operated versus 8 controls (p =0,02). No significant differences were observed for depressive symptoms, between operated patients and controls.


CONCLUSIONS
In the long term, QoL of bariatric patients, especially those from low SEL, is inferior to control women and Chilean general population. Operated patients have restrictive eating patterns and lower sexual satisfaction indexes. Frequency of depressive symptoms was high both in bariatric and control women.
Leiva
María José
MJ
Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile, Santiago, Chile.
Fuentealba
Claudio
C
Boggiano
Carolina
C
Gattás
Vivien
V
Barrera
Gladys
G
Leiva
Laura
L
Bunout
Daniel
D
Hirsch
Sandra
S
de la Maza
M Pía
MP
D016022:Case-Control Studies; D003863:Depression / Q000523:psychology; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D015390:Gastric Bypass / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000523:psychology / Q000601:surgery*; D011788:Quality of Life / Q000523:psychology*; D012725:Sexual Behavior / Q000523:psychology; D012923:Social Class; D012959:Socioeconomic Factors