title: The impact of obesity surgery on musculoskeletal disease.
abstract: Obesity is an important modifiable risk factor for musculoskeletal disease. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-compliant systematic review of bariatric surgery on musculoskeletal disease symptoms was performed. One thousand nineteen papers were identified, of which 43 were eligible for data synthesis. There were 79 results across 24 studies pertaining to physical capacity, of which 53 (67 %) demonstrated statistically significant post-operative improvement. There were 75 results across 33 studies pertaining to musculoskeletal pain, of which 42 (56 %) demonstrated a statistically significant post-operative improvement. There were 13 results across 6 studies pertaining to arthritis, of which 5 (38 %) demonstrated a statistically significant post-operative improvement. Bariatric surgery significantly improved musculoskeletal disease symptoms in 39 of the 43 studies. These changes were evident in a follow-up of 1 month to 10 years.
authors.affiliation: Imperial Weight Centre, St Mary's Hospital London, Imperial College NHS Healthcare Trust, London, W2 1NY, UK.
authors.forename: Ussamah
authors.initials: U
authors.lastname: El-Khani
authors.forename: Ahmed
authors.initials: A
authors.lastname: Ahmed
authors.forename: Sherif
authors.initials: S
authors.lastname: Hakky
authors.forename: Jean
authors.initials: J
authors.lastname: Nehme
authors.forename: Jonathan
authors.initials: J
authors.lastname: Cousins
authors.forename: Harvinder
authors.initials: H
authors.lastname: Chahal
authors.forename: Sanjay
authors.initials: S
authors.lastname: Purkayastha
mesh_terms: D050110:Bariatric Surgery; D006801:Humans; D009140:Musculoskeletal Diseases / Q000150:complications* / Q000517:prevention & control; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery