Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Jumbe, S.; Bartlett, C.; Jumbe, S.; Meyrick, J. (2016)
Publisher: Elsevier
Languages: English
Types: Article

Classified by OpenAIRE into

mesheuropmc: humanities
Summary\ud \ud Background\ud \ud Little is known about the psychological effects of bariatric surgery. This review aimed to assess long term effectiveness of bariatric surgery on psychosocial quality of life (QoL) of obese adults compared to non-surgical interventions.\ud \ud Methods\ud \ud A systematic review of the literature was conducted, six electronic databases, plus other relevant sources were searched from inception to January 2014. The main outcome sought was a QoL measure with a minimum 12 months follow-up. Three reviewers screened records, extracted data and independently read through full articles for eligibility and quality using standardised forms. Findings were analysed using narrative synthesis.\ud \ud Results\ud \ud Of 4383 identified references included in the review, 11 studies showed bariatric surgery to be effective long term for overall QoL than non-surgical treatments with specifically modest benefits psychosocially. Significant improvements in psychosocial QoL alongside improved physical QoL were observed after 2 year follow-up post-surgery compared to non-surgical interventions. However improvements in psychosocial QoL after surgery at 10 year follow up were minimal when compared to non-surgical interventions. When compared to untreated control groups, long term psychosocial QoL did not improve after bariatric surgery despite major improvements in physical QoL, significant weight loss and co-morbidities.\ud \ud Conclusions\ud \ud Results on long term psychosocial QoL remain uncertain with some suggestion of psychological disorder persisting. This highlights need for psychological intervention post-surgery and further research to provide more data on long-term psychosocial QoL following bariatric surgery.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. The NHS Information Centre. Health Survey for England - 2008, physical activity and fitness; vol. 2 - methods and documentation. https://catalogue.ic.nhs.uk/publications/public-health/surveys/heal-surv-phys-acti-fitneng-2008/heal-surv-phys-acti-fitn-eng-2008-rep-v3.pdf (accessed on 31.12.13).
    • 2. Sutton R. Adult anthropometric measures, overweight and obesity. The Health and Social Care Information Centre; 2011. Retrieved from https://catalogue.ic.nhs.uk/publications/public-health/surveys/heal-surv-eng2011/HSE2011-Ch10-Adult-obesity.pdf
    • 3. Ogden CL, Yanovski SZ, Carroll MD, Flegal KM. The epidemiology of obesity. Gastroenterology, 2007; 132(6):2087-102.
    • 4. Salome CM, King GG & Berend N. Physiology of obesity and effects on lung function. Journal of Applied Physiology, 2010; 108:206-11.
    • 5. Whiteman DC, Sadeghi S, Pandeya N, Smithers BM, Gotley DC, Bain CJ,et al. Combined effects of obesity, acid reflux and smoking on the risk of adenocarcinomas of the oesophagus. Gut, 2008; 57(2):173-80
    • 6. Griffiths LJ, Parsons TJ, Hill AJ. Self-esteem and quality of life in obese children and adolescents: a systematic review. International Journal of Pediatric Obesity, 2010; 5(4):282-304.
    • 7. Wang F, Wild TC, Kipp W, Kuhle S, Veugelers PJ. The influence of childhood obesity on the development of self-esteem. Statistics Canada, Health Reports, 2009; 20(2):21-7. http://www.statcan.gc.ca/pub/82-003-x/82-003-x2009002-eng.pdf (Accessed on 27 Jan 2014)
    • 8. Puhl RM & Heuer CA. Obesity Stigma: Important Considerations for Public Health. American Journal of Public Health, 2010; 100(6):1019-1028. doi: 10.2105/AJPH.2009.159491. PMCID: PMC2866597
    • 9. Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Annals of Internal Medicine, 2005; 142(7):547-59.
    • 10. Dombrowski SU, Knittle K, Avenell A, Araújo-Soares V & Sniehotta FF. Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review and meta-analyses of randomised controlled trials. British Medical Journal, 2014; 348:g2646. doi: 10.1136/bmj.g2646.
    • 11. NICE Guidelines (CG189) - Obesity: identification, assessment and management of overweight and obesity in children, young people and adults, Nov 2014 http://www.nice.org.uk/guidance/cg189/evidence/cg189-obesity-update-full-guideline2
    • 12. Shaffer EA. Bariatric Surgery: A Promising Solution for Nonalcoholic Steatohepatitis in the Very Obese. Journal of Clinical Gastroenterology, 2006; 40: S44-S50. DOI: 10.1097/01.mcg.0000168649.79034.2e
    • 13. HSCIC Finished Consultant Episodes for bariatric surgery 2002-03 to 2012-13 http://www.hscic.gov.uk/article/2021/WebsiteSearch?q=Finished+Consultant+Episodes+for+bariatric+surgery&go=Go&area=both
    • 14. Statistics on Obesity, Physical Activity and Diet - England, 2015 [NS] Publication date: March 03, 2015 http://www.hscic.gov.uk/catalogue/PUB16988/obes-phys-acti-diet-eng-2015.pdf
    • 15. Buchwald H & Oien DM. Metabolic/Bariatric Surgery Worldwide 2011, Obesity Surgery, 2013;23(4): 427-436. DOI: 10.1007/s11695-012-0864-0
    • 16. Robinson MK. Editorial: Surgical treatment of obesity - weighing the facts. New England Journal of Medicine 2009; 361(5):520-21. doi:10.1056/NEJMe0904837.PMID 19641209.
    • 17. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric Surgery: A Systematic Review and Meta-analysis. JAMA. 2004; 292(14):1724-1737. doi:10.1001/jama.292.14.1724.
    • 18. Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database of Systematic Reviews 2014; Issue 8. Art. No.: CD003641. DOI: 10.1002/14651858.CD003641.pub4.
    • 19. Picot J, Jones J, Colquitt JL, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technology Assessment, 2009; 13(41):1-190, 215-357, iii-iv. doi: 10.3310/hta13410.
    • 20. Engel GL. The need for a new medical model: a challenge for biomedicine. Science 1977; 196(4286): 129-36.
    • 21. Nouri FM, Lincoln NB. An extended Activities of Daily Living scale for stroke patients. Clinical Rehabilitation 1987; 1: 301-05.
    • 22. McDowell I, Newell c. Measuring Health: A guide to Rating Scales and Questionnaires. Oxford: Oxford University Press, 1987.
    • 23. Bowling A. Measuring Health. A Review of Quality of Life Measurement Scales (2nd edition). Buckingham: Open University Press, 1997.
    • 24. Roberts R, Towell T, Golding J. Foundations of Health Psychology. Houndsmill, Basingstoke: Palgrave, 2001.
    • 25. Westcott H, Cross M. This Far and No Further: Towards Ending the Abuse of Disabled Children. Birmingham: Venture Press, 1996.
    • 26. Muldoon MF, Barger SD, Flory JD, Manuck SB. What are quality of life measurements measuring? BMJ 1998; 316(7130): 542-45
    • 27. Whitehouse CR. The teaching of communication skills in United Kingdom medical schools. Med Educ 1991; 25(4): 311-18.
    • 28. Llewelyn SP. Caring: the cost to nurses and relatives. In: Broome A, editor. Health Psychology: Processess and Applications. London: Chapman Hall, 1989.
    • 29. Mitchell JE, King WC, Courcoulas A, et al. Eating behavior and eating disorders in adults before bariatric surgery. International Journal of Eating Disorder, 2015; 48:215-222. doi: 10.1002/eat.22275
    • 30. Lier H Ø, Biringer E, Stubhaug B & Tangen T. Prevalence of psychiatric disorders before and 1 year after bariatric surgery: The role of shame in maintenance of psychiatric disorders in patients undergoing bariatric surgery. Nordic Journal of Psychiatry, 2013;67:89-96.
    • 31. Butland B, Jebb S, Kopelman P, et al. Tackling obesities: future choices - project report (2nd Ed). London: Foresight Programme of the Government Office for Science; 2007. Retrieved from www.bis.gov.uk/assets/bispartners/foresight/docs/obesity/17.pdf
    • 32. Markowitz S, Friedman MA, Arent SM. Understanding the relation between obesity and depression: Causal mechanisms and implications for treatment. Clinical Psychology: Science and Practice 2008; 15(1):1-20.
    • 33. Napolitano MA, Foster GD. Depression and obesity: Implications for assessment, treatment, and research. Clinical Psychology: Science and Practice 2008;15(1):21-27.
    • 34. Incledon E, Wake M, Hay M. Psychological predictors of adiposity: systematic review of longitudinal studies. International Journal of Pediatric Obesity. 2011 Jun;6(2-2):e1-11. doi: 10.3109/17477166.2010.549491. Epub 2011 Jan 19.
    • 35. Collins JC, Bentz JE. Behavioral and Psychological Factors in Obesity. The Journal of Lancaster General Hospital, 2009; 4(4):124-7.
    • 36. Byrne SM, Cooper Z & Fairburn CG. Psychological Predictors of Weight Regain in Obesity. Behaviour Research and Therapy, 2004; 42(11):1341-56.
    • 37. National Institute for Health and Care Excellence. Bariatric surgical service for the treatment of people with severe obesity - Commissioning Guidance, London: National Institute for Health and Care Excellence; 2007.
    • 38. NHS Choices. Weight loss surgery - Life after surgery. http://www.nhs.uk/Conditions/weight-loss-surgery/Pages/Recommendations.aspx. (Accessed 12 Feb 2014)
    • 39. Karlsson J, Taft C, Ryden A, Sjostrom L, Sullivan M. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS Intervention study. International Journal of Obesity, 2007; 31:1248-61.
    • 40. Heddens CJ & Vonnahme C. A Journey Through Massive Weight Loss, Bariatric Nursing and Surgical Patient Care, 2006; 1.1: 31-38
    • 41. Birch A, Ogden J, Wood K. 'The wrong journey': patients' experience of plastic surgery post weight loss surgery. Qualitative Research in Sport, Exercise and Health. 2015; 7(2)
    • 42. Andersen Andersen JR, Aasprang A, Karlsen T, et al Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies. Surgery for Obesity and Related Diseases, 2015; 11(2): 466-473
    • 43. Hollywood A, Ogden J, Pring C. The impact of a bariatric rehabilitation service on weight loss and psychological adjustment - study protocol. BMC Public Health, 2012; 12(275). doi:10.1186/1471-2458-12-275
    • 44. Padwal RS, Majumdar SR, Klarenbach S, et al. The Alberta population-based prospective evaluation of the quality of life outcomes and economic impact of bariatric surgery (APPLES) study: background, design and rationale. BMC Health Services Research, 2004; 10:284. doi: 10.1186/1472-6963-10-284
    • 45. Thomas BH, Ciliska D, Dobbins M, Micucci S. A process for systematically reviewing the literature: Providing the research evidence for public health nursing interventions. Worldviews on Evidence-Based Nursing, 2004; 1(3):176-84.
    • 46. Armijo-Olivo S, Stiles CR, Hagen NA, Biondo PD, Cummings GG. Assessment of study quality for systematic reviews: a comparison of the Cochrane Collaboration Risk of Bias Tool and the Effective Public Health Practice Project Quality Assessment Tool: methodological research. J Eval Clin Pract. 2012; 18(1): 12-18. doi: 10.1111/j.1365- 2753.2010.01516.x
    • 48. Haynes RB, Ackloo E, Sahota N, McDonald HP, Yao X. Interventions for enhancing medication adherence. Cochrane Database of Systematic Reviews 2008, Issue 2. doi/10.1002/14651858.CD000011.
    • 49. Kontopantelis E, Springate DA, Reeves D. A Re-Analysis of the Cochrane Library Data: The Dangers of Unobserved Heterogeneity in Meta- Analyses. PLoS ONE. 2013; 8(7): e69930. doi:10.1371/journal.pone.0069930
    • 50. Petticrew M & Roberts H. Synthesizing the Evidence, in Systematic Reviews in the Social Sciences: A Practical Guide. Blackwell Publishing Ltd, Oxford, UK. 2006. doi: 10.1002/9780470754887.ch6
    • 52. Halperin F, Ding S, Simonson et al. Roux-en-Y Gastric Bypass Surgery or Lifestyle With Intensive Medical Management in Patients With Type 2 Diabetes: Feasibility and 1-Year Results of a Randomized Clinical Trial. JAMA Surg. 2014; 149(7): 716-726. doi: 10.1001/jamasurg.2014.514
    • 53. Batsis JA, Lopez-Jimenez F, Collazo-Clavell ML, Clark MM, Somers VK, Sarr MG. Quality of life after bariatric surgery: a population-based cohort study. American Journal of Medicine, 2009; 122(11):1055.e1-1055.e10. doi: 10.1016/j.amjmed.2009.05.024.
    • 54. Buddeberg-Fischer B, Klaghofer R, Krug L, et al. Physical and psychosocial outcome in morbidly obese patients with and without bariatric surgery: a 4 1/2-year follow-up. Obesity Surgery, 2006; 16(3):321-30.
    • 55. Canetti L, Berry EM, Elizur Y. Psychosocial predictors of weight loss and psychological adjustment following bariatric surgery and a weight-loss program: the mediating role of emotional eating. International Journal of Eating Disorders, 2009; 42(2):109-17. doi: 10.1002/eat.20592.
    • 56. Nickel C, Widermann C, Harms D, et al. Patients with extreme obesity: change in mental symptoms three years after gastric banding. International Journal of Psychiatry Medicine, 2005; 35(2):109-22.
    • 57. Kolotkin RL, Crosby RD, Gress RE, Hunt SC & Adams TD. Two-year changes in healthrelated quality of life in gastric bypass patients compared with severely obese controls. Surgery for Obesity and Related Diseases, 2009; 5(2):250-56. doi: 10.1016/j.soard.2009.01.009.
    • 58. Adams TD, Pendleton RC, Strong MB, et al. Health outcomes of gastric bypass patients compared to nonsurgical, non-intervened severely obese. Obesity (Silver Spring), 2010; 18(1):121-30. doi: 10.1038/oby.2009.178.
    • 60. Kolotkin RL, Davidson LE, Crosby RD, Hunt SC, Adams TD. Six-year changes in healthrelated quality of life in gastric bypass patients versus obese comparison groups. Surgery for Obesity and Related Diseases 2012; 8(5):625-33. doi: 10.1016/j.soard.2012.01.011.
    • 61. Hell E, Miller KA, Moorehead MK & Samuels N. Evaluation of Health Status and Quality of Life after Bariatric Surgery: Comparison of Standard Roux-en-Y Gastric Bypass, Vertical Banded Gastroplasty and Laparoscopic Adjustable Silicone Gastric Banding. Obesity Surgery, 2000; 10(3): 214-219
    • 62. Romy S, Donadini A, Giusti V & Suter M. Roux-en-Y Gastric Bypass vs Gastric Banding for Morbid Obesity A Case-Matched Study of 442 Patients, Arch Surg. 2012; 147(5):460-466. doi:10.1001/archsurg.2011.1708.
    • 63. Kalfarentzos F, Skroubis G, Kehagias I, Mead N & Vagenas K. A prospective comparison of vertical banded gastroplasty and Roux-en-Y gastric bypass in a non-superobese population. Obesity Surgery, 2006; 16(2):151-158
    • 64. Nguyen NT, Slone JA, Nguyen XT et al. A Prospective Randomized Trial of Laparoscopic Gastric Bypass Versus Laparoscopic Adjustable Gastric Banding for the Treatment of Morbid Obesity: Outcomes, Quality of Life, and Costs. Annals of Surgery, 2009; 250(4): 631-641. doi: 10.1097/SLA.0b013e3181b92480
    • 65. Bowne WB, Julliard K, Castro AE et al. Laparoscopic gastric bypass is superior to adjustable gastric band in super morbidly obese patients: A prospective, comparative analysis. Arch Surg. 2006; 141(7):683-9
    • 66. Glinski J, Wetzler S, Goodman E. The psychology of gastric bypass surgery. Obesity Surgery, 2001; 11:581-588.
    • 69. Schalock, RL. The Concept of Quality of Life: What We Know and Do Not Know. Journal of Intellectual Disability Research, 2004; 48(3):203-16
    • 70. Moons P, Budts W, De Geest S. Critique on the conceptualisation of quality of life: a review and evaluation of different conceptual approaches. International Journal of Nursing Studies, 2006; 43(7):891-901
    • 71. Simon SD. Is the randomized clinical trial the gold standard of research? Journal of Andrology, 2001; 22(6): 938-43
    • 72. Kubik JF, Gill RS, Laffin M, Karmali S. The Impact of Bariatric Surgery on Psychological Health. Journal of Obesity, 2013; doi: 10.1155/2013/837989
    • 73. Van Hout GCM, Verschure SK, van Heck GL. Psychological predictors of success following bariatric surgery. Obesity Surgery, 2005; 15(4): 552-60.
    • 74. Tindle HA, Omalu B, Courcoulas A, et al. Risk of suicide after long-term follow-up from bariatric surgery. The American Journal of Medicine. 2010;123(11):1036-42. doi: 10.1016/j.amjmed.2010.06.016.
    • 75. Peterhansel C, Petroff D, Klinitzke G, Kersting A, Wagner B. Risk of completed suicide after bariatric surgery: a systematic review. Obesity Reviews 2013; 14(5): 369-382
    • 76. Adams TD, Gress RE, Smith SC, et al. Long-Term Mortality after Gastric Bypass Surgery. The New England Journal of Medicine2007; 357 : 753-761. DOI: 10.1056/NEJMoa066603
    • 77. Bailey L, Vardulaki K, Langham J, Chandramohan D. Introduction to Epidemiology, Open University Press in collaboration with LSHTM, London; 2005.
    • 78. Impellizzeri FM, Bizzini M. Systematic review and meta-analysis: a primer. International Journal of Sports Physical Therapy, 2012; 7(5):493-503.
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article