The purpose of this study is to assess the impact of sarcopenic obesity (SO) on weight loss outcomes and improvement of quality of life after laparoscopic sleeve gastrectomy.
Sarcopenic obesity is a state in which a lack of muscle mass and strength coexists with an increase in fat mass, and it may affect the health outcome of people with obesity after laparoscopic sleeve gastrectomy (LSG).No studies have reported differences in weight loss outcomes between patients with SO and those with non-sarcopenic obesity (NSO) after LSG. Therefore, this study aimed to systematically evaluate the differences in weight loss and quality of life (QOL) evaluation between patients with SO and NSO after LSG and provide high-level evidence-based medical evidence for the impact of SO on weight loss in the obese population and refinement of follow-up strategies.
Study Type
OBSERVATIONAL
Enrollment
245
Laparoscopic sleeve gastrectomy was performed in all patients with or without SO.
Chang-ming Huang
Fuzhou, Fujian, China
%EWL
Percentage excess weight loss is calculated as (initial weight - 6-month weight)/(initial weight - ideal weight) × 100%.
Time frame: 6 month after surgery
%EWL
Percentage excess weight loss is calculated as (initial weight - 1-month weight)/(initial weight - ideal weight) × 100%.
Time frame: 1 month after surgery
%EWL
Percentage excess weight loss is calculated as (initial weight - 3-month weight)/(initial weight - ideal weight) × 100%.
Time frame: 3 month after surgery
%EWL
Percentage excess weight loss is calculated as (initial weight - 9-month weight)/(initial weight - ideal weight) × 100%.
Time frame: 9 month after surgery
%EWL
Percentage excess weight loss is calculated as (initial weight - 12-month weight)/(initial weight - ideal weight) × 100%.
Time frame: 12 month after surgery
%TWL
Percentage total weight loss is calculated as (initial weight - 6-month weight)/(initial weight) × 100%
Time frame: 6 month after surgery
%TWL
Percentage total weight loss is calculated as (initial weight - 12-month weight)/(initial weight) × 100%
Time frame: 12 month after surgery
EBMI
Excess BMI is calculated as(follow-up BMI - ideal BMI)
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Time frame: 6 month after surgery
%WL
Percentage weight loss is calculated as (follow-up weight/initial weight) × 100%
Time frame: 6 month after surgery
MA II score
Moorhead-Ardelt QOL questionnaire is a six-item self-report questionnaire that assesses the patient's subjective impression of QOL,The total score ranges from -3 to +3 and defines five outcome groups: very poor, poor, fair, good, and very good. Good and very good outcomes were considered satisfactory.
Time frame: 6 month after surgery
BAROS score
The Bariatric Analysis and Reporting Outcome System(BAROS)combines the Moorhead-Ardelt QOL questionnaire with other data relevant to bariatric surgery, including the %EWL, improvement in comorbid conditions, and complications.A BAROS score ≤1 was considered a failure; \>1-3, fair; \>3-5, good; \>5-7, very good; and \>7, excellent.
Time frame: 6 month after surgery