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Is weight regain after bariatric surgery associated with psychiatric comorbidity? A systematic review and meta-analysis.
Mauro, Maria Francisca F P; Papelbaum, Marcelo; Brasil, Marco Antônio Alves; Carneiro, João Regis Ivar; Coutinho, Evandro Silva Freire; Coutinho, Walmir; Appolinario, José Carlos.
Afiliação
  • Mauro MFFP; Obesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Papelbaum M; Obesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Brasil MAA; Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Carneiro JRI; Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Coutinho ESF; Department of Epidemiology, Oswaldo Cruz Foundation, Fiocruz, Rio de Janeiro, Brazil.
  • Coutinho W; Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Appolinario JC; Obesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Obes Rev ; 20(10): 1413-1425, 2019 10.
Article em En | MEDLINE | ID: mdl-31322316
Bariatric surgery has been recognized as the gold standard treatment for severe obesity. Although postbariatric surgery patients usually achieve and maintain substantial weight loss, a group of individuals may exhibit weight regain. Several factors are proposed to weight regain, including psychiatric comorbidity. The objective of the study is to conduct a systematic review and meta-analysis of studies investigating the relationship between psychiatric comorbidity and weight regain. A systematic review through PubMed, Web of Science, Cochrane Library, Scopus, and PsycINFO was performed, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). After a stepwise selection, 13 articles were included in the qualitative analysis and 5 were included for a meta-analysis. Women was majority in most of the studies (87.6%), and a bypass procedure was the bariatric intervention most evaluated (66.8%), followed by gastric banding (32.1%) and sleeve (1.1%). Higher rates of postbariatric surgery eating psychopathology were reported in patients with weight regain. However, the association between general psychopathology and weight regain was not consistent across the studies. In the meta-analysis, the odds of eating psychopathology in the weight regain group was higher compared with the nonweight regain group (OR = 2.2, 95% CI 1.54-3.15). Postbariatric surgery eating psychopathology seems to play an important role in weight regain.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Aumento de Peso / Cirurgia Bariátrica / Transtornos Mentais / Obesidade Tipo de estudo: Diagnostic_studies / Qualitative_research / Risk_factors_studies / Systematic_reviews Limite: Humans Idioma: En Revista: Obes Rev Assunto da revista: METABOLISMO Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Aumento de Peso / Cirurgia Bariátrica / Transtornos Mentais / Obesidade Tipo de estudo: Diagnostic_studies / Qualitative_research / Risk_factors_studies / Systematic_reviews Limite: Humans Idioma: En Revista: Obes Rev Assunto da revista: METABOLISMO Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido