Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss

Mariana S. Melendez-Araújo, Ariene Silva do Carmo, Flávio Teixeira Vieira, Fernando Lamarca, Eduardo Yoshio Nakano, Ricardo M. Lima, Eliane Said Dutra and Kênia Mara Baiocchi de Carvalho ()
Additional contact information
Mariana S. Melendez-Araújo: Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil
Ariene Silva do Carmo: Ministry of Health, Rio de Janeiro 70068-900, Brazil
Flávio Teixeira Vieira: Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil
Fernando Lamarca: Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil
Eduardo Yoshio Nakano: Department of Statistics, University of Brasilia, Brasília 70910-900, Brazil
Ricardo M. Lima: Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil
Eliane Said Dutra: Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil
Kênia Mara Baiocchi de Carvalho: Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil

IJERPH, 2023, vol. 20, issue 15, 1-12

Abstract: Lifestyle and health-related quality of life (HRQoL) are good markers of surgical obesity treatment. This study aimed to investigate the lifestyle and HRQoL of patients at least five years after Roux-en-Y gastric bypass in public (SUS) and private (PVT) Brazilian healthcare systems. In this cross-sectional study, weight loss (WL), % of excess WL (%EWL), diet quality, physical activity, alcohol consumption, and HRQoL were evaluated. Analysis of covariance, binary and multinomial logistic regression, adjusted for confounders, were performed. The SUS group had more vulnerable socioeconomic statuses than the PVT group. Total %WL and % EWL were 24.64 ± 0.99% and 60.46 ± 2.41%, respectively, without difference between groups. In the Pain/Discomfort and Anxiety/Depression domains of HRQoL, more than 50% reported moderate problems without differences between groups. Processed food ingestion was higher in the PVT (132.10 ± 60.15 g/1000 kcal) than in the SUS (103.43 ± 41.72 g/1000 kcal), however, without statistical significance ( p = 0.093). The PVT group showed lower physical activity (OR: 0.23; 95%CI: 0.87–0.63; p = 0.004) and a higher risk of alcohol-related problems (OR: 3.23; 95%CI; 1.03–10.10; p = 0.044) compared to SUS group. Participants generally achieved satisfactory WL, regardless of healthcare systems. However, PVT participants had unfavorable lifestyle characteristics, highlighting the need for studies investigating environmental issues post-bariatric surgery.

Keywords: treatment outcome; public health; bariatric surgery; long-term care; quality of life; lifestyle habits (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/20/15/6494/pdf (application/pdf)
https://www.mdpi.com/1660-4601/20/15/6494/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:20:y:2023:i:15:p:6494-:d:1208349

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().