Health and health-related quality of life: differences between men and women who seek gastric bypass surgery

Ronette L. Kolotkin, Ross D. Crosby, Richard E. Gress, Steven Hunt, Scott G. Engel, Ted D. Adams

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Background: The aim of this study was to examine the differences between male and female bariatric surgery candidates with respect to health-related quality of life (HRQOL), health, sociodemographic variables, and interactions among these variables in a bariatric surgery practice in the United States. Women seek bariatric surgery 5 times more often than men. Research on gender differences in HRQOL is limited, and the results are conflicting. Methods: A total of 794 surgery candidates (mean age 42.2 y; body mass index 46.9 kg/m2; 84.8% women) completed both a weight-related (Impact of Weight on Quality of Life-Lite questionnaire) and a generic (Medical Outcomes Study Short-Form-36) measure of HRQOL. Health was evaluated by questionnaire and clinical interviews. Results: Compared to men, women reported reduced HRQOL on 3 of the 5 scales assessing obesity-specific HRQOL and also the physical aspects of general HRQOL. Women also had double the rate of depression (48.5% versus 22.5%), and men had double the rate of sleep apnea (80.3% versus 40.2%). Women were younger, less obese, and were less likely to be married. No gender differences were found in the association between HRQOL and co-morbidities. However, an increasing number of co-morbidities was associated with decreasing physical and mental HRQOL. Additionally, depression was associated with decreased mental HRQOL, and coronary heart disease was associated with decreased physical HRQOL. Conclusion: Women's reduced HRQOL, particularly in self-esteem, sexual life, and physical functioning, and their greater rates of depression, might play a role in their decision to seek bariatric surgery. Although we could not determine causality, this study is a first step toward understanding why women seek surgery 5 times more often than men.

Original languageEnglish
Pages (from-to)651-658
Number of pages8
JournalSurgery for Obesity and Related Diseases
Volume4
Issue number5
DOIs
Publication statusPublished - Sep 2008
Externally publishedYes

Fingerprint

Gastric Bypass
Quality of Life
Health
Bariatric Surgery
Depression
Mental Health
Morbidity
Weights and Measures
Sleep Apnea Syndromes
Women's Health
Self Concept
Causality
Coronary Disease
Body Mass Index
Obesity
Outcome Assessment (Health Care)

Keywords

  • Co-morbid conditions
  • Gastric bypass surgery
  • Gender
  • Health-related quality of life

ASJC Scopus subject areas

  • Surgery

Cite this

Health and health-related quality of life : differences between men and women who seek gastric bypass surgery. / Kolotkin, Ronette L.; Crosby, Ross D.; Gress, Richard E.; Hunt, Steven; Engel, Scott G.; Adams, Ted D.

In: Surgery for Obesity and Related Diseases, Vol. 4, No. 5, 09.2008, p. 651-658.

Research output: Contribution to journalArticle

Kolotkin, Ronette L. ; Crosby, Ross D. ; Gress, Richard E. ; Hunt, Steven ; Engel, Scott G. ; Adams, Ted D. / Health and health-related quality of life : differences between men and women who seek gastric bypass surgery. In: Surgery for Obesity and Related Diseases. 2008 ; Vol. 4, No. 5. pp. 651-658.
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abstract = "Background: The aim of this study was to examine the differences between male and female bariatric surgery candidates with respect to health-related quality of life (HRQOL), health, sociodemographic variables, and interactions among these variables in a bariatric surgery practice in the United States. Women seek bariatric surgery 5 times more often than men. Research on gender differences in HRQOL is limited, and the results are conflicting. Methods: A total of 794 surgery candidates (mean age 42.2 y; body mass index 46.9 kg/m2; 84.8{\%} women) completed both a weight-related (Impact of Weight on Quality of Life-Lite questionnaire) and a generic (Medical Outcomes Study Short-Form-36) measure of HRQOL. Health was evaluated by questionnaire and clinical interviews. Results: Compared to men, women reported reduced HRQOL on 3 of the 5 scales assessing obesity-specific HRQOL and also the physical aspects of general HRQOL. Women also had double the rate of depression (48.5{\%} versus 22.5{\%}), and men had double the rate of sleep apnea (80.3{\%} versus 40.2{\%}). Women were younger, less obese, and were less likely to be married. No gender differences were found in the association between HRQOL and co-morbidities. However, an increasing number of co-morbidities was associated with decreasing physical and mental HRQOL. Additionally, depression was associated with decreased mental HRQOL, and coronary heart disease was associated with decreased physical HRQOL. Conclusion: Women's reduced HRQOL, particularly in self-esteem, sexual life, and physical functioning, and their greater rates of depression, might play a role in their decision to seek bariatric surgery. Although we could not determine causality, this study is a first step toward understanding why women seek surgery 5 times more often than men.",
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