Article1 min read·Published Dec 2014Older

Severe obesity and comorbid condition impact on the weight-related quality of life of the adolescent patient

Part of Adolescent Bariatric Surgery 39 items

pubmed.ncbi.nlm.nih.gov

Michael Helmrath

Objectives: To assess links between comorbid health status, severe excess weight, and weight-related quality of life (WRQOL) in adolescents with severe obesity and undergoing weight-loss surgery (WLS) to inform clinical care. Study Design: Baseline (preoperative) data from Teen Longitudinal Assessment of Bariatric Surgery, a prospective multicenter observational study of 242 adolescents with severe obesity (MedianBMI = 50.5 kg/m(2); Meanage = 17.1; 75.6% female; 71.9% white) undergoing WLS, were used to examine the impact of demographics, body mass index (BMI), presence/absence of 16 comorbid conditions, and a cumulative comorbidity load (CLoad) index on WRQOL scores (Impact of Weight on Quality of Life-Kids). Results: WRQOL was significantly lower than reference samples of healthy weight, overweight, and obese samples. Of 16 comorbid conditions, the most prevalent were dyslipidemia (74.4%), chronic pain (58.3%), and obstructive sleep apnea (56.6%). Male subjects had a greater CLoad (P = .01) and BMI (P = .01), yet less impairment in total WRQOL (P < .01) than females. CLoad was a significant predictor of male WRQOL. For females, psychosocial (vs physical) comorbidities, BMI, and white race were significant predictors of WRQOL impairment. Less prevalent conditions (eg, stress urinary incontinence) also emerged as contributors to lower WRQOL. Conclusions: WRQOL impairment is substantial for adolescents with severe obesity undergoing WLS, with predictors varying by sex. These p

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Article · Dec 2014 · 1 min read

In brief

This Teen-LABS cohort study examines how severe obesity and associated comorbidities impact weight-related quality of life in 242 adolescents undergoing bariatric surgery. Findings reveal substantial quality-of-life impairment with sex-specific predictors: males showed greater comorbidity burden while females experienced more psychosocial impact.

Written by the GCMD Library team from the article.

Michael Helmrath

Statements in this article

The study cohort had a median BMI of 50.5 kg/m² and mean age of 17.1 years, with 75.6% female and 71.9% white participants.
ResearchStudy Design
Weight-related quality of life in adolescents with severe obesity undergoing weight-loss surgery was significantly lower than reference samples of healthy weight, overweight, and obese populations.
ResearchResults
The most prevalent comorbid conditions were dyslipidemia (74.4%), chronic pain (58.3%), and obstructive sleep apnea (56.6%).
ResearchResults
Male adolescents had greater cumulative comorbidity load and higher BMI than females, yet reported less impairment in total weight-related quality of life.
ResearchResults
Cumulative comorbidity load was a significant predictor of weight-related quality of life in male adolescents.
ResearchResults
For female adolescents, psychosocial comorbidities, BMI, and white race were significant predictors of weight-related quality of life impairment.
ResearchResults
Less prevalent conditions such as stress urinary incontinence emerged as contributors to lower weight-related quality of life.
ResearchResults
Weight-related quality of life impairment is substantial for adolescents with severe obesity undergoing weight-loss surgery, with predictors varying by sex.
ResearchConclusions