Article1 min read·Published Nov 2022Older

Marijuana, e-cigarette, and tobacco product use in young adults who underwent pediatric bariatric surgery

Part of Adolescent Bariatric Surgery 39 items

pubmed.ncbi.nlm.nih.gov

Michael Helmrath

Background: The postoperative course after pediatric metabolic and bariatric surgery (MBS) cuts across a developmental phase when substance-use behaviors emerge as significant public health concerns. Objective: We examined use of marijuana, conventional cigarettes, and alternate tobacco products/devices (e.g., e-cigarettes, hookah, smokeless, dissolvable) in young adults (YA) to 6 years postsurgery. Setting: Five academic medical centers. Methods: In a prospective observational cohort series, 139 surgical (Mage = 16.9, Mbody mass index [BMI] = 51.5, 80% female, 66% white) and 83 nonsurgical comparisons (Mage = 16.1, MBMI = 44.9, 82% female, 54% white) completed assessments at presurgery/baseline and postsurgery years 2, 4, and 6 (year 6 [2014-2018]: surgical n = 123 [89%], Mage = 23.0, MBMI = 39.8; nonsurgical n = 63 [76%], Mage = 22.4, MBMI = 53.6). Lifetime and current (past 30 days) use were reported. Results: Consistent with national YA trends (2014-2018), the most commonly used were (1) conventional cigarettes (30% surgical, 41% nonsurgical, nonsignificant [ns]); (2) marijuana (25% surgical, 27% nonsurgical, ns); and (3) e-cigarettes (12% surgical, 10% nonsurgical). A sizable minority (26% surgical, 18% nonsurgical) used one or more alternate tobacco product/device. Many YA reported persistent and/or heavy use (e.g., >50% marijuana at year 6 and year 2 or 4; ≈50% ≥.5 pack/d of cigarettes), suggesting more established (versus intermittent) health risk behaviors. For the s

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Article · Nov 2022 · 1 min read

In brief

This 6-year prospective study tracks substance use patterns in young adults following pediatric bariatric surgery, revealing that approximately one-quarter to one-third use marijuana, conventional cigarettes, or e-cigarettes postoperatively—rates comparable to nonsurgical peers. Many demonstrate persistent or heavy use patterns, highlighting the need for integrated substance-use screening and intervention in postoperative bariatric care during the critical transition to young adulthood.

Written by the GCMD Library team from the article.

Michael Helmrath

Statements in this article

The study included 139 surgical patients (mean age 16.9 years, mean BMI 51.5, 80% female, 66% white) and 83 nonsurgical comparisons (mean age 16.1 years, mean BMI 44.9, 82% female, 54% white).
ResearchMethods
At year 6 follow-up (2014-2018), 123 surgical patients (89% retention, mean age 23.0 years, mean BMI 39.8) and 63 nonsurgical comparisons (76% retention, mean age 22.4 years, mean BMI 53.6) completed assessments.
ResearchMethods
Conventional cigarettes were the most commonly used substance, reported by 30% of surgical patients and 41% of nonsurgical comparisons (difference not statistically significant).
ResearchResults
Marijuana use was reported by 25% of surgical patients and 27% of nonsurgical comparisons (difference not statistically significant).
ResearchResults
E-cigarette use was reported by 12% of surgical patients and 10% of nonsurgical comparisons.
ResearchResults
A sizable minority used one or more alternate tobacco products or devices (26% surgical, 18% nonsurgical).
ResearchResults
More than 50% of marijuana users at year 6 had also used marijuana at year 2 or 4, suggesting persistent use patterns.
ResearchResults
Approximately 50% of cigarette users smoked 0.5 pack per day or more, indicating heavy use.
ResearchResults