Nutrición Hospitalaria 00979 / http://dx.doi.org/10.20960/nh.979
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Trabajo Original

Effects of depressive symptoms on clinical outcomes, inflammatory markers and quality of life after a significant weight loss in a bariatric surgery sample


Joana Nicolau, Rafael Simó, Pilar Sanchís, Luisa Ayala, Regina Fortuny, Rosmeri Rivera, Lluís Masmiquel

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Introduction: Obesity is linked to a low-grade chronic systemic inflammation that improves after weight loss. Depressive disorder has been suggested to be associated with systemic inflammation up regulation. Objective: We aimed to explore whether, after a significant weight loss, the presence of depressive symptoms was associated with differences in terms of inflammatory markers and quality of life. Methods: Sixty patients (78.3%♀, age 46.4 ± 9.9) who underwent bariatric surgery, with a minimum follow up of 18 months, were evaluated. For the screening of depression, the Beck Depression Inventory (BDI) was administered.Results: Ten subjects (16.6%) had a positive screening for depressive disorder. The percentage of patients with weight regain was greater among subjects with symptoms of depression (70% vs. 32%; p = 0.024), although no differences were seen regarding BMI prior to surgery and current BMI. Acute phase reactants were higher among subjects with symptoms of depression: platelets (319 ± 15 x 10^12/L vs. 232 ± 47 x 10 ^ 12/L; p = 0.001), erythrocyte sedimentation rate (24.7 ± 11.3 mm vs.17 ± 10 mm; p = 0.03), fibrinogen (486 ± 107 mg/dL vs. 406 ± 66 mg/dL; p = 0.003), ferritin (106 ± 180 ng/ml vs. 34 ± 44 ng/ml; p = 0.014) and ultrasensitive C-reactive protein (0.96 ± 1.84 mg/dL vs. 0.24 ± 0.26 mg/dL; p = 0.008). All domains of quality of life were significantly lower in the depressive group.Conclusions: Despite a significant weight loss, inflammatory markers are greater and quality of life lower when associated with depressive symptoms.

Palabras Clave: Obesity. Depression. Bariatric surgery. Acute phase reactants. Quality of life.



Zefreh, Hamidreza, Amani-Beni, Reza, Sheikhbahaei, Erfan, Farsi, Farnaz, Ahmadkaraji, Shahrzad, Barzin, Maryam, Darouei, Bahar, Khalaj, Alireza, Shahabi, Shahab (2023) What About My Weight? Insufficient Weight Loss or Weight Regain After Bariatric Metabolic Surgery. International Journal of Endocrinology and Metabolism
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Ben-Porat, Tair, Mashin, Lior, Kaluti, Dunia, Goldenshluger, Ariela, Shufanieh, Jaber, Khalaileh, Abed, Abu Gazala, Mahmud, Mintz, Yoav, Brodie, Ronit, Sakran, Nasser, Rottenstreich, Amihai, Elazary, Ram (2021) Weight Loss Outcomes and Lifestyle Patterns Following Sleeve Gastrectomy: an 8-Year Retrospective Study of 212 Patients. Obesity Surgery
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