ECE2018 Poster Presentations: Diabetes, Obesity and Metabolism Obesity (78 abstracts)
Impact of bariatric surgery on working productivity in patients with morbid obesity
Diana Romero 1 , Guila Fidel 2 , María Sonsoles Cepeda 2 , Gemma Parramón 2 , Mayra Velasquez 2 , Enza María Fidilio 2 , J M Fort 2 , Marta Comas 2 , Cristina Hernández 2, , Rafael Simó 2, , Jordi Mesa 2 & Andreea Ciudin 2
1VHIR, Barcelona, Spain; 2Hospital Vall Hebrón, Barcelona, Spain.
Introduction: Morbid obesity (MO) is a major global public health problem, associated with a significant economic burden, both due to its high prevalence and the number and severity of its comorbidities. MO is associated with a high degree of difficulty to lead a normal social and working life. Weight loss is effective in decreasing these risks and to reduce disease severity. Bariatric surgery (BS) is an effective therapy for sustained weight loss and for the improvement of the quality of life of these patients. Nevertheless, data in literature is scarce regarding the impact of BS on the working productivity (WP) of the MO patients. On these bases, the objective of the present study is to evaluate the relationship between BS and WP in MO patients.
Methods: We performed a retrospective revision of the medical records of the consecutive patients that attended the MO Unit of our center between February-October 2017 and had a complete psychological evaluation. The specific psychological exam in the MO Unit was performed using the ZKPQ, STAI, BDI-II, BITE and Rosenberg SS questionnaires as part of the pre-BS evaluation as per protocol. On the day of the visit to our center, the WPAI-GH questionnaire was administered to all the patients.
Results: 138 patients were recluted, aging 48.21±10.81 years, 73% women, and 85.4% Caucasian. A total of 56.2% were not employed. 61.03% of the cases underwent BS, with a follow-up of 36.45±27.82 months and a satisfactory evolution (previous BMI 44.12±6.8 kg/m2 vs post-BS BMI 33.4±5 kg/m2, P<0.001). In the group of BS patients, 83.0% were not previously employed and 3.03% have been reinserted into the labor market after the BS. No significant correlations were found between the WP and the age, gender, ethnicity, any BMI, MO related comorbidities, follow-up time after the BS, surgical technique or socio-economic status. We found significant correlations between the WP and the education level, the presence of depression, anxiety and lack of activity as well as self-esteem evaluated by the psychological tests previous BS.
Conclusion: A significant percentage of patients with MO that underwent BS were not employed, despite the satisfactory evolution in terms of BMI. A significant correlation exists between the WP and the pre-BS psychological profile of the MO patients.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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