Observational studySurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2017
From adolescence to young adulthood: trajectories of psychosocial health following Roux-en-Y gastric bypass.
Observational study in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00474318 (Teen-Longitudinal Assessment of Bariatric Surgery), which is not on this map. Cited by 19 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Research Project
Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Experienced Weight Stigma Changes Following Bariatric Surgery: a Systematic Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Depressive symptoms at short-, medium-, and long-term follow-up after bariatric surgical procedures: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Laparoscopic sleeve gastrectomy for obesity treatment in adolescents and young adults: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- Psychosocial Outcomes Following Adolescent Metabolic and Bariatric Surgery: a Systematic Review and Meta-Analysis.Obesity surgery · 2019Pooled it
- Healthcare utilisation across five years among adolescents following metabolic-bariatric surgery; a prospective observational study.Lancet regional health. Americas · 2026Article
- Trajectories of Psychopathology and Dysregulation 2-4 Years following Adolescent Bariatric Surgery.Journal of pediatric psychology · 2023Article
- Long-term weight loss after bariatric procedures for morbidly obese adolescents and youth: a single-institution analysis with up to 19-year follow-up.Surgical endoscopy · 2023Article
- Self-worth and developmental outcomes in young adults after pediatric bariatric surgery.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Observational
- Obesity Pillars roundtable: Metabolic and bariatric surgery in children and adolescents.Obesity pillars · 2022Article
- Obesity in children and adolescents: epidemiology, causes, assessment, and management.The lancet. Diabetes & endocrinology · 2022Review
- Gastrointestinal symptoms in relation to quality of life after metabolic surgery in adolescents.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2020Article
- Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review.Frontiers in pediatrics · 2020Review
- Severe Obesity in the Pediatric Population: Current Concepts in Clinical Care.Current obesity reports · 2019Review
- Exploring pre-surgery and post-surgery substance use disorder and alcohol use disorder in bariatric surgery: a qualitative scoping review.International journal of obesity (2005) · 2019Article
- Health-Related Quality of Life 5 Years After Roux-en-Y Gastric Bypass in Young (18-25 Years) Versus Older (≥ 26 Years) Adults: a Scandinavian Obesity Surgery Registry Study.Obesity surgery · 2019Article
- A Multisite 2-Year Follow Up of Psychopathology Prevalence, Predictors, and Correlates Among Adolescents Who Did or Did Not Undergo Weight Loss Surgery.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018Observational
- ASMBS pediatric metabolic and bariatric surgery guidelines, 2018.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2018Review
- What Is the Evidence for Paediatric/Adolescent Bariatric Surgery?Current obesity reports · 2017Review
- A review of the psychosocial aspects of clinically severe obesity and bariatric surgery.The American psychologistReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRoux-en-Y gastric bypass (RYGB) in adolescence results in substantial bodyweight reduction and cardiometabolic benefits into young adulthood. Knowledge gaps remain in understanding psychosocial health.
objectiveDescribe trajectories of weight and psychosocial health in adolescents who underwent RYGB into young adulthood.
settingAcademic Pediatric Medical Center.
methodsFourteen adolescents (presurgery: mean body mass index = 59.2±8.9; mean age = 16.0±1.3 yr; 64.3% female) participated in 2 sequential observational studies. Height and weight were measured, and participants completed measures of weight-related quality of life (WRQOL), mental health, and adaptive functioning at presurgery and 6, 12, 18, 24, and 72+months postsurgery. Substance use behaviors were assessed at 72+months.
resultsModeling demonstrated rapid improvement in body mass index and WROQL across postoperative year 1, followed by stabilization and modest weight regain/WRQOL decline (P<.001), with 50% remaining severely obese. Presurgery, 11 adolescents presented with symptoms outside of the normal range for≥1 mental health domain. Postoperative profiles indicated either remittance (n = 5) or persistent symptomatology (n = 6: anxious/depressed, withdrawn/depressed, and/or thought problems) in young adulthood. No new incidence of mental health vulnerability occurred in young adults not already identified preoperatively. Adaptive functioning and substance use were within normal range.
conclusionsAlthough adolescent RYGB resulted in improvement in weight and WRQOL into young adulthood, mental health trajectories were more variable, with some experiencing positive change while others experienced persistent mental health vulnerability. Research focused on larger contemporary samples using a controlled design is critical to inform targets for prevention and intervention to optimize both physical and psychosocial health outcomes in this younger patient population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.