Evidence map›Paper›PMID 34836428›Full record

ArticleNutrients2021

Improved Quality of Life, Fitness, Mental Health and Cardiovascular Risk Factors with a Publicly Funded Bariatric Lifestyle Intervention for Adults with Severe Obesity: A Prospective Cohort Study.

John Francis Brazil, Irene Gibson, Denise Dunne, Lisa B Hynes, Aisling Harris, Mustafa Bakir, Dylan Keegan, Brian McGuire, Mary Hynes, Chris Collins and 6 more

Abstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Bariatric Surgery: Psychosocial Aspects and Quality of Life.International journal of environmental research and public health · 2022
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

John Francis BrazilBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, HRB Clinical Research Facility, Galway University Hospital, H91 YR71 Galway, Ireland.
Irene GibsonHeart and Stroke Center, Croi, The West of Ireland Cardiac Foundation, Moyola Lane, Newcastle, H91 FF68 Galway, Ireland.
Denise DunneHeart and Stroke Center, Croi, The West of Ireland Cardiac Foundation, Moyola Lane, Newcastle, H91 FF68 Galway, Ireland.
Lisa B HynesHeart and Stroke Center, Croi, The West of Ireland Cardiac Foundation, Moyola Lane, Newcastle, H91 FF68 Galway, Ireland.
Aisling HarrisHeart and Stroke Center, Croi, The West of Ireland Cardiac Foundation, Moyola Lane, Newcastle, H91 FF68 Galway, Ireland.
Mustafa BakirBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, HRB Clinical Research Facility, Galway University Hospital, H91 YR71 Galway, Ireland.
Dylan KeeganHeart and Stroke Center, Croi, The West of Ireland Cardiac Foundation, Moyola Lane, Newcastle, H91 FF68 Galway, Ireland.ORCID 0000-0002-0863-4222
Brian McGuireBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, HRB Clinical Research Facility, Galway University Hospital, H91 YR71 Galway, Ireland.
Mary HynesBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, HRB Clinical Research Facility, Galway University Hospital, H91 YR71 Galway, Ireland.
Chris CollinsDepartment of Upper Gastrointestinal Surgery, Galway University Hospital, H91 YR71 Galway, Ireland.
Siobhan FoyBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, HRB Clinical Research Facility, Galway University Hospital, H91 YR71 Galway, Ireland.
Suzanne SeeryNational Institute for Prevention and Cardiovascular Health (NIPC), Newcastle, H91 FF68 Galway, Ireland.
Paul BassettStatsconsultancy Ltd., Amersham HP7 9EN, UK.
Colin DavenportBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, HRB Clinical Research Facility, Galway University Hospital, H91 YR71 Galway, Ireland.
Jennifer JonesHeart and Stroke Center, Croi, The West of Ireland Cardiac Foundation, Moyola Lane, Newcastle, H91 FF68 Galway, Ireland.
Francis M FinucaneBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, HRB Clinical Research Facility, Galway University Hospital, H91 YR71 Galway, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLifestyle modification is the cornerstone of management for patients with severe and complicated obesity, but the effects of structured lifestyle programmes on quality of life, anxiety and depression scores and cardiovascular risk factors are not well-described. We sought to describe changes in self-reported quality of life and mental health-related outcomes as well as cardiovascular risk factors in patients completing a 10-week multidisciplinary lifestyle-modification programme.

methodsWe conducted a prospective cohort study of all patients referred from our bariatric service who completed the programme between 2013 and 2019. In addition to weight, body mass index (BMI), blood pressure, HbA1c, lipid profile and functional capacity, we quantified health-related quality of life using the Dartmouth COOP Questionnaire and the European Quality of Life Questionnaire Visual Analogue Scale (EQVAS) and mental health using the Hospital Anxiety and Depression Scale (HADS).

resultsOf 1122 patients who started the programme, 877 (78.2%) completed it and were included in per protocol analyses. Mean age was 47.3 ± 11.9 years, 66.9% were female, 34.8% were in full- or part-time employment and 69.4% were entitled to state-provided medical care. BMI decreased from 47.0 ± 7.8 to 46.2 ± 7.8 kg m

conclusionsAdults with severe and complicated obesity completing a specialised bariatric lifestyle-modification programme showed significant improvements in self-reported mental health and quality of life, in addition to reductions in cardiovascular risk factors.

Indexed as

Heart Disease Risk FactorsLife StyleMental HealthQuality of LifeAdultAnxietyBariatricsBody Mass IndexCardiovascular DiseasesCholesterol, LDLCohort StudiesDepressionExerciseFemaleGlycated HemoglobinHumansCholesterol, LDLGlycated Hemoglobinanxietybariatricdepressiondietfitnessphysical activityquality of lifesevere obesitystructured lifestyle modification

Identifiers

PMID34836428
PMCPMC8618364

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Registered trials

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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.