ometendoОжирение и метаболизмObesity and metabolism2071-87132306-5524Endocrinology Research Centre10.14341/omet10335ometendo-10335Research ArticleОбзор литературыReviewКачество жизни, половая функция и бариатрическая хирургия: систематический обзорQuality of life, sexual function, and bariatric surgery: a systematic reviewhttps://orcid.org/0000-0003-3627-7522AhmadiShirko

Master of science; PhD student

shirkooahmadi@yahoo.comhttps://orcid.org/0000-0002-7669-6011TeixeiraLuís Felipe Milano

Master of science; PhD student

teixeira.luisfelipe@gmail.comhttps://orcid.org/0000-0002-3548-5621DominguesJosé Rodrigo V.

Master of science

rodrigo.professor@gmail.comhttps://orcid.org/0000-0002-6109-5141Chacon-MikahilMara Patricia T.

PhD

marapatricia@fef.unicamp.brhttps://orcid.org/0000-0002-7795-6575CavaglieriClaudia Regina

PhD

cavaglieri@fef.unicamp.brhttps://orcid.org/0000-0003-4701-7558GutierrezGustavo Luiz

PhD; professor

gutierrez@fef.unicamp.brUniversity of CampinasBrazilUniversity of Campinas; University of SorocabaBrazil2020010620201716472Copyright © Ahmadi S., Teixeira L., Domingues J., Chacon-Mikahil M., Cavaglieri C., Gutierrez G., 20202020Ahmadi S., Teixeira L., Domingues J., Chacon-Mikahil M., Cavaglieri C., Gutierrez G.Ahmadi S., Teixeira L., Domingues J., Chacon-Mikahil M., Cavaglieri C., Gutierrez G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.omet-endojournals.ru/jour/article/view/10335Обоснование

Обоснование. Ожирение связано с многочисленными сопутствующими заболеваниями и влияет на различные аспекты жизни, включая ее качество (КЖ) и сексуальную функцию (СФ). Бариатрическая хирургия (БХ) – эффективный метод лечения людей с ожирением. Тем не менее влияние БХ на КЖ и СФ еще мало изучено.

Цель

Цель. Сформировать представление о доступных проспективных данных, касающихся краткосрочных и долгосрочных эффектов БХ на КЖ и СФ.

Методы

Методы. Был проведен систематический поиск в базах данных с использованием ключевых слов: «качество жизни», «сексуальная функция» и «бариатрическая хирургия». Были включены только проспективные исследования с КЖ или СФ до и после БХ. «Инструмент оценки качества до/после исследований без контрольной группы» был использован для оценки методологического качества.

Результаты

Результаты. Двадцать четыре исследования соответствовали критериям включения. Методологическое качество большинства исследований было оценено как «удовлетворительное» и «хорошее». Семь различных опросников были использованы для измерения КЖ и СФ. Во всех исследованиях было обнаружено значительное увеличение КЖ после БХ и небольшое улучшение СФ (P≤0.05).

Заключение

Заключение. КЖ и СФ улучшаются после БХ как в краткосрочной, так и в долгосрочной перспективе. Тем не менее из-за неоднородности исследований и общности вопросников, их трудно различить между разными БС и увидеть связь с медицинской прибылью. Поэтому разработка измерений КЖ и СФ для населения после БХ рекомендуется в качестве основного направления будущих исследований.

BACKGROUND

BACKGROUND: Obesity is associated with numerous comorbidities and affects various aspects of life, including quality of life (QOL) and sexual function (SF). Bariatric surgery (BS) is an effective treatment for obese people. Also QOL and SF after BS in the people are not well known.

AIMS

AIMS: To provide insight in the available prospective evidence regarding the short and long-term effects of BS on QOL and SF.

MATERIALS AND METHODS

MATERIALS AND METHODS: A systematic multi-database search was conducted for ‘quality of life’, ‘Sexual function’ and ‘Bariatric surgery’. Only prospective studies with QOL or SF before and after BS were included. The ‘quality assessment tool for before–after studies with no control group’ was used to assess the methodological quality.

RESULTS

RESULTS: Twenty-four studies met the inclusion criteria. Most studies were assessed to be of ‘fair’ to ‘good’ methodological quality. Seven different questionnaires were used to measure both QOL and SF. A significant increase in QOL after BS and light increase in SF were found in all studies (P≤0.05).

CONCLUSIONS

CONCLUSIONS: Both QOL and SF are increased after BS on both the short and long term. However, due to the heterogeneity of the studies and the generality of the questionnaires are them hard to make a distinction among different BS and difficult to see a relation with medical profit. Therefore, designing QOL and SF measurements to the post BS population are recommended as the focus of future studies.

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The authors declare that there are no conflicts of interest present.