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Качество жизни, половая функция и бариатрическая хирургия: систематический обзор

https://doi.org/10.14341/omet10335

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Аннотация

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


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. 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. 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.

Об авторах

Shirko Ahmadi
University of Campinas
Бразилия


Luís Felipe Milano Teixeira
University of Campinas; University of Sorocaba
Бразилия


José Rodrigo V. Domingues
University of Campinas
Бразилия


Mara Patricia T. Chacon-Mikahil
University of Campinas
Бразилия


Claudia Regina Cavaglieri
University of Campinas
Бразилия


Gustavo Luiz Gutierrez
University of Campinas
Бразилия


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., ., ., ., ., . Качество жизни, половая функция и бариатрическая хирургия: систематический обзор. Ожирение и метаболизм. 2020;17(1):64-72. https://doi.org/10.14341/omet10335

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Ahmadi S., Teixeira L., Domingues J., Chacon-Mikahil M., Cavaglieri C., Gutierrez G. Quality of life, sexual function, and bariatric surgery: a systematic review. Obesity and metabolism. 2020;17(1):64-72. https://doi.org/10.14341/omet10335

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