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Severe obesity is associated with significant joint pain and impaired bodily functioning, leading to impaired
Researchers at Longitudinal Assessment-2 of Bariatric Surgery-2 (LABS-2), a large multicenter cohort study in the United States, previously reported pre- to postoperative changes
The results showed that a total of 1491 individuals were included in this analysis, of which 1194 were female (80%), 59 (4%) were Hispanic, 164 (11%) were non-Hispanic black, 1205 (82%) were non-Hispanic white individuals, the preoperative median (IQR) age was 47 years (38-55 years), and the preoperative median (IQR) body mass index was 47 (42-52).
Between 3-7 years after surgery, the percentage of subjects with preoperative to postoperative CII in physical pain decreased from 50% (95% CI, 48%-53%) to 43% (95% CI, 40%-46%), physical function from 75% (95% CI, 73%-77%) to 64% (95% CI, 61%-68%), and from 61% (95% CI, 56%-65%) to 50% (95% CI, 45%-65%) within 400 m walking time to 50% (95% CI, 45%-65%) (95% CI, 45%-65%) 55%)
In subjects with preoperative mobility impairment, the remission rate decreased from 50% (95% CI, 42%-57%) to 41% (95% CI, 32%-49%), and in subjects with severe knee or hip pain or disability, the percentage of knee and hip pain and function decreased (e.
Overall, in this large cohort of American adults receiving RYGB or SG for obesity, although there was a decrease in preoperative to postoperative improvement during follow-up, the CII of perceived bodily and joint-specific pain and self-reported and objectively measured bodily function was between 41% and 72% at 7 years postoperatively, depending on the measurement method and subgroup, suggesting that RYGB and SG were often associated
Original source:
King WC, Hinerman AS, White GE.