Abstract
Obesity is a risk factor for heart failure (HF), but the benefit of weight loss in HF is unknown. We assessed the effects of bariatric surgery (BSx) compared to non-operative treatment for morbid obesity on overall quality of life (QoL), functional capacity, and symptoms in 13 HF patients undergoing BSx and six HF patients treated without surgery. In the BSx group, median age was 62, body mass index (BMI) was 55 kg/m2, and 5/13 were males; in the non-operative group, median age was 69, BMI was 42 kg/m2, and 1/6 were male. Median follow-up was 4.3 and 2.7 years, respectively. At follow-up, BMI was less in the BSx group (35 vs 47 kg/m2, p < 0.001); QoL (p < 0.01), frequency of exertional dyspnea (p = 0.01), and leg edema (p = 0.04) improved only in the BSx group. BSx induced weight loss and improved QoL and symptoms in morbidly obese patients with HF.
Abbreviations
- BMI:
-
Body mass index
- BSx:
-
Bariatric surgery
- HF:
-
Heart failure
- NYHA:
-
New York Heart Association
- QoL:
-
Quality of life
References
Chambers BA, Guo SS, Siervogel R, et al. Cumulative effects of cardiovascular disease risk factors on quality of life. J Nutr Health Aging. 2002;6:179–84.
Horwich TB, Fonarow GC, Hamilton MA. The relationship between obesity and mortality in patients with heart failure. J Am Coll Cardiol. 2001;38(3):789–95.
Fonarow GC, Srikanthan P, Costanzo MR, et al. An obesity paradox in acute heart failure: analysis of body mass index and inhospital mortality for 108,927 patients in the Acute Decompensated Heart Failure National Registry. Am Heart J. 2007 ;153(1):74–81.
Batsis JA, Lopez-Jimenez F, Collazo-Clavell ML et al. Quality of life after bariatric surgery: a population-based cohort study. Am J Med; 122:1055 e1- e10.
Clark MM, Novotny PJ, Patten CA, et al. Motivational readiness for physical activity and quality of life in long-term lung cancer survivors. Lung Cancer. 2008;61:117–22.
Locke DE, Decker PA, Sloan JA, et al. Validation of single-item linear analog scale assessment of quality of life in neuro-oncology patients. J Pain Symptom Manage. 2007;34:628–38.
Clark MM, Warren BA, Hagen PT, et al. Stress level, health behaviors, and quality of life in employees joining a wellness center. Am J Health Promot. 2011;26:21–5.
Goldman L, Hashimoto B, Cook EF, et al. Comparative reproducibility and validity of systems for assessing cardiovascular functional class: advantages of a new specific activity scale. Circulation. 1981;64:1227–34.
Karlsson J, Taft C, Ryden A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes. 2007;31:1248–61.
Ramani GV, McCloskey C, Ramanathan RC, et al. Safety and efficacy of bariatric surgery in morbidly obese patients with severe systolic heart failure. Clin Cardiol. 2008;31:516–20.
McCloskey CA, Ramani GV, Mathier MA, et al. Bariatric surgery improves cardiac function in morbidly obese patients with severe cardiomyopathy. Surg Obes Relat Dis. 2007;3:503–7.
Poirier P, Giles TD, Bray GA, et al. Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss. Arterioscler Thromb Vasc Biol. 2006;26:968–76.
Garza CA, Pellikka PA, Somers VK, et al. Structural and functional changes in left and right ventricles after major weight loss following bariatric surgery for morbid obesity. Am J Cardiol. 2010;105:550–6.
Yuki K, Villaraga HRV, Somers VK, et al. Behavior of strain and strain rate echocardiography in obese patients with normal ejection fraction. JASE. 2010;23:B82.
Acknowledgments
We thank the Mayo Clinic Center for Transitional Science for the statistical analysis assistance.
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The authors have no conflict of interest.
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Miranda, W.R., Batsis, J.A., Sarr, M.G. et al. Impact of Bariatric Surgery on Quality of Life, Functional Capacity, and Symptoms in Patients with Heart Failure. OBES SURG 23, 1011–1015 (2013). https://doi.org/10.1007/s11695-013-0953-8
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DOI: https://doi.org/10.1007/s11695-013-0953-8