History of substance abuse relates to improved postbariatric body mass index outcomes

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Leslie J Heinberg, Kathleen Ashton

Abstract

Recent clinical guidelines have identified current alcohol or substance abuse as contraindications for weight loss surgery. Past research has indicated that a lifetime history of any substance use disorder is significantly greater in those seeking weight loss surgery than the population base rate. However, current substance abuse has been reported to be remarkably low (<1%). The objective was to examine whether a history of substance abuse/dependence is associated with differing weight loss outcomes after bariatric surgery. A total of 413 patients who had undergone weight loss surgery (75.8% women, 77.7% white, mean age 47.72 years, mean body mass index 50.27 kg/m(2)) at the Cleveland Clinic Bariatric and Metabolic Institute completed a psychological evaluation before surgery, and a history of substance abuse and/or dependence was determined. A series of analyses of covariance examining group differences in the percentage of excess weight loss (%EWL) at 1, 3, 6 , 9, and 12 months after surgery were conducted comparing a history of substance abuse/dependence (SA+; n = 45) with the absence of a substance abuse/dependence history (SA-; n = 368), controlling for the baseline body mass index. The groups did not differ in the type of...Continue Reading

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Citations

Jul 11, 2013·Journal of Obesity·Maureen TedescoDan Eisenberg
Jun 11, 2014·Obesity Surgery·Christina M Rummell, Leslie J Heinberg
Jun 20, 2012·JAMA : the Journal of the American Medical Association·Wendy C KingSusan Z Yanovski
Feb 13, 2016·Journal of Psychiatric Research·Linlin Li, Li-Tzy Wu
Jan 20, 2016·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·R J MarekL J Heinberg
Sep 20, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Suman AmbwaniPatrick M O'Neil
Dec 30, 2015·Obesity Surgery·Federico MoserLucio R Obeide
Oct 10, 2015·European Eating Disorders Review : the Journal of the Eating Disorders Association·Kristine J SteffenCindy Sondag
Mar 13, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Manish ParikhUNKNOWN American Society for Metabolic and Bariatric Surgery Clinical Issues Committee
Aug 4, 2016·Substance Use & Misuse·Hélène Donnadieu-RigolePascal Perney
Sep 1, 2016·Addiction Biology·Ashley N BlackburnLorenzo Leggio
May 18, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Stephanie SoggLisa West-Smith
Sep 30, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Valeria Duarte GregorioRayrane Clarah Chaveiro Moraes
Jun 20, 2019·International Journal of Obesity : Journal of the International Association for the Study of Obesity·S KanjiV H Taylor
Jul 24, 2020·Surgical Endoscopy·Jamil S SamaanKamran Samakar
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Mar 27, 2013·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Jeffrey I MechanickUNKNOWN American Society for Metabolic & Bariatric Surgery

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