Impact of bariatric surgery on quality of life, functional capacity, and symptoms in patients with heart failure

William R. Miranda, John A. Batsis, Michael G. Sarr, Maria L. Collazo-Clavell, Matthew M. Clark, Virend K. Somers, Francisco Lopez-Jimenez

Research output: Contribution to journalArticle

41 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1011-1015
Number of pages5
JournalObesity Surgery
Volume23
Issue number7
DOIs
StatePublished - Jul 1 2013

Keywords

  • Bariatric surgery
  • Functional capacity
  • Heart failure
  • Obesity
  • Quality of life
  • Roux-en-Y gastric bypass

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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