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Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women

This systematic literature review aims to point out sex-specific special features that are important in the bariatric treatment of women suffering from severe obesity. A systematic literature search was carried out according to Cochrane and Preferred Reporting Items for Systematic review and Meta-An...

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Autores principales: Jäger, Pia, Wolicki, Annina, Spohnholz, Johannes, Senkal, Metin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216185/
https://www.ncbi.nlm.nih.gov/pubmed/32326591
http://dx.doi.org/10.3390/ijerph17082734
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author Jäger, Pia
Wolicki, Annina
Spohnholz, Johannes
Senkal, Metin
author_facet Jäger, Pia
Wolicki, Annina
Spohnholz, Johannes
Senkal, Metin
author_sort Jäger, Pia
collection PubMed
description This systematic literature review aims to point out sex-specific special features that are important in the bariatric treatment of women suffering from severe obesity. A systematic literature search was carried out according to Cochrane and Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) guidelines. After the literature selection, the following categories were determined: sexuality and sexual function; contraception; fertility; sex hormones and polycystic ovary syndrome; menopause and osteoporosis; pregnancy and breastfeeding; pelvic floor disorders and urinary incontinence; female-specific cancer; and metabolism, outcome, and quality of life. For each category, the current status of research is illuminated and implications for bariatric treatment are determined. A summary that includes key messages is given for each subsection. An overall result of this paper is an understanding that sex-specific risks that follow or result from bariatric surgery should be considered more in aftercare. In order to increase the evidence, further research focusing on sex-specific differences in the outcome of bariatric surgery and promising treatment approaches to female-specific diseases is needed. Nevertheless, bariatric surgery shows good potential in the treatment of sex-specific aspects for severely obese women that goes far beyond mere weight loss and reduction of metabolic risks.
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spelling pubmed-72161852020-05-22 Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women Jäger, Pia Wolicki, Annina Spohnholz, Johannes Senkal, Metin Int J Environ Res Public Health Review This systematic literature review aims to point out sex-specific special features that are important in the bariatric treatment of women suffering from severe obesity. A systematic literature search was carried out according to Cochrane and Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) guidelines. After the literature selection, the following categories were determined: sexuality and sexual function; contraception; fertility; sex hormones and polycystic ovary syndrome; menopause and osteoporosis; pregnancy and breastfeeding; pelvic floor disorders and urinary incontinence; female-specific cancer; and metabolism, outcome, and quality of life. For each category, the current status of research is illuminated and implications for bariatric treatment are determined. A summary that includes key messages is given for each subsection. An overall result of this paper is an understanding that sex-specific risks that follow or result from bariatric surgery should be considered more in aftercare. In order to increase the evidence, further research focusing on sex-specific differences in the outcome of bariatric surgery and promising treatment approaches to female-specific diseases is needed. Nevertheless, bariatric surgery shows good potential in the treatment of sex-specific aspects for severely obese women that goes far beyond mere weight loss and reduction of metabolic risks. MDPI 2020-04-15 2020-04 /pmc/articles/PMC7216185/ /pubmed/32326591 http://dx.doi.org/10.3390/ijerph17082734 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Jäger, Pia
Wolicki, Annina
Spohnholz, Johannes
Senkal, Metin
Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women
title Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women
title_full Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women
title_fullStr Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women
title_full_unstemmed Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women
title_short Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women
title_sort review: sex-specific aspects in the bariatric treatment of severely obese women
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216185/
https://www.ncbi.nlm.nih.gov/pubmed/32326591
http://dx.doi.org/10.3390/ijerph17082734
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