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Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review

The worldwide obesity crisis is not isolated to adults; rather, obesity in adolescents has reached epidemic levels as well. Bariatric surgery continues to be one of the most effective treatments for obesity, both in adults and adolescents, with new evidence continually emerging; however, research su...

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Autor principal: Roberts, Cherie A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7873639/
https://www.ncbi.nlm.nih.gov/pubmed/33585363
http://dx.doi.org/10.3389/fped.2020.591598
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author Roberts, Cherie A.
author_facet Roberts, Cherie A.
author_sort Roberts, Cherie A.
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description The worldwide obesity crisis is not isolated to adults; rather, obesity in adolescents has reached epidemic levels as well. Bariatric surgery continues to be one of the most effective treatments for obesity, both in adults and adolescents, with new evidence continually emerging; however, research surrounding outcomes of these procedures in younger patients is limited in comparison with data available for adults. Further, it is important to examine psychological aspects of obesity in adolescents, as well as effects of surgery on mental health endpoints. Conditions such as anxiety, depression, anger, and disruptive behavior show increased prevalence among obese adolescents, but minimal research exists to examine changes in such conditions following bariatric surgery. Additionally, there is growing evidence of a bidirectional relationship between sleep (quality; disorders) and the development of obesity, and the effects of this relationship are particularly pronounced in the vulnerable adolescent population. This review aims to compile and discuss the results of literature within the last 5 years with regard to overall efficacy of bariatric surgery specifically in adolescent patients in terms of weight and body mass index (BMI) reduction, hormonal changes, and co-morbidity resolution, as well as data surrounding sleep and psychological outcomes. Race, ethnicity, and socioeconomic status were also examined. From this review, we conclude that current research supports bariatric surgery in adolescents as an effective method of treatment for obesity and related co-morbidities; however, minimal long-term data exists to adequately assess efficacy and trends into adulthood. These areas are ripe for future study.
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spelling pubmed-78736392021-02-11 Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review Roberts, Cherie A. Front Pediatr Pediatrics The worldwide obesity crisis is not isolated to adults; rather, obesity in adolescents has reached epidemic levels as well. Bariatric surgery continues to be one of the most effective treatments for obesity, both in adults and adolescents, with new evidence continually emerging; however, research surrounding outcomes of these procedures in younger patients is limited in comparison with data available for adults. Further, it is important to examine psychological aspects of obesity in adolescents, as well as effects of surgery on mental health endpoints. Conditions such as anxiety, depression, anger, and disruptive behavior show increased prevalence among obese adolescents, but minimal research exists to examine changes in such conditions following bariatric surgery. Additionally, there is growing evidence of a bidirectional relationship between sleep (quality; disorders) and the development of obesity, and the effects of this relationship are particularly pronounced in the vulnerable adolescent population. This review aims to compile and discuss the results of literature within the last 5 years with regard to overall efficacy of bariatric surgery specifically in adolescent patients in terms of weight and body mass index (BMI) reduction, hormonal changes, and co-morbidity resolution, as well as data surrounding sleep and psychological outcomes. Race, ethnicity, and socioeconomic status were also examined. From this review, we conclude that current research supports bariatric surgery in adolescents as an effective method of treatment for obesity and related co-morbidities; however, minimal long-term data exists to adequately assess efficacy and trends into adulthood. These areas are ripe for future study. Frontiers Media S.A. 2021-01-27 /pmc/articles/PMC7873639/ /pubmed/33585363 http://dx.doi.org/10.3389/fped.2020.591598 Text en Copyright © 2021 Roberts. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Roberts, Cherie A.
Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review
title Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review
title_full Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review
title_fullStr Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review
title_full_unstemmed Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review
title_short Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review
title_sort physical and psychological effects of bariatric surgery on obese adolescents: a review
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7873639/
https://www.ncbi.nlm.nih.gov/pubmed/33585363
http://dx.doi.org/10.3389/fped.2020.591598
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