Feasibility of Bariatric Surgery as a Strategy for Secondary Prevention in Cardiovascular Disease: A Report from the Swedish Obese Subjects Trial

Lotta Delling; Kristjan Karason; Torsten Olbers; David Sjöström; Björn Wahlstrand; Björn Carlsson; Lena Carlsson; Kristina Narbro; Jan Karlsson; Carl Johan Behre; Lars Sjöström; Kaj  Stenlöf

doi:10.1155/2010/102341

Journal of Obesity (Jan 2010)

Feasibility of Bariatric Surgery as a Strategy for Secondary Prevention in Cardiovascular Disease: A Report from the Swedish Obese Subjects Trial

Lotta Delling,
Kristjan Karason,
Torsten Olbers,
David Sjöström,
Björn Wahlstrand,
Björn Carlsson,
Lena Carlsson,
Kristina Narbro,
Jan Karlsson,
Carl Johan Behre,
Lars Sjöström,
Kaj Stenlöf

Affiliations

Lotta Delling: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Kristjan Karason: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Torsten Olbers: Department of Surgery, The Sahlgrenska Academy, University of Gothenburg, SE-413 45 Göteborg, Sweden
David Sjöström: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Björn Wahlstrand: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Björn Carlsson: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Lena Carlsson: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Kristina Narbro: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Jan Karlsson: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Carl Johan Behre: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Lars Sjöström: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden
Kaj Stenlöf: Department of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gröna Stråket 8, 413 45 Göteborg, Sweden

DOI: https://doi.org/10.1155/2010/102341
Journal volume & issue: Vol. 2010

Abstract

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Aims. Evaluation of bariatric surgery as secondary prevention in obese patients with ischemic heart disease (IHD). Methods. Analysis of data from 4047 subjects in the Swedish Obese Subjects (SOSs) study. Thirty-five patients with IHD are treated with bariatric surgery (𝑛=21) or conventional treatment (𝑛=14). Mean follow-up is 10.8 years. Results. Bariatric surgery resulted in sustained weight loss during the study period. After 2 years, the surgery group displayed significant reductions in cardiovascular risk factors, relief from cardiorespiratory symptoms, increments in physical activity, and improved quality of life. After 10 years, recovery from hypertension, diabetes, physical inactivity, and depression was still more common in the surgery group. There were no signs of increased cardiovascular morbidity or mortality in the surgery group. Conclusion. Bariatric surgery appears to be a safe and feasible treatment to achieve long-term weight loss and improvement in cardiovascular risk factors, symptoms, and quality of life in obese subjects with IHD.

Published in Journal of Obesity

ISSN: 2090-0708 (Print); 2090-0716 (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine
Website: https://onlinelibrary.wiley.com/journal/8572

About the journal