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Tobacco Use and Substance Use Disorders as Predictors of Postoperative Weight Loss 2 Years After Bariatric Surgery

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Abstract

Although evaluations of tobacco and substance use disorders (SUDs) are required before bariatric surgery, the impact of these factors on postsurgical outcomes is unclear. This study describes (1) the prevalence of tobacco and SUDs in 61 veterans undergoing bariatric surgery, (2) associations between presurgical tobacco use and postsurgical weight loss, and (3) relationships between presurgical SUDs and postsurgical weight loss. Height, weight, tobacco, and SUDs were assessed from medical charts at presurgery and 6, 12, and 24 months postsurgery. Thirty-three patients (55%) were former or recent tobacco users; eight (13%) had history of SUDs. All patients who quit smoking within 6 months before surgery resumed after surgery, which was associated with increased weight loss at 6 and 12 months. Presurgical SUDs were related to marginally worse weight loss at 12 and 24 months. Bariatric surgery candidates with history of smoking and/or SUDs might benefit from additional services to improve postsurgical outcomes.

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Authors and Affiliations

  1. Department of Health Disparities Research—Unit 1440, University of Texas MD Anderson Cancer Center, PO Box 301402, Houston, TX, 77230-1402, USA

    Claire E. Adams PhD

  2. G.V. (Sonny) Montgomery VA Medical Center, Psychology/Mental Health (11M), 1500 E. Woodrow Wilson, Jackson, MS, 39216, USA

    Jeanne M. Gabriele PhD

  3. Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39211, USA

    Lauren E. Baillie PhD

  4. South Central VA Mental Illness, Research, and Education Center, MIRECC 16 MIR/NLR, 2200 Fort Roots Drive Building 58, North Little Rock, AR, 72114, USA

    Patricia M. Dubbert PhD

Authors
  1. Claire E. Adams PhD
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  2. Jeanne M. Gabriele PhD
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  3. Lauren E. Baillie PhD
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  4. Patricia M. Dubbert PhD
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Corresponding author

Correspondence to Claire E. Adams PhD.

Additional information

This work was carried out while the first author was a resident in Clinical Psychology at the G.V. (Sonny) Montgomery VA Medical Center, 1500 E Woodrow Wilson Dr, Jackson, MS 39216.

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Adams, C.E., Gabriele, J.M., Baillie, L.E. et al. Tobacco Use and Substance Use Disorders as Predictors of Postoperative Weight Loss 2 Years After Bariatric Surgery. J Behav Health Serv Res 39, 462–471 (2012). https://doi.org/10.1007/s11414-012-9277-z

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  • DOI: https://doi.org/10.1007/s11414-012-9277-z

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