Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study
ObjectiveTo explore patients’ long-term experiences with drinking alcohol after Roux-n-Y gastric bypass (RYGB) for conceptualizing what may indicate problematic drinking behavior after bariatric surgery.Study DesignThree-center, observational study.Patients546 adult patients undergoing RYGB in the p...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-06-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2021.679006/full |
| _version_ | 1830308083645022208 |
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| author | Magnus Strømmen Magnus Strømmen Christian Andreas Klöckner Christian Andreas Klöckner Kirsti Kverndokk Bjerkan Kirsti Kverndokk Bjerkan Hallvard Græslie Dag Arne Lihaug Hoff Dag Arne Lihaug Hoff Gjermund Johnsen Gjermund Johnsen Gjermund Johnsen Bård Kulseng Bård Kulseng Ronald Mårvik Ronald Mårvik Ronald Mårvik Siren Nymo Siren Nymo Siren Nymo Jorunn Sandvik Jorunn Sandvik Jorunn Sandvik |
| author_facet | Magnus Strømmen Magnus Strømmen Christian Andreas Klöckner Christian Andreas Klöckner Kirsti Kverndokk Bjerkan Kirsti Kverndokk Bjerkan Hallvard Græslie Dag Arne Lihaug Hoff Dag Arne Lihaug Hoff Gjermund Johnsen Gjermund Johnsen Gjermund Johnsen Bård Kulseng Bård Kulseng Ronald Mårvik Ronald Mårvik Ronald Mårvik Siren Nymo Siren Nymo Siren Nymo Jorunn Sandvik Jorunn Sandvik Jorunn Sandvik |
| author_sort | Magnus Strømmen |
| collection | DOAJ |
| description | ObjectiveTo explore patients’ long-term experiences with drinking alcohol after Roux-n-Y gastric bypass (RYGB) for conceptualizing what may indicate problematic drinking behavior after bariatric surgery.Study DesignThree-center, observational study.Patients546 adult patients undergoing RYGB in the period 2003-2009 in Norway.Main Outcome MeasuresSelf-reported data on drinking behavior and experiences related to alcohol collected 10-15 years after surgery.ResultsOut of the 959 patients undergoing RYGB in the period, 29 were diseased and 546 participated in this follow-up study (58.7%). Focusing on suspicious changes in drinking behavior, 8.8% reported drinking more, 11.5% consumed alcohol at least twice a week, and 10.6% consumed at a minimum of 6 units of alcohol at a frequency of at least once monthly. The nature of hangovers had changed for about a third of the patients, with 21.6% reporting these to feel weaker or absent. Repeated alcoholic blackouts were reported by 11.9%. A subgroup of the patients were categorized as displaying presumed problematic drinking behavior(PPDB). Among the PPDB-men there was a significant association to having had a fall last year (6 (100.0%) PPDB-patients vs. 30 (29.7%) non-PPDB, p<.001). Among the PPDB-women, there was a significant association to having had alcohol problems prior to surgery (7 (70.0%) PPDB-patients vs. 67 (17.7%) non-PPDB, p<.001). Less significant associations to PPDB reported for explorative purposes were lack of patient education (men) (16 (26.2%) PPDB-patients vs. 8 (61.5%) non-PPDB, p=.014); more than 3 months persistent musculoskeletal pain (women) (45 (15.3%) PPDB-patients vs. 29 (24.6%) non-PPDB, p=.026); subjective problems with memory (women) (58 (20.7%) PPDB-patients vs. 10 (9.1%) non-PPDB, p=.006); and, receiving professional help for mental problems last 12 months (women) (29 (22.7%) PPDB-patients vs. 45 (14.7%) non-PPDB, p=.043).ConclusionA subset of patients display drinking behaviors that may be consistent with postsurgical alcohol problems. Screening instruments like AUDIT may not be sufficiently specific to capture several risk behaviors occurring after bariatric surgery. |
| first_indexed | 2024-12-19T10:43:52Z |
| format | Article |
| id | doaj.art-3458824e873d4e3081156400efc430ed |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-12-19T10:43:52Z |
| publishDate | 2021-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-3458824e873d4e3081156400efc430ed2022-12-21T20:25:21ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922021-06-011210.3389/fendo.2021.679006679006Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS StudyMagnus Strømmen0Magnus Strømmen1Christian Andreas Klöckner2Christian Andreas Klöckner3Kirsti Kverndokk Bjerkan4Kirsti Kverndokk Bjerkan5Hallvard Græslie6Dag Arne Lihaug Hoff7Dag Arne Lihaug Hoff8Gjermund Johnsen9Gjermund Johnsen10Gjermund Johnsen11Bård Kulseng12Bård Kulseng13Ronald Mårvik14Ronald Mårvik15Ronald Mårvik16Siren Nymo17Siren Nymo18Siren Nymo19Jorunn Sandvik20Jorunn Sandvik21Jorunn Sandvik22Centre for Obesity Research, Clinic of Surgery, St. Olavs University Hospital, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayCentre for Obesity Research, Clinic of Surgery, St. Olavs University Hospital, Trondheim, NorwayDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwayFaculty of Social Science and History, Volda University College, Volda, NorwayDepartment of Surgery, Møre and Romsdal Hospital Trust, Ålesund, NorwayClinic of Surgery, Namsos Hospital, Nord-Trøndelag Hospital Trust, Namsos, NorwayDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Research and Innovation, Møre and Romsdal Hospital Trust, Ålesund, NorwayCentre for Obesity Research, Clinic of Surgery, St. Olavs University Hospital, Trondheim, NorwayNorwegian National Advisory Unit on Advanced Laparoscopic Surgery, Clinic of Surgery, St. Olavs University Hospital, Trondheim, NorwayObesity Research Group, Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayCentre for Obesity Research, Clinic of Surgery, St. Olavs University Hospital, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayCentre for Obesity Research, Clinic of Surgery, St. Olavs University Hospital, Trondheim, NorwayNorwegian National Advisory Unit on Advanced Laparoscopic Surgery, Clinic of Surgery, St. Olavs University Hospital, Trondheim, NorwayObesity Research Group, Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayCentre for Obesity Research, Clinic of Surgery, St. Olavs University Hospital, Trondheim, NorwayClinic of Surgery, Namsos Hospital, Nord-Trøndelag Hospital Trust, Namsos, NorwayObesity Research Group, Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayCentre for Obesity Research, Clinic of Surgery, St. Olavs University Hospital, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Surgery, Møre and Romsdal Hospital Trust, Ålesund, NorwayObjectiveTo explore patients’ long-term experiences with drinking alcohol after Roux-n-Y gastric bypass (RYGB) for conceptualizing what may indicate problematic drinking behavior after bariatric surgery.Study DesignThree-center, observational study.Patients546 adult patients undergoing RYGB in the period 2003-2009 in Norway.Main Outcome MeasuresSelf-reported data on drinking behavior and experiences related to alcohol collected 10-15 years after surgery.ResultsOut of the 959 patients undergoing RYGB in the period, 29 were diseased and 546 participated in this follow-up study (58.7%). Focusing on suspicious changes in drinking behavior, 8.8% reported drinking more, 11.5% consumed alcohol at least twice a week, and 10.6% consumed at a minimum of 6 units of alcohol at a frequency of at least once monthly. The nature of hangovers had changed for about a third of the patients, with 21.6% reporting these to feel weaker or absent. Repeated alcoholic blackouts were reported by 11.9%. A subgroup of the patients were categorized as displaying presumed problematic drinking behavior(PPDB). Among the PPDB-men there was a significant association to having had a fall last year (6 (100.0%) PPDB-patients vs. 30 (29.7%) non-PPDB, p<.001). Among the PPDB-women, there was a significant association to having had alcohol problems prior to surgery (7 (70.0%) PPDB-patients vs. 67 (17.7%) non-PPDB, p<.001). Less significant associations to PPDB reported for explorative purposes were lack of patient education (men) (16 (26.2%) PPDB-patients vs. 8 (61.5%) non-PPDB, p=.014); more than 3 months persistent musculoskeletal pain (women) (45 (15.3%) PPDB-patients vs. 29 (24.6%) non-PPDB, p=.026); subjective problems with memory (women) (58 (20.7%) PPDB-patients vs. 10 (9.1%) non-PPDB, p=.006); and, receiving professional help for mental problems last 12 months (women) (29 (22.7%) PPDB-patients vs. 45 (14.7%) non-PPDB, p=.043).ConclusionA subset of patients display drinking behaviors that may be consistent with postsurgical alcohol problems. Screening instruments like AUDIT may not be sufficiently specific to capture several risk behaviors occurring after bariatric surgery.https://www.frontiersin.org/articles/10.3389/fendo.2021.679006/fullgastric bypassalcohol use and alcohol problemsRYGBbariatric surgeryblackout |
| spellingShingle | Magnus Strømmen Magnus Strømmen Christian Andreas Klöckner Christian Andreas Klöckner Kirsti Kverndokk Bjerkan Kirsti Kverndokk Bjerkan Hallvard Græslie Dag Arne Lihaug Hoff Dag Arne Lihaug Hoff Gjermund Johnsen Gjermund Johnsen Gjermund Johnsen Bård Kulseng Bård Kulseng Ronald Mårvik Ronald Mårvik Ronald Mårvik Siren Nymo Siren Nymo Siren Nymo Jorunn Sandvik Jorunn Sandvik Jorunn Sandvik Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study Frontiers in Endocrinology gastric bypass alcohol use and alcohol problems RYGB bariatric surgery blackout |
| title | Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study |
| title_full | Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study |
| title_fullStr | Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study |
| title_full_unstemmed | Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study |
| title_short | Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study |
| title_sort | characteristics of patients reporting presumed problematic drinking behavior after gastric bypass exploring long term data from the barobs study |
| topic | gastric bypass alcohol use and alcohol problems RYGB bariatric surgery blackout |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2021.679006/full |
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