SKIN COLOR DIFFERENCES AND HEALTH-RELATED QUALITY OF LIFE PERCEPTION AFTER GASTRIC BYPASS ROUX-EN-Y: A CROSS-SECTIONAL STUDY.

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery Pub Date : 2025-03-03 eCollection Date: 2025-01-01 DOI:10.1590/0102-6720202500003e1872

Milca Rodrigues Vieira de Andrade, Ana Rafaela Soares do Vale, Mariana Sousa de Pina Silva, João Henrique Cerqueira Barros, Laura Souza Lagares, Luiz Alberto Bastos de Almeida, Carolina Villa Nova Aguiar, Clarcson Plácido Conceição Dos Santos

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Abstract

Background: Differences in skin color have socioeconomic and health implications; however, gaps persist in understanding health-related quality of life (HRQoL) perception.

Aims: To examine whether skin color differences influence HRQoL in obese patients undergoing Roux-en-Y gastric bypass surgery.

Methods: Cross-sectional study with participants of both genders, aged 18 to 60, and three to six months postoperatively. Data were collected from October 2018 to July 2019 at a bariatric clinic in Salvador, Bahia. Skin color, Moorehead-Ardelt II Quality of Life Questionnaire (MAQOL-II) scores, anthropometric measurements, socioeconomic status, physical activity, and body image perceptions were recorded.

Results: Of 196 patients, 67.35% were Black. "Self-esteem" in MAQOL-II demonstrated the most significant post-surgical improvement, with 62.8% reporting "much better" outcomes. Adjusted residuals associated "much better" and "unchanged" responses with skin color. The overall MAQOL-II score indicated lower HRQoL scores (M=1.65; standard deviation - SD=0.98) for individuals with black skin compared to those with white skin. Analyzing questionnaire responses, both racial groups exhibited equal percentages (45.3%) reporting "much better" and "better" post-surgery progress. However, no statistically significant differences in HRQoL were observed when comparing skin color.

Conclusions: Skin color appears not to significantly impact the HRQoL of obese patients undergoing Roux-en-Y gastric bypass.

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