Open AccessBariatric surgery as a safe and effective intervention for the control of comorbidities in older adults
Author(s) -
Juliana Bento da Cunha,
M. Fialho,
Sérgio Lincoln de Matos Arruda,
Otávio Tolêdo Nóbrega,
Einstein Francisco Camargos
Publication year - 2020
Publication title -
geriatrics, gerontology and aging
Language(s) - English
Resource type - Journals
eISSN - 2447-2123
pISSN - 2447-2115
DOI - 10.5327/z2447-212320202000037
Subject(s) - medicine , comorbidity , depression (economics) , diabetes mellitus , obstructive sleep apnea , sleep apnea , weight loss , obesity , dementia , metabolic syndrome , observational study , sleeve gastrectomy , life expectancy , clinical trial , surgery , intervention (counseling) , randomized controlled trial , pediatrics , psychiatry , gastric bypass , disease , population , environmental health , economics , macroeconomics , endocrinology
In addition to being associated with worsening of diseases related to metabolic syndrome and musculoskeletal disorders, obesity in older adults increases the risk of falls, frailty syndrome, depression, and dementia, with consequent functional loss. Among all treatments available, bariatric surgery is an option for eligible patients. OBJECTIVES: To discuss aspects related to the safety and benefits of bariatric surgery for the control or remission of comorbidities in older adults. METHODS: This literature review was carried out in databases, using the following keywords: bariatric surgery and elderly or aged or older adult and comorbidities or safety. We included clinical trials, observational studies, comparative studies, and reviews that evaluated the effect of bariatric surgery on the control or remission of comorbidities in older adults. RESULTS: In recent years, several studies have evidenced not only control or remission of comorbidities, such as diabetes, hypertension, and sleep apnea syndrome, but also a low rate of complications, similar to those observed in young people. CONCLUSIONS: Based on the results of these studies, bariatric surgical procedures can be indicated for eligible older adults, without age restriction, taking into account functional and life expectancy aspects.