Predictors of Alcohol Use, Alcohol-Related Problems, and Substance Use Following Adolescent Metabolic and Bariatric Surgery
Objective:. To identify factors associated with incident alcohol consumption, hazardous drinking, alcohol-related problems, and substance use up to 8 years following metabolic and bariatric surgery (MBS) during adolescence. Background:. In this cohort, nearly half of those who underwent MBS as adole...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-09-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000461 |
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| author | Gretchen E. White, PhD Richard E. Boles, PhD Anita P. Courcoulas, MD, MPH Thomas H. Inge, MD Susan Z. Yanovski, MD Todd M. Jenkins, PhD Meg H. Zeller, PhD |
| author_facet | Gretchen E. White, PhD Richard E. Boles, PhD Anita P. Courcoulas, MD, MPH Thomas H. Inge, MD Susan Z. Yanovski, MD Todd M. Jenkins, PhD Meg H. Zeller, PhD |
| author_sort | Gretchen E. White, PhD |
| collection | DOAJ |
| description | Objective:. To identify factors associated with incident alcohol consumption, hazardous drinking, alcohol-related problems, and substance use up to 8 years following metabolic and bariatric surgery (MBS) during adolescence.
Background:. In this cohort, nearly half of those who underwent MBS as adolescents screened positive for alcohol use disorder, symptoms of alcohol-related harm, or alcohol-related problems within 8 years post-surgery. Moreover, persistent or heavy marijuana use following MBS during adolescence is higher than national data.
Methods:. This study includes 217 adolescents (aged 13–19 years) enrolled in a 5-center prospective cohort study who underwent Roux-en-Y gastric bypass or vertical sleeve gastrectomy between 2007 and 2011 and were followed for up to 8 years. Participants self-reported alcohol use via the Alcohol Use Disorders Identification Test and substance use for up to 8 years.
Results:. Female sex, pre-surgery lower body mass index, and pre-surgery substance use were independently associated with increased risk of incident post-surgery hazardous drinking. Pre-surgery psychiatric counseling was significantly associated with increased risk for new-onset substance use post-surgery. Starting substance use post-surgery or continuing pre- to post-surgery was independently associated with a higher risk of post-surgery hazardous drinking. Greater percent weight loss, starting post-surgery or continuing pre- to post-surgery psychiatric counseling, using alcohol, and hazardous drinking were independently associated with a higher risk of post-surgery substance use.
Conclusions:. Future research with a nonsurgical control group should be examined to further elucidate the relationships between MBS and alcohol and substance use following surgery during adolescence. |
| format | Article |
| id | doaj-art-48486cf0e127470688433add56e00a3e |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-48486cf0e127470688433add56e00a3e2025-01-24T09:18:48ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-09-0153e46110.1097/AS9.0000000000000461202409000-00013Predictors of Alcohol Use, Alcohol-Related Problems, and Substance Use Following Adolescent Metabolic and Bariatric SurgeryGretchen E. White, PhD0Richard E. Boles, PhD1Anita P. Courcoulas, MD, MPH2Thomas H. Inge, MD3Susan Z. Yanovski, MD4Todd M. Jenkins, PhD5Meg H. Zeller, PhD6From the * University of Pittsburgh, School of Medicine, Pittsburgh, PA† University of Colorado Anschutz Medical Campus, Aurora, COFrom the * University of Pittsburgh, School of Medicine, Pittsburgh, PA‡ Lurie Children’s Hospital of Chicago, Northwestern Feinberg School of Medicine, Chicago, IL§ Division of Digestive Diseases and Nutrition, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD‖ Cincinnati Children’s Hospital Medical Center, Cincinnati, OH¶ University of Cincinnati College of Medicine, Cincinnati, OH.Objective:. To identify factors associated with incident alcohol consumption, hazardous drinking, alcohol-related problems, and substance use up to 8 years following metabolic and bariatric surgery (MBS) during adolescence. Background:. In this cohort, nearly half of those who underwent MBS as adolescents screened positive for alcohol use disorder, symptoms of alcohol-related harm, or alcohol-related problems within 8 years post-surgery. Moreover, persistent or heavy marijuana use following MBS during adolescence is higher than national data. Methods:. This study includes 217 adolescents (aged 13–19 years) enrolled in a 5-center prospective cohort study who underwent Roux-en-Y gastric bypass or vertical sleeve gastrectomy between 2007 and 2011 and were followed for up to 8 years. Participants self-reported alcohol use via the Alcohol Use Disorders Identification Test and substance use for up to 8 years. Results:. Female sex, pre-surgery lower body mass index, and pre-surgery substance use were independently associated with increased risk of incident post-surgery hazardous drinking. Pre-surgery psychiatric counseling was significantly associated with increased risk for new-onset substance use post-surgery. Starting substance use post-surgery or continuing pre- to post-surgery was independently associated with a higher risk of post-surgery hazardous drinking. Greater percent weight loss, starting post-surgery or continuing pre- to post-surgery psychiatric counseling, using alcohol, and hazardous drinking were independently associated with a higher risk of post-surgery substance use. Conclusions:. Future research with a nonsurgical control group should be examined to further elucidate the relationships between MBS and alcohol and substance use following surgery during adolescence.http://journals.lww.com/10.1097/AS9.0000000000000461 |
| spellingShingle | Gretchen E. White, PhD Richard E. Boles, PhD Anita P. Courcoulas, MD, MPH Thomas H. Inge, MD Susan Z. Yanovski, MD Todd M. Jenkins, PhD Meg H. Zeller, PhD Predictors of Alcohol Use, Alcohol-Related Problems, and Substance Use Following Adolescent Metabolic and Bariatric Surgery Annals of Surgery Open |
| title | Predictors of Alcohol Use, Alcohol-Related Problems, and Substance Use Following Adolescent Metabolic and Bariatric Surgery |
| title_full | Predictors of Alcohol Use, Alcohol-Related Problems, and Substance Use Following Adolescent Metabolic and Bariatric Surgery |
| title_fullStr | Predictors of Alcohol Use, Alcohol-Related Problems, and Substance Use Following Adolescent Metabolic and Bariatric Surgery |
| title_full_unstemmed | Predictors of Alcohol Use, Alcohol-Related Problems, and Substance Use Following Adolescent Metabolic and Bariatric Surgery |
| title_short | Predictors of Alcohol Use, Alcohol-Related Problems, and Substance Use Following Adolescent Metabolic and Bariatric Surgery |
| title_sort | predictors of alcohol use alcohol related problems and substance use following adolescent metabolic and bariatric surgery |
| url | http://journals.lww.com/10.1097/AS9.0000000000000461 |
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