Obesity

Bariatric surgery is associated with lower incidence of carpal tunnel syndrome

Int J Obes (Lond)Published Retrospective cohort study

Authors' conclusion

BS was found to be associated with reduced incidence of developing CTS. There is a dose-response association where greater weight loss following BS is protective of developing CTS.

Study context

Population
Patients with obesity who underwent bariatric surgery; mean age 41.2 (SD 12.9) years, 68.6% female, mean pre-operative BMI 42.9 (SD 5.4); most underwent restrictive surgery
Participants
6,124 patients
Exposure
Carpal tunnel syndrome (CTS) incidence 5 years pre- vs post-bariatric surgery
Outcome
Incidence of carpal tunnel syndrome (CTS)
Follow-up
5 years pre- and post BS

Main finding

As reported in the abstract

Incidence of CTS · 5 years pre vs post BS

P < 0.001

Observational data: associations, not effects.

Further findings

Characteristics of patients developing CTS after bariatric surgery (BS) vs those who did not

Patients developing CTS after BS were older, with higher prevalence of hypertension and DM before BS, higher BMI and excess body weight at every time point, and lower BMI reduction

Weight regain and CTS

Weight regain was not associated with increased incidence of CTS

Excess weight loss and CTS

Direct correlation between excess weight loss and greater reduction in CTS incidence

Original publication

Bariatric surgery is associated with lower incidence of carpal tunnel syndrome. Int J Obes (Lond). Published 27 February 2025. doi:10.1038/s41366-025-01733-5

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