Weight Loss Following Orthognathic Surgery: a Descriptive Prospective Cohort Study

Objectives: The purpose of this prospective cohort study was to assess weight loss in kg following orthognathic surgery focusing on gender, type of surgery, employment, and living arrangements, as effect modifiers. Material and Methods: Patient weights were measured at four points during their tr...

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Main Authors: Tina Mosgaard Mogensen, Karin Bundgaard, Birgitte Boll, Niels Henrik Bruun, Thomas Starch-Jensen, Marie Germund Nielsen
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2025-03-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:https://www.ejomr.org/JOMR/archives/2025/1/e3/v16n1e3ht.htm
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author Tina Mosgaard Mogensen
Karin Bundgaard
Birgitte Boll
Niels Henrik Bruun
Thomas Starch-Jensen
Marie Germund Nielsen
author_facet Tina Mosgaard Mogensen
Karin Bundgaard
Birgitte Boll
Niels Henrik Bruun
Thomas Starch-Jensen
Marie Germund Nielsen
author_sort Tina Mosgaard Mogensen
collection DOAJ
description Objectives: The purpose of this prospective cohort study was to assess weight loss in kg following orthognathic surgery focusing on gender, type of surgery, employment, and living arrangements, as effect modifiers. Material and Methods: Patient weights were measured at four points during their trajectory; two weeks preoperatively, week one, week three, and week eight postoperatively. Additionally, the registered nurse collected the following information: (1) patient age; (2) gender; (3) status of employment; (4) type of surgery; and (5) living arrangement. Results: Mean weight loss of 3.35 kg (95% CI [confidence interval] = 3.07 to 3.62, P < 0.001), 3.56 kg (95% CI = 3.23 to 3.89, P < 0.001), and 2.79 kg (95% CI = 2.36 to 3.21, P < 0.001) for week 1, 3 and 8. Higher weight loss was observed in males 3.81 kg (95% CI = 3.31 to 4.31) compared with females 3 kg (95% CI = 2.71 to 3.29) at week 1 (P = 0.01). Highest weight loss following bimaxillary surgery was observed at week 1 (P = 0.00) and week 8 (P = 0.04). Conclusions: Postoperative proportional weight loss is observed in all patients undergoing orthognathic surgery. Being male and having bimaxillary surgery predicts for a higher weight loss. Patients who had bimaxillary procedures showed greater weight loss compared to those who had a single jaw procedure, possibly due to longer surgery times, increased facial swelling and restricted mouth opening. Interestingly, living arrangements seemed to have an effect on weight loss at week 3, suggesting that social support may influence nutritional status.
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spelling doaj-art-10ef3b7d15a6458cb7317f98c91f59e32025-08-02T01:39:27ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2025-03-01161e310.5037/jomr.2025.16103Weight Loss Following Orthognathic Surgery: a Descriptive Prospective Cohort StudyTina Mosgaard MogensenKarin BundgaardBirgitte BollNiels Henrik BruunThomas Starch-JensenMarie Germund NielsenObjectives: The purpose of this prospective cohort study was to assess weight loss in kg following orthognathic surgery focusing on gender, type of surgery, employment, and living arrangements, as effect modifiers. Material and Methods: Patient weights were measured at four points during their trajectory; two weeks preoperatively, week one, week three, and week eight postoperatively. Additionally, the registered nurse collected the following information: (1) patient age; (2) gender; (3) status of employment; (4) type of surgery; and (5) living arrangement. Results: Mean weight loss of 3.35 kg (95% CI [confidence interval] = 3.07 to 3.62, P < 0.001), 3.56 kg (95% CI = 3.23 to 3.89, P < 0.001), and 2.79 kg (95% CI = 2.36 to 3.21, P < 0.001) for week 1, 3 and 8. Higher weight loss was observed in males 3.81 kg (95% CI = 3.31 to 4.31) compared with females 3 kg (95% CI = 2.71 to 3.29) at week 1 (P = 0.01). Highest weight loss following bimaxillary surgery was observed at week 1 (P = 0.00) and week 8 (P = 0.04). Conclusions: Postoperative proportional weight loss is observed in all patients undergoing orthognathic surgery. Being male and having bimaxillary surgery predicts for a higher weight loss. Patients who had bimaxillary procedures showed greater weight loss compared to those who had a single jaw procedure, possibly due to longer surgery times, increased facial swelling and restricted mouth opening. Interestingly, living arrangements seemed to have an effect on weight loss at week 3, suggesting that social support may influence nutritional status.https://www.ejomr.org/JOMR/archives/2025/1/e3/v16n1e3ht.htmcohort studiesorthognathic surgerypostoperative periodweight loss
spellingShingle Tina Mosgaard Mogensen
Karin Bundgaard
Birgitte Boll
Niels Henrik Bruun
Thomas Starch-Jensen
Marie Germund Nielsen
Weight Loss Following Orthognathic Surgery: a Descriptive Prospective Cohort Study
eJournal of Oral Maxillofacial Research
cohort studies
orthognathic surgery
postoperative period
weight loss
title Weight Loss Following Orthognathic Surgery: a Descriptive Prospective Cohort Study
title_full Weight Loss Following Orthognathic Surgery: a Descriptive Prospective Cohort Study
title_fullStr Weight Loss Following Orthognathic Surgery: a Descriptive Prospective Cohort Study
title_full_unstemmed Weight Loss Following Orthognathic Surgery: a Descriptive Prospective Cohort Study
title_short Weight Loss Following Orthognathic Surgery: a Descriptive Prospective Cohort Study
title_sort weight loss following orthognathic surgery a descriptive prospective cohort study
topic cohort studies
orthognathic surgery
postoperative period
weight loss
url https://www.ejomr.org/JOMR/archives/2025/1/e3/v16n1e3ht.htm
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