Poster Topical Area: Obesity

Location: Hall D

Poster Board Number: 656

P23-029 - Demographics and Weight-Related Medical Problems Vary by Race in Morbidly Obese Men: Analysis of 17734 Males Pre-Operative for Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)

Sunday, Jun 10
8:00 AM – 6:00 PM

OBJECTIVE
To identify clinical variations by race in obese men. In the obesity epidemic, every physician now manages fragile bariatric patients. Every insight can aid patient care. However, variation by race among morbidly obese males is unknown.

METHODS
Pre-operative data from 17,734 men in the Surgical Review Corporation's BOLD database before LRYGB was analyzed in five groups: African American (AA, n=1,310), Caucasian (CA, n=14,168), Asian (AS, n=53), Hispanic HI, (n=1,519), and Other (O, Pacific Islander, Native American, or more than one race, n=684). Analysis of variance tested continuous data. Chi-squared tested 32 obesity co-morbidities.

RESULTS
See Tables 1 & 2. AA weight (165.7+-33.54 kg) and BMI (51.58+-9.769) were highest and CA oldest (48.5+-11.28), (p<0.0001). AA had greatest CHF, gout, hypertension (HBP) (p<0.0001), substance abuse (p<0.05) (n=4), and lowest cholelithiasis (CL), mental health diagnosis (MH), depression (p<0.0001), liver disease (p<0.01) (n=4). CA had highest hernia, panniculitis, angina, back/somatic pain, CL, MH, depression, GERD, ischemic heart disease (IHD), psychologic impairment (PI), leg edema, unemployed (p<0.0001), disability, pulmonary hypertension (PHT) (p<0.01), fibromyalgia and peripheral vascular disease (PVD) (p<0.05) (n=18) and lowest in none. AS alcohol use, diabetes, dyslipidemia, sleep apnea (OSA) (p<0.0001) and liver disease (p<0.05) were highest (n=5) , and hernia, panniculitis, back and somatic pain, CHF, GERD, IHD, leg edema, unemployed (p<0.0001) impaired function, pseuodotumor cerebri (PTC), PHT, substance abuse (p<0.01), fibromyalgia (p<0.05) were lowest (n=14). HI had lowest DVT/PE, diabetes, gout, HBP, dyslipidemia, and PI (p<0.0001) (n=6) and none highest. O OSA, angina (p<0.0001) and alcohol were lowest and PTC highest. Asthma, obesity hypoventilation, stress incontinence and tobacco use did not vary by race.

CONCLUSIONS
Clinical data vary by race in morbidly obese men. Cardiopulmonary, abdominal, somatic and functional problems dominate CA. AA CHF, HBP were highest. AS drank most and had highest liver disease, diabetes, OSA, dyslipidemia. HI was lowest in 6, highest in none. O had lowest OSA and alcohol. This advance knowledge could enable targeted medical and pre-surgical interventions, with improved outcomes.


Funding Source: Inspira Health Network

Weight-Related Medical Problems in Morbidly Obese Men.

The frequency of each obesity related comorbidity by race.

Employment Status of Morbidly Obese Men

Breakdown of each race’s employment status into: employed, homemaker, self employed, student, unemployed, or not specified.

CoAuthors: Nicole Zucconi – Inspira Health Network; Gus Slotman – Inspira Health Network

Kirk Duwel

Physician
Inspira Health Network
Glassboro, New Jersey