Poster Topical Area: Obesity
Location: Hall D
Poster Board Number: 656
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.
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.
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.
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
Inspira Health Network
Glassboro, New Jersey