病态肥胖及减肥手术对合并症的影响：对就业人群合并症的全面检查

The impact of morbid obesity and bariatric surgery on comorbid conditions: a comprehensive examination of comorbidities in an employed population.

作者信息

Kleinman Nathan L, Melkonian Arthur, Borden Spencer, Rohrbacker Nicholas, Lynch Wendy D, Gardner Harold H

机构信息

Human Capital Management Services Group, Inc, Cheyenne, Wyoming 82001, USA.

出版信息

J Occup Environ Med. 2009 Feb;51(2):170-9. doi: 10.1097/JOM.0b013e31818def04.

DOI:10.1097/JOM.0b013e31818def04

PMID:19209038

Abstract

OBJECTIVE

Find conditions with significantly different prevalence among employees diagnosed with morbid obesity (DMO). Examine the effect of bariatric surgery on the prevalence of all categories of comorbid conditions after surgery.

METHODS

This large employer retrospective database analysis used matching to create two cohorts: Those with a DMO and those without.

RESULTS

The DMO cohort had higher diagnosis rates in every Agency for Healthcare Research and Quality major diagnostic category except pregnancy, and it had significantly higher prevalence in 147 of 261 Agency for Health care Research and Quality specific categories. Those electing to undergo bariatric surgery experienced significant prevalence decreases in 26 of 261 specific categories.

CONCLUSION

Employees DMO are at higher risk for many serious diseases. Bariatric surgery has been effective in promoting weight loss and decreasing the rates of many serious comorbidities.

摘要

目的

找出在被诊断为病态肥胖（DMO）的员工中患病率有显著差异的情况。研究减肥手术对术后各类合并症患病率的影响。

方法

这项大型雇主回顾性数据库分析采用匹配方法创建了两个队列：患有DMO的员工和未患DMO的员工。

结果

除妊娠外，在医疗保健研究与质量局（Agency for Healthcare Research and Quality）的每个主要诊断类别中，DMO队列的诊断率都更高，并且在医疗保健研究与质量局261个特定类别中的147个类别中患病率显著更高。选择接受减肥手术的员工在261个特定类别中的26个类别中患病率显著下降。