Hamlin R J, Sprung J, Hofer R E, Schroeder D R, Weingarten T N
Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, USA.
Division of Biomedical Statistics, Mayo Clinic, Rochester, Minnesota, USA.
Acta Chir Belg. 2013 Nov-Dec;113(6):397-400.
Changes in the prevalence of obesity of surgical patients overtime and in relation to the general population have not been well characterized.
Height, weight, age and gender data of adult patients who underwent general anesthesia at our institution were abstracted. Reliable data was available for the years 1989-1991 and 2006-2008, and comparisons were made between these epochs. Additional comparisons were made between our Minnesota surgical patients and the general Minnesota population.
Substantial changes in patient weight occurred with a decline in normal weight patients (body mass index [BMI] < or =25.0) from 41.6% to 30.9% (P <0.001), while the prevalence of obesity (BMI 30-34.9) increased from 14.9% to 20.6% (P <0.001) and morbidly obesity (BMI > 35) from 7.1% to 14.8% (P <0.001). Minnesota surgical patients had a higher prevalence of obesity in every demographic category (P <0.001) compared to the general population.
A substantial increase in the prevalence of obesity and morbid obesity among surgical patients at our institution occurred and the prevalence of obesity in our contemporary practice is higher than the general population. These observations most likely have profound implications on healthcare delivery resources, though its impact has yet to be determined.
外科手术患者肥胖患病率随时间的变化以及与普通人群的关系尚未得到充分描述。
提取了在我们机构接受全身麻醉的成年患者的身高、体重、年龄和性别数据。1989 - 1991年和2006 - 2008年有可靠数据，并对这两个时期进行了比较。还对我们明尼苏达州的外科手术患者与明尼苏达州普通人群进行了额外比较。
患者体重发生了显著变化，正常体重患者（体重指数[BMI]≤25.0）从41.6%降至30.9%（P<0.001），而肥胖（BMI 30 - 34.9）患病率从14.9%增至20.6%（P<0.001），病态肥胖（BMI>35）从7.1%增至14.8%（P<0.001）。与普通人群相比，明尼苏达州的外科手术患者在各人口统计学类别中的肥胖患病率均更高（P<0.001）。
我们机构外科手术患者中肥胖和病态肥胖的患病率大幅上升，并且我们当前实践中的肥胖患病率高于普通人群。这些观察结果很可能对医疗保健资源产生深远影响，尽管其影响尚未确定。
