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减重手术可提高肥胖人群的就业率:2 年分析。

Bariatric surgery improves the employment rate in people with obesity: 2-year analysis.

机构信息

Department of Digestive Surgery, Grenoble Alps University Hospital, Grenoble cedex, France.

Endocrinology Department, Grenoble Alps University Hospital, Grenoble cedex, France.

出版信息

Surg Obes Relat Dis. 2018 Nov;14(11):1700-1704. doi: 10.1016/j.soard.2018.06.026. Epub 2018 Jul 20.

DOI:10.1016/j.soard.2018.06.026
PMID:30166261
Abstract

BACKGROUND

Beyond medical complications, people with obesity experience dramatic impairment of quality of life, including adverse workplace effects. Obesity results in weight-based discrimination and a high rate of unemployment because of work disability, absenteeism, loss of productivity, and cost. A few studies have been performed to assess the relationship between obesity surgery and the workplace, finding an improvement in weekly working hours and productivity and a decrease in absenteeism, days of sick leave, and state benefit claims. However, the results are still controversial concerning the overall employment rate.

OBJECTIVES

This study aimed to compare the employment rate before and 2 years after obesity surgery and to evaluate the difference in weight loss between worker and nonworker patients.

SETTING

Participants were recruited from a tertiary care university hospital in France.

METHODS

The 2-year outcomes of all patients who underwent obesity surgery between 2010 and 2015 were retrospectively reviewed. The employment status was recorded preoperatively and postoperatively. Retired or permanently disabled patients were excluded from the analysis.

RESULTS

Preoperatively, 158 of 238 patients were employed compared with 199 of 238 postoperatively (P < .0001). There was no difference in weight loss between the worker and nonworker patients regarding the percentage of excess weight loss and the change in body mass index.

CONCLUSION

This study supports the finding that bariatric surgery also has a positive impact on the professional sphere, providing the opportunity for unemployed patients to return to work.

摘要

背景

除了医疗并发症外,肥胖患者的生活质量也会严重受损,包括对工作场所的负面影响。肥胖会导致基于体重的歧视,以及由于工作能力丧失、缺勤、生产力下降和成本增加而导致高失业率。有一些研究评估了肥胖症手术与工作场所之间的关系,发现每周工作时间和生产力提高,缺勤、病假天数和国家福利索赔减少。然而,关于总体就业率,结果仍存在争议。

目的

本研究旨在比较肥胖症手术前后的就业率,并评估工人和非工人患者之间的体重减轻差异。

设置

参与者是从法国一家三级护理大学医院招募的。

方法

回顾了 2010 年至 2015 年间接受肥胖症手术的所有患者的 2 年结果。术前和术后记录了就业状况。退休或永久性残疾患者被排除在分析之外。

结果

术前,238 名患者中有 158 人就业,而术后有 199 人就业(P <.0001)。在体重减轻百分比和体重指数变化方面,工人和非工人患者之间没有差异。

结论

这项研究支持这样一种发现,即减重手术对职业领域也有积极影响,为失业患者提供了重返工作岗位的机会。

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