Sayadishahraki Masoud, Salehi Atefe
Department of General Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.
General Physician, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2023 Jul 25;12:192. doi: 10.4103/abr.abr_442_22. eCollection 2023.
The effect of bariatric surgery on weight loss (WL) of patients with severe obesity is an established finding. However, some studies have shown that other factors such as demographic characteristics can also be involved in the extent of success and relapse of obesity. Thus, this study was performed to determine the association of demographic characteristics with the rate of weight loss and changes in nutritional factors one year after one anastomosis gastric bypass (OAGB).
In this cross-sectional study, 121 patients undergoing OAGB were investigated. Patients' body mass index (BMI), nutritional factors (including levels of albumin, vitamin D3, and serum ferritin), and demographic characteristics were measured one year after the surgery.
The BMI one year after surgery was significantly lower than before surgery (47.12 ± 5.08 kg/m vs. 29.42 ± 3.86 kg/m; value <0.001). WL was 37.37 ± 6.70%. In addition, the serum level of vitamin D3 one year after surgery with the mean of 44.54 ± 17.25 was significantly higher than its level before surgery with the mean of 38.13 ± 14.42 ( value <0.001). WL in less than 50 years old and married patients was significantly higher than WL in over 50 years old and single patients ( value <0.05). Moreover, the decrease in serum ferritin level with the mean of 1.90 ± 0.56 ng/ml in women was significantly higher than its decrease with the mean of 3.02 ± 0.94 ng/ml in men ( value = 0.003).
Some demographic characteristics such as age, gender, and marital status seem to affect the rate of weight loss or ferritin level one year after OAGB.
减肥手术对重度肥胖患者体重减轻(WL)的影响已得到证实。然而,一些研究表明,人口统计学特征等其他因素也可能与肥胖症的成功程度和复发有关。因此,本研究旨在确定人口统计学特征与单吻合口胃旁路术(OAGB)一年后体重减轻率及营养因素变化之间的关联。
在这项横断面研究中,对121例行OAGB手术的患者进行了调查。在手术后一年测量患者的体重指数(BMI)、营养因素(包括白蛋白、维生素D3和血清铁蛋白水平)以及人口统计学特征。
术后一年的BMI显著低于术前(47.12±5.08kg/m²对29.42±3.86kg/m²;P值<0.001)。体重减轻率为37.37±6.70%。此外,术后一年血清维生素D3水平平均为44.54±17.25,显著高于术前平均水平38.13±14.42(P值<0.001)。年龄小于50岁且已婚患者的体重减轻率显著高于年龄大于50岁且单身患者(P值<0.05)。此外,女性血清铁蛋白水平平均下降1.90±0.56ng/ml,显著高于男性平均下降3.02±0.94ng/ml(P值=0.003)。
年龄、性别和婚姻状况等一些人口统计学特征似乎会影响OAGB术后一年的体重减轻率或铁蛋白水平。