The Impact of Ethnicity on Cardiovascular Risk Reduction and Heart Age After Bariatric Surgery.
Bariatric surgery
Cardiovascular risk
Ethnicity/race
Heart age
Obesity
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
pubmed:
19
2
2020
medline:
15
4
2021
entrez:
19
2
2020
Statut:
ppublish
Résumé
Risk factors for heart disease include arterial hypertension, high cholesterol, tobacco abuse, and obesity. There is a paucity of data regarding role of ethnicity in bariatric surgery (BS) outcomes. The study's aim is to determine if ethnicity plays a significant role in BS outcomes, heart age, and cardiovascular risk. We conducted a retrospective review of data collected concurrently from patients who underwent BS from 2010 to 2015. We analyzed demographics, comorbidities, heart age, and cardiovascular risk-score at surgery and 12-month follow-up. Ethnicities categorized were Caucasian and African American. Heart age was calculated using the Framingham Study Heart Age Calculator and cardiovascular risk-score using the Atherosclerotic Cardiovascular Disease Risk Calculator. A total of 292 patients presented all the variables needed to calculate heart age and cardiovascular risk score. This patient population was composed of 85% Caucasians and 15% African American. Female gender represented 67% (N = 202) of patients with mean age of 52.6 ± 10.7 years. LSG was the most prevalent procedure performed in 73.2% (N = 213) of patients. Mean BMI pre-operatively versus post-operatively by ethnicity was 41.46 ± 4.66 vs 30.08 ± 4.34 Caucasians and 41.90 ± 4.69 vs 32.08 ± 4.68 African Americans. Mean heart age pre-operatively versus post-operatively by ethnicity was 71.35 ± 14.59 vs 62.45 ± 16.12 (p < 0.0001) for Caucasians and 71.38 ± 14.30 vs 65.91 ± 16.61 (p = 0.11) for African Americans. The mean cardiovascular risk scores pre-operatively versus post-operatively by ethnicity were 0.24 ± 0.20 vs 0.15 ± 0.14 (p < 0.0001) for Caucasians and 0.20 ± 0.19 vs 0.16 ± 0.17 (p = 0.23) for African Americans. Ethnicity does not seem to impact weight loss after BS. However, we found a significant ethnicity-elated difference in reduction of heart age and cardiovascular risk.
Sections du résumé
BACKGROUND
BACKGROUND
Risk factors for heart disease include arterial hypertension, high cholesterol, tobacco abuse, and obesity. There is a paucity of data regarding role of ethnicity in bariatric surgery (BS) outcomes. The study's aim is to determine if ethnicity plays a significant role in BS outcomes, heart age, and cardiovascular risk.
METHODS
METHODS
We conducted a retrospective review of data collected concurrently from patients who underwent BS from 2010 to 2015. We analyzed demographics, comorbidities, heart age, and cardiovascular risk-score at surgery and 12-month follow-up. Ethnicities categorized were Caucasian and African American. Heart age was calculated using the Framingham Study Heart Age Calculator and cardiovascular risk-score using the Atherosclerotic Cardiovascular Disease Risk Calculator.
RESULTS
RESULTS
A total of 292 patients presented all the variables needed to calculate heart age and cardiovascular risk score. This patient population was composed of 85% Caucasians and 15% African American. Female gender represented 67% (N = 202) of patients with mean age of 52.6 ± 10.7 years. LSG was the most prevalent procedure performed in 73.2% (N = 213) of patients. Mean BMI pre-operatively versus post-operatively by ethnicity was 41.46 ± 4.66 vs 30.08 ± 4.34 Caucasians and 41.90 ± 4.69 vs 32.08 ± 4.68 African Americans. Mean heart age pre-operatively versus post-operatively by ethnicity was 71.35 ± 14.59 vs 62.45 ± 16.12 (p < 0.0001) for Caucasians and 71.38 ± 14.30 vs 65.91 ± 16.61 (p = 0.11) for African Americans. The mean cardiovascular risk scores pre-operatively versus post-operatively by ethnicity were 0.24 ± 0.20 vs 0.15 ± 0.14 (p < 0.0001) for Caucasians and 0.20 ± 0.19 vs 0.16 ± 0.17 (p = 0.23) for African Americans.
CONCLUSIONS
CONCLUSIONS
Ethnicity does not seem to impact weight loss after BS. However, we found a significant ethnicity-elated difference in reduction of heart age and cardiovascular risk.
Identifiants
pubmed: 32067167
doi: 10.1007/s11695-019-04341-1
pii: 10.1007/s11695-019-04341-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1679-1684Références
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