{"id":1519,"date":"2024-08-20T13:18:43","date_gmt":"2024-08-20T12:18:43","guid":{"rendered":"https:\/\/heliusstudy.nl\/?post_type=publicatie&#038;p=1519"},"modified":"2024-08-20T13:18:44","modified_gmt":"2024-08-20T12:18:44","slug":"are-male-patients-undergoing-bariatric-surgery-less-healthy-than-female-patients","status":"publish","type":"publicatie","link":"https:\/\/heliusstudy.nl\/tr\/publicatie\/are-male-patients-undergoing-bariatric-surgery-less-healthy-than-female-patients\/","title":{"rendered":"Are male patients undergoing bariatric surgery less healthy than female patients?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Background:&nbsp;<\/strong>Male patients are underrepresented in bariatric surgery (BS) despite a relatively equal proportion of men and women experiencing obesity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Objectives:&nbsp;<\/strong>Differences in frequency and severity of obesity-associated medical problems (OAMPs) between men and women undergoing BS or in a control group (HELIUS [HEalthy Life In an Urban Setting]) were evaluated. The hypothesis was that men undergoing BS are less healthy than women.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Setting:&nbsp;<\/strong>A cross-sectional study of 2 cohorts undergoing BS in 2013 (BS2013) and 2019 (BS2019) and a control group of patients with severe obesity from a general population (HELIUS).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Methods:&nbsp;<\/strong>Characteristics concerning weight and OAMPs, medication usage, intoxications, postoperative complications (for BS2019) were compared between men and women. Members of the HELIUS cohort were tested for eligibility for BS.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Results:&nbsp;<\/strong>Of 3244 patients included, the majority were female (&gt;78.4%). Median (interquartile range) age and body mass index (kg\/m<sup>2<\/sup>) in male versus female patients were 47.0 (41.0-53.8) versus 43.0 (36.0-51.0) years and 41.5 (38.4-45.2) versus 42.3 (40.2-45.9), respectively, in BS2013, and 52.0 (39.8-57.0) versus 45.0 (35.0-53.0) years and 40.4 (37.4-43.8) versus 41.3 (39.0-44.1) in BS2019 (P &lt; .05). The rates of men with OAMPs were 71.4% and 82.0% compared with 50.2% and 56.9% of women in BS2013 and BS2019, respectively. Overall medication usage was higher in male patients (P = .014). In BS2019, male patients exhibited a higher median HbA1C (P &lt; .001) and blood pressure (P = .003) and used more antihypertensives and antidiabetics (P = .004). Postoperative complications did not differ between men and women. In the control cohort, 66.5% of men and 66.6% of women were eligible for BS.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Conclusion:&nbsp;<\/strong>Men undergoing BS more often experience OAMPs than women, and OAMPs are more advanced in men.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background:&nbsp;Male patients are underrepresented in bariatric surgery (BS) despite a relatively equal proportion of men and women experiencing obesity. Objectives:&nbsp;Differences in frequency and severity of obesity-associated medical problems (OAMPs) between men and women undergoing BS or in a control group (HELIUS [HEalthy Life In an Urban Setting]) were evaluated. The hypothesis was that men undergoing [&hellip;]<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":true},"publications_year":[22],"thema":[45],"class_list":["post-1519","publicatie","type-publicatie","status-publish","hentry","publications_year-22","thema-other"],"acf":[],"_links":{"self":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/publicatie\/1519","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/publicatie"}],"about":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/types\/publicatie"}],"wp:attachment":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/media?parent=1519"}],"wp:term":[{"taxonomy":"publications_year","embeddable":true,"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/publications_year?post=1519"},{"taxonomy":"thema","embeddable":true,"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/thema?post=1519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}