• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • SAGES Logo Products
    • “Unofficial” Logo Products
  • Log In

Racial Variation in the Distribution of Demographics, Body Mass, and Weight-related Medical Co-morbidities Among the Morbidly Obese: Analysis of 5,389 Bold Database Patients.

Ezekiel Adewale, DO, Gus J Slotman, MD. Departments of Medicine and Surgery, Inspira Health Network, Vineland, NJ.

Objective/Background: The purpose of this study was to identify variations in weight, BMI, and obesity co-morbidities among the most severely overweight patients. As the obesity epidemic grows, morbidly obese patients with the highest BMI carry the greatest risk of severe weight-related medical problems. However, the effect of race on the distribution of these conditions in the morbidly obese is unknown.

Methods: Data from the Surgical Review Corporation’s BOLD database on 5,389 patients who were about to undergo open roux-en-Y was analyzed retrospectively in four groups: African-American (n= 503), Caucasian (n=3,769), Hispanic (n=460), and Other (Pacific Islands, Native American, or >1 race recorded; n=652). Five Asian patients were too few to analyze. Age, weight and Body Mass Index (BMI) were compared by analysis of variance. Dichotomous variable distribution was assessed by the Chi-squared equation.

Results: African-American Caucasian Hispanic Others p-value
Age 42+-11 47+-12 39+-10 47+-13 <0.05
Weight 151+-38 142+-33 139+-36 131+-31 <0.05
BMI 53+-11 50+-10 51+-11 48+-9 <0.05
Hypertension 63.42% 62.51% 48.91% 65.34% <0.0001
Sleep Apnea 52.09% 54.47% 42.83% 27.61% <0.0001
CHF 4.77% 3.50% 0.43% 1.07% <0.0001
Hyperlipidemia 31.41% 45.34% 15.87% 27.15% <0.0001
Diabetes 38.77% 41.07% 29.35% 34.05% <0.0001
GERD 43.74% 46.38% 21.74% 31.75% <0.0001
Back Pain 57.85% 53.91% 30.43% 40.95% <0.0001

Conclusions: Among the morbidly obese patients, severe co-morbidities are common, and vary widely by racial classification. Weight and BMI are greatest in African-American. Sleep apnea is highest among Caucasians and African-Americans while Hypertension in Others. Diabetes and hyperlipidemia are most frequent among African Americans and Caucasians. The oldest patients are Caucasians and Others, and the rate of depression is greater amongst Caucasians. It is no coincidence back pain appears to be high across all racial groups as it is most likely affected by high weight and BMI across all racial groups, in addition to other associated co-morbidities. Clinical suspicion for these race-related clinical factors should be heightened in managing morbidly obese patients. It is important to take into consideration these findings and co-morbidities when considering medical and/or surgical treatment plans for the morbidly obese population as they can have significant impact in the final outcome of how patients respond to an open roux-en-Y surgical intervention. Attention to these findings may facilitate pre-surgical preparation, and could help optimize obesity outcomes.
 

View Poster

110

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2014 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons