The Prevalence of Metabolically Healthy and Unhealthy Obesity Among Bariatric Surgery Candidates, According to ATPIII Criteria

Annals of Bariatric Surgery Pub Date : 2021-06-30 DOI:10.32598/abs.10.1.2

Negar Zamaninour, Mohadeseh Hassan zadeh, A. Pazouki, A. Kabir

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Abstract

Background/Aim: Previous studies have demonstrated that patients with obesity can be metabolically healthy. However, little is known about the healthy or unhealthy metabolic status of patients undergoing bariatric surgery. This study, therefore, assesses the prevalence of metabolically healthy (MHO) and unhealthy (MUO) obesity among bariatric surgery candidates. Methods: The study involved 713 bariatric surgery candidates (580 women and 133 men; age range 18-69 years). MHO and MUO were defined according to The National Cholesterol Education Program-Adult Treatment Panel III (ATP III). Results: Mean (±SD) patient age, weight, body mass index (BMI), waist and hip circumference were 40.44 (±10.26) years, 127.15 (±22.15) kg, 164.33 (±8.85) cm, 46.90 (±5.79) kg/m2, 122.57 (±13.93) cm, and 140.10 ( ±12.40) cm, respectively. 318 patients (44.6%) were classified as MHO and 395 (55.4%) as MUO. A higher percentage of participants aged 40 years and older suffered from unhealthy metabolic status (61%). Conclusion: A large percentage of bariatric surgery candidates are metabolically healthy. Additionally, the prevalence of MHO was higher at younger ages

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根据ATPIII标准，减肥手术患者中代谢健康和不健康肥胖的患病率

背景/目的:以往的研究表明，肥胖患者可以保持代谢健康。然而，对于接受减肥手术的患者的健康或不健康的代谢状态知之甚少。因此，本研究评估了减肥手术候选人中代谢健康(MHO)和不健康(MUO)肥胖的患病率。方法:该研究涉及713名减肥手术候选人(580名女性和133名男性;年龄18-69岁)。根据国家胆固醇教育计划-成人治疗方案III (ATP III)定义MHO和MUO。结果:患者的平均(±SD)年龄、体重、体重指数(BMI)、腰围和臀围分别为40.44(±10.26)岁、127.15(±22.15)kg、164.33(±8.85)cm、46.90(±5.79)kg/m2、122.57(±13.93)cm和140.10(±12.40)cm。MHO 318例(44.6%)，MUO 395例(55.4%)。40岁及以上的参与者中有较高比例的人患有不健康的代谢状态(61%)。结论:很大比例的减肥手术候选者代谢健康。此外，MHO的患病率在年轻时更高

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Annals of Bariatric Surgery

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