胃旁路roux-en-y术后肤色差异与健康相关生活质量感知:一项横断面研究

Milca Rodrigues Vieira de Andrade, Ana Rafaela Soares do Vale, Mariana Sousa de Pina Silva, João Henrique Cerqueira Barros, Laura Souza Lagares, Luiz Alberto Bastos de Almeida, Carolina Villa Nova Aguiar, Clarcson Plácido Conceição Dos Santos
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引用次数: 0

摘要

背景:肤色差异具有社会经济和健康意义;然而,在理解与健康相关的生活质量(HRQoL)感知方面,差距仍然存在。目的:探讨皮肤颜色差异是否会影响Roux-en-Y胃旁路手术患者的HRQoL。方法:横断面研究,参与者男女,年龄18至60岁,术后3至6个月。数据于2018年10月至2019年7月在巴伊亚州萨尔瓦多的一家减肥诊所收集。记录皮肤颜色、Moorehead-Ardelt II生活质量问卷(MAQOL-II)评分、人体测量、社会经济地位、身体活动和身体形象感知。结果:196例患者中,黑人占67.35%。MAQOL-II中的“自尊”表现出最显著的术后改善,62.8%的人报告“好得多”的结果。调整后的残差将“更好”和“不变”的反应与肤色联系起来。总体MAQOL-II评分表明HRQoL评分较低(M=1.65;与白皮肤的人相比,黑皮肤的人的标准差(SD=0.98)。通过对问卷调查结果的分析,两个种族群体报告术后进展“好得多”和“更好”的比例相等(45.3%)。然而,在比较肤色时,HRQoL没有统计学上的显著差异。结论:皮肤颜色对接受Roux-en-Y胃旁路术的肥胖患者的HRQoL没有显著影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SKIN COLOR DIFFERENCES AND HEALTH-RELATED QUALITY OF LIFE PERCEPTION AFTER GASTRIC BYPASS ROUX-EN-Y: A CROSS-SECTIONAL STUDY.

Background: Differences in skin color have socioeconomic and health implications; however, gaps persist in understanding health-related quality of life (HRQoL) perception.

Aims: To examine whether skin color differences influence HRQoL in obese patients undergoing Roux-en-Y gastric bypass surgery.

Methods: Cross-sectional study with participants of both genders, aged 18 to 60, and three to six months postoperatively. Data were collected from October 2018 to July 2019 at a bariatric clinic in Salvador, Bahia. Skin color, Moorehead-Ardelt II Quality of Life Questionnaire (MAQOL-II) scores, anthropometric measurements, socioeconomic status, physical activity, and body image perceptions were recorded.

Results: Of 196 patients, 67.35% were Black. "Self-esteem" in MAQOL-II demonstrated the most significant post-surgical improvement, with 62.8% reporting "much better" outcomes. Adjusted residuals associated "much better" and "unchanged" responses with skin color. The overall MAQOL-II score indicated lower HRQoL scores (M=1.65; standard deviation - SD=0.98) for individuals with black skin compared to those with white skin. Analyzing questionnaire responses, both racial groups exhibited equal percentages (45.3%) reporting "much better" and "better" post-surgery progress. However, no statistically significant differences in HRQoL were observed when comparing skin color.

Conclusions: Skin color appears not to significantly impact the HRQoL of obese patients undergoing Roux-en-Y gastric bypass.

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