دورية أكاديمية

Cardiovascular Risk Factors Following Vertical Sleeve Gastrectomy in Black Americans Compared with White Americans.

التفاصيل البيبلوغرافية
العنوان: Cardiovascular Risk Factors Following Vertical Sleeve Gastrectomy in Black Americans Compared with White Americans.
المؤلفون: Speed JS; Department of Physiology and Biophysics, University of Mississippi Medical Center, 2500 North State St. Guyton 558, Jackson, MS, 39216, USA. jspeed@umc.edu., Pruett WA; Department of Physiology and Biophysics, University of Mississippi Medical Center, 2500 North State St. Guyton 558, Jackson, MS, 39216, USA., Lirette ST; Department of Data Science, University of Mississippi Medical Center, Jackson, MS, 39216, USA., Cook JJ; Department of Physiology and Biophysics, University of Mississippi Medical Center, 2500 North State St. Guyton 558, Jackson, MS, 39216, USA., Phillips CL; Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, MS, 39216, USA., Grayson BE; Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, MS, 39216, USA.
المصدر: Obesity surgery [Obes Surg] 2021 Mar; Vol. 31 (3), pp. 1004-1012. Date of Electronic Publication: 2020 Aug 22.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9106714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-0428 (Electronic) Linking ISSN: 09608923 NLM ISO Abbreviation: Obes Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2006- : New York : Springer Science + Business Media
Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991-
مواضيع طبية MeSH: Cardiovascular Diseases* , Obesity, Morbid*/surgery, Black or African American ; Gastrectomy ; Heart Disease Risk Factors ; Humans ; Risk Factors
مستخلص: Objective: Bariatric surgery presents a long-term solution for clinical obesity. Given that Black Americans (BA) carry a greater burden of obesity-related comorbidities than White Americans (WA), understanding the racial disparities regarding remission of obesity comorbidities following the most common bariatric surgery, sleeve gastrectomy (SG). The goal of the current study was to provide quantitative values related to cardiovascular and lipid outcomes following SG and determine if racial disparities exist between BA and WA.
Methods: Data was collected from de-identified electronic medical records for patients receiving SG surgery at the University of Mississippi Medical Center in Jackson, MS, USA.
Results: Of 464 patients who obtained SG from (2013-2019), 64% were WA, and 36% were BA. Before surgery, BA had significantly greater body weight (BW), body mass index (BMI), and systolic (SBP) and diastolic (DBP) blood pressures (BP) in comparison with WA. Compared with WA, BA were predicted to lose 5.1 kg less BW than WA at 1-year follow-up. Reduction in SBP (- 0.96 vs. - 0.60 mmHg/doubling of days) and DBP (- 0.51 vs. - 0.26 mmHg/doubling of days) was significantly higher in WA compared with BA. There was no racial difference in the change to total cholesterol, high-density lipoprotein (HDL)-cholesterol, low-density lipoprotein (LDL)-cholesterol, or triglycerides by race. When normalized to weight loss, the racial disparity in BP reduction was mitigated.
Conclusions: These data indicate that BA lose less body weight following SG; however, loss of excess body weight loss is associated with improvement to BP similarly in both BA and WA.
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معلومات مُعتمدة: R01 DK124327 United States DK NIDDK NIH HHS; P01 HL051971 United States HL NHLBI NIH HHS; P20 GM104357 United States GM NIGMS NIH HHS; P20 GM121334 United States GM NIGMS NIH HHS; U54 GM115428 United States GM NIGMS NIH HHS; R00 HL127178 United States HL NHLBI NIH HHS
فهرسة مساهمة: Keywords: Bariatric surgery; Blood pressure; Cardiovascular risk; Lipids
تواريخ الأحداث: Date Created: 20200823 Date Completed: 20210419 Latest Revision: 20230415
رمز التحديث: 20230415
مُعرف محوري في PubMed: PMC7897752
DOI: 10.1007/s11695-020-04938-x
PMID: 32827094
قاعدة البيانات: MEDLINE
الوصف
تدمد:1708-0428
DOI:10.1007/s11695-020-04938-x