[减肥手术中的性别差异:流行病学,治疗和结果]
Patrick Téoule1, Ema Pozek2, Thomas Hielscher2
1Chirurgische Klinik, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Ruprecht-Karls-Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Heidelberg, Deutschland.
Chirurgie (Heidelberg, Germany)
|August 8, 2024
概括
男性的肥胖率和相关疾病较高,但女性更经常接受代谢性减肥手术 (MBS). 两性都能减肥,但女性的减肥效果略好一些. 男人需要更多的动力来治疗肥胖.
科学领域:
- 代谢和减肥手术的代谢和减肥手术.
- 肥胖药物 肥胖药物 肥胖药物
- 性别健康差异性别健康差异
背景情况:
- 肥胖对男性和女性的影响不同,男性经常呈现较高的BMI和更多的并发症.
- 尽管男性肥胖率较高,但女性占了接受代谢性减肥手术 (MBS) 的大多数患者.
研究的目的:
- 调查肥胖的性别特异性差异和代谢性减肥手术 (MBS) 后的结果.
- 分析人口统计,术后和随访数据,以了解治疗差异.
主要方法:
- 来自一个大量的减肥手术中心的数据库的回顾性分析.
- 包括2393名患者 (1725名女性,668名男性) 在综合数据收集中.
主要成果:
- 与女性相比,男性的BMI更高,肥胖相关疾病的患病率更高.
- 妇女占MBS患者的80%,尽管男性肥胖率更高.
- 两种性别在手术后都实现了显著的体重减轻,女性的体重减轻幅度略大.
- 男人经历了更长的手术时间,但两性之间的并发症率相似.
结论:
- 尽管男性的肥胖负担较高,但代谢性减肥手术 (MBS) 的采用存在显著的性别差异.
- 需要进一步努力,鼓励男性寻求肥胖治疗,以减轻健康风险.
- 对于男女来说,MBS是有效的,具有可比的安全性和女性略高的体重减轻.
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