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Obesity and abdominal hernia in ambulatory patients, 2018-2023.
Zelicha, H; Bell, D S; Chen, D; Chen, Y; Livingston, E H.
Afiliación
  • Zelicha H; Department of Surgery, Faculty of Health Sciences, UCLA School of Medicine, CHS 74-121, Los Angeles, CA, 90095, USA.
  • Bell DS; Department of Medicine, Division of General Internal Medicine, UCLA, Los Angeles, CA, USA.
  • Chen D; Department of Medicine, Division of General Internal Medicine, UCLA, Los Angeles, CA, USA.
  • Chen Y; Informatics Program of the UCLA Clinical and Translational Science Institute (CTSI), UCLA, Los Angeles, CA, USA.
  • Livingston EH; Department of Surgery, Faculty of Health Sciences, UCLA School of Medicine, CHS 74-121, Los Angeles, CA, 90095, USA.
Hernia ; 28(4): 1317-1324, 2024 08.
Article en En | MEDLINE | ID: mdl-38795218
ABSTRACT

PURPOSE:

To determine the relationship between abdominal hernia and obesity. Although obesity is frequently cited as a risk factor for abdominal hernia, few studies have confirmed this association (Menzo et al. Surg Obes Relat Dis 141221-1232. 10.1016/j.soard.2018.07.005, 2018).

METHODS:

A cross-sectional study of primary care ambulatory patients aged older than 16 years treated at UCLA Health from 01/01/2018 to 06/06/2023. Abdominal hernia was identified by clinic encounter ICD-10 codes (K40-K46).

RESULTS:

There were 41,703 hernias identified among 1,362,440 patients (306.1 per10,000) with a mean age of 62.5 ± 16.1 years, and 57.6% were men. Nearly half (44.7%) of all abdominal hernias were diaphragmatic. There was an approximately equal distribution of the ventral (28.7%) and inguinal (24.3%) hernia. Each hernia type had a different relationship with obesity The odds of having a ventral hernia increased with BMI in both sexes BMI 25-29.9 kg/m2 odds ratio (OR) = 1.65, (CI 1.56-1.74); BMI 30-39.9 kg/m2 OR = 2.42 (CI 2.29-2.56), BMI 40-49.9 kg/m2 OR = 2.28 (CI 2.05-2.54) and BMI > = 50 kg/m2 OR = 2.54 (CI 2.03-3.17) all relative to normal BMI. In contrast, the odds of having an inguinal hernia decreased with obesity relative to normal weight [obesity (BMI 30-39.9 kg/m2) OR = 0.60 (CI 0.56-0.65)], morbid obesity (BMI 40-49.9 kg/m2) OR = 0.29 (CI 0.23-0.37). The OR for diaphragmatic hernia peaks with obesity in women and overweight status in men but was found to decrease with morbid obesity [OR = 1.18 (CI 1.07-1.30)]. There was no significant difference between men and women in the prevalence of femoral hernia (men 0.7/per10,000, women 0.9/per10,000, p = 0.19).

CONCLUSIONS:

The relationship between hernia and obesity is complex with some hernias decreasing in prevalence as obesity increases. Further research is needed to better understand this paradoxical relationship.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Índice de Masa Corporal / Hernia Abdominal / Obesidad Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Hernia Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Índice de Masa Corporal / Hernia Abdominal / Obesidad Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Hernia Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Francia