Waist circumference and waist/hip ratio are better predictive risk factors for mortality and morbidity after colorectal surgery than body mass index and body surface area
- Kartheuser, A
- Leonard, D
- Penninckx, F
- Paterson, H
- Brandt, D
- Remue, C
- Bugli, C
- Dozois, E
- Mortensen, N
- Ris, F
- Tiret, E
- Abbes Orabi, N
- Achkasov, S
- Aleshin, D
- Ambrosetti, P
- Baulieux, J
- Brandt, D
- Bretagnol, F
- Bouteloup, P
- Chamlou, R
- Coimbra, C
- Cotte, E
- Decker, G
- D'Hoore, A
- Droissart, R
- Dozois, EJ
- Etienne, K
- Faucheron, J
- Frileux P
- Glehen, O
- Jehaes, C
- Kayser, J
- Konrad, B
- Krivokapic, Z
- Laurent, C
- Lehur, P
- Leonard, D
- Loriau, J
- Mabrut, J
- Majerus, B
- Matthiessen, P
- Meurette, G
- Michot, F
- Monami, B
- Mortense, B
- Navez, B
- Panis, Y
- Paterson, H
- Penninckx, F
- Pfeifer, J
- Pierard, F
- Pocard, M
- Remue, C
- Ris, F
- Rouanet, P
- Rullier, E
- Saey, J
- Shelygin, YA
- Soravia, C
- Staineier, L
- Tinton, N
- Tiret, E
- Parc, Y
- Tuech, J
- Valverde, A
- Van de Stadt
- J
- Vinson Bonnet, B
- Van Molhem, Y
- Yeung, T.
- RULLI, FRANCESCO
DOIAbstract
Objectives: To determine whether body fat distribution, measured by waist circumference (WC) and waist/hip ratio (WHR), is a better predictor of mortality and morbidity after colorectal surgery than body mass index (BMI) or body surface area (BSA). Background: Obesity measured by BMI is not a consistent risk factor for postoperative mortality and morbidity after abdominal surgery. Studies in metabolic and cardiovascular diseases have shown WC and WHR to be better outcome predictors than BMI. Methods: A prospective multicenter international study was conducted among patients undergoing elective colorectal surgery. The WHR, BMI, and BSA were derived from body weight, height, and waist and hip circumferences measured preoperatively. Uni- and...
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