Postthyroidectomy obesity in a Korean population: does the extent of surgery matter?
10.4174/astr.2019.97.3.119
- Author:
Min Young PARK
1
;
Sang Eun NAM
;
Kyoung Sik PARK
;
Madhuri SAINDANE
;
Young Bum YOO
;
Jung Hyun YANG
;
Ah Leum AHN
;
Jae Kyung CHOI
;
Won Seo PARK
Author Information
1. Department of Surgery, Konkuk University School of Medicine, Seoul, Korea. kspark@kuh.ac.kr
- Publication Type:Original Article
- Keywords:
Lobectomy;
Obesity;
Thyroid neoplasms;
Thyroidectomy
- MeSH:
Academic Medical Centers;
Alcohol Drinking;
Ambulatory Care Facilities;
Body Mass Index;
Body Weight Changes;
Female;
Follow-Up Studies;
Humans;
Life Style;
Male;
Menopause;
Obesity;
Prevalence;
Retrospective Studies;
Risk Factors;
Thyroid Neoplasms;
Thyroidectomy;
Weight Gain
- From:Annals of Surgical Treatment and Research
2019;97(3):119-123
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study was to investigate the prevalence of postthyroidectomy obesity, and the relationship between the extent of thyroidectomy and obesity. METHODS: A survey conducted at an outpatient clinic from June to October 2014 and retrospective charts for patients undergoing thyroidectomy at Konkuk University Medical Centers from June 2009 to December 2013 were reviewed. We compared clinical characteristics and pre- and postoperative obesity-related factors in 227 patients who underwent total thyroidectomy or lobectomy. RESULTS: Patients included 39 males and 188 females with a mean age of 46.0 ± 11.0 years; the mean follow-up period was 23.9 ± 16.7 months, and 90 of the 227 patients showed postthyroidectomy obesity. In effect of operative extent on postoperative obesity, patients who underwent TT (48.2 years) than those who underwent lobectomy (43.4 years). TT group had longer follow-up and the frequency of menopause was higher than in the lobectomy group. No differences in postthyroidectomy obesity, body weight change, or body mass index (BMI), change among 2 groups. The predictors of postthyroidectomy obesity were older age, female, heavy alcohol consumption (P = 0.029), higher preoperative BMI (P < 0.001), larger postoperative weight gain (P = 0.024), and larger BMI change. However, the extent of thyroidectomy did not affect postthyroidectomy obesity. Preoperative BMI (P < 0.001) and heavy alcohol consumption (P = 0.03) were independent factors of postthyroidectomy obesity. CONCLUSION: The extent of thyroidectomy does not affect postthyroidectomy obesity. Preoperative BMI and heavy alcohol consumption are risk factors for postthyroidectomy obesity. Studies are needed to suggest preoperative life style modification to prevent postthyroidectomy obesity.
