Experiences and Outcomes of Indigenous Patients Undergoing Bariatric Surgery: a Mixed-Method Scoping Review.
Marta WhyteFelicia DaeninckJanice LintonMelinda Fowler-WoodsAmanda Fowler-WoodsGeraldine ShingooseAshley VergisWenjing HeKrista HardyPublished in: Obesity surgery (2024)
Obesity and type 2 diabetes (T2D) are growing global health concerns. Evidence suggests that Indigenous peoples are at higher lifetime risk of obesity and its associated conditions. Obesity increases the risk of T2D, cardiovascular disease, and all-cause mortality. Bariatric surgery is the most sustained and effective intervention for treating obesity-associated medical problems. This review aims to explore the experiences and outcomes of Indigenous peoples undergoing bariatric surgery in Canada, the USA, Australia, and New Zealand (CANZUS). Analysis of quantitative data revealed that Indigenous patients had fewer bariatric procedures, poorer clinic attendance, similar weight loss outcomes and slightly higher post-operative complication rates. Qualitative data analysis revealed that Indigenous patients living with obesity have a desire to improve their health and quality of life.
Keyphrases
- weight loss
- bariatric surgery
- type diabetes
- roux en y gastric bypass
- glycemic control
- insulin resistance
- obese patients
- gastric bypass
- cardiovascular disease
- metabolic syndrome
- end stage renal disease
- mental health
- data analysis
- weight gain
- chronic kidney disease
- healthcare
- patients undergoing
- ejection fraction
- high fat diet induced
- public health
- newly diagnosed
- global health
- systematic review
- primary care
- prognostic factors
- adipose tissue
- body mass index
- randomized controlled trial
- high resolution
- coronary artery disease
- machine learning
- climate change
- skeletal muscle
- social media