Waist Circumference and Cardiovascular Risk Profiles after Autologous Breast Reconstruction: A Nationwide Population-Based Cohort Study.
Jeong Yeop RyuMyeong Jae KangHyun Geun ChoJung Dug YangJoon Seok LeePublished in: Journal of clinical medicine (2023)
To date, few studies have examined changes in waist circumference and cardiovascular risk profile (CVRP) after autologous breast reconstruction. Therefore, this study aimed to investigate the effect of flap surgery using autologous tissue on waist circumference and CVRP through a nationwide population-based cohort study. In total, 6926 patients who underwent autologous breast reconstruction between 2015 and 2019 were considered. Of them, we evaluated 3444 patients who underwent the complete Korean National Health Insurance Service Health Screening (NHIS-HealS) before and after surgery. Body measurements, including waist circumference, weight, and body mass index; and CVRP, including blood pressure, fasting blood glucose, and cholesterol levels, were analyzed by type of surgery up to 3-4 years postoperatively. The body measurements of patients who underwent abdominal-based breast reconstruction were reduced 1-2 years after surgery, but returned to preoperative values 3-4 years after surgery. Regardless of the type of surgery, CVRP was worsened at both 1-2 years and 3-4 years after surgery, except for low-density lipoprotein values. Autologous breast reconstruction did not ameliorate the deterioration of CVRP over time. In addition, the abdominoplasty effect of abdominal-based breast reconstruction disappeared 1-2 years after surgery.
Keyphrases
- breast reconstruction
- body mass index
- end stage renal disease
- blood glucose
- blood pressure
- newly diagnosed
- ejection fraction
- body weight
- chronic kidney disease
- health insurance
- minimally invasive
- healthcare
- bone marrow
- stem cells
- prognostic factors
- coronary artery disease
- coronary artery bypass
- peritoneal dialysis
- type diabetes
- weight gain
- weight loss
- adipose tissue
- climate change
- acute coronary syndrome
- insulin resistance
- platelet rich plasma
- mesenchymal stem cells
- heart rate
- health information
- glycemic control