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- Title
Increasing Body Mass Index Is Inversely Related to Groin Hernias.
- Authors
RAVANBAKHSH, SAMINE; BATECH, MICHAEL; TEJIRIAN, TALAR
- Abstract
Few studies describe the relationship between obesity and groin hernias. Our objective was to investigate the correlation between body mass index (BMI) and groin hernias in a large population. Patients with the diagnosis of inguinal or femoral hernia with and without incarceration or strangulation were identified using the Kaiser Permanente Southern California regional database including 14 hospitals over a 7-year period. Patients were stratified by BMI. There were 47,950 patients with a diagnosis of a groin hernia--a prevalence of 2.28 per cent. Relative to normal BMI (20-24.9 kg/m(2)), lower BMI was associated with an increased risk for hernia diagnosis. With increasing BMI, the risk of incarceration or strangulation increased. Additionally, increasing age, male gender, white race, history of hernia, tobacco use history, alcohol use, and higher comorbidity index increased the chance of a groin hernia diagnosis. Complications were higher for women, patients with comorbidities, black race, and alcohol users. Our study is the largest to date correlating obesity and groin hernias in a diverse United States population. Obesity (BMI ≥ 30 kg/m(2)) is associated with a lower risk of groin hernia diagnosis, but an increased risk of complications. This inverse relationship may be due to limitations of physical exam in obese patients.
- Subjects
CALIFORNIA; OBESITY complications; CHI-squared test; CONFIDENCE intervals; FISHER exact test; HERNIA; INGUINAL hernia; T-test (Statistics); DISEASE relapse; LOGISTIC regression analysis; BODY mass index; RELATIVE medical risk; DISEASE prevalence; RETROSPECTIVE studies; DATA analysis software; MEDICAL coding; KRUSKAL-Wallis Test
- Publication
American Surgeon, 2015, Vol 81, Issue 10, p1043
- ISSN
0003-1348
- Publication type
journal article
- DOI
10.1177/000313481508101026