medigraphic.com
ISSN 3061-7774 (Electronic)
ISSN 1870-7203 (Print)
Órgano Oficial del Hospital Ángeles Health System

2026, Number 3

<< Back Next >>

Acta Med 2026; 24 (3)

Association of body mass index with postoperative nausea and vomiting

Vega HAI, Alva ANV, Colín SVG, Athié GJM, Galindo AJ

Language: Spanish
References: 10
Page: 189-193
PDF size: 540.52 Kb.


ABSTRACT

The study aimed to investigate the association between body mass index (BMI) and the incidence of postoperative nausea and vomiting (PONV). A prospective, observational, cross-sectional study was conducted at Hospital Angeles Mocel, including 101 adult patients with BMI > 25 kg/m2 who underwent surgery with any type of anesthesia between June-October 2023. Statistical methods such as the χ2 test and logistic regression were used to analyze the association between BMI and PONV, considering a p-value < 0.05 as significant. The results showed that 47.2% of the patients experienced nausea, with a higher incidence in individuals with overweight and obesity (p = 0.040). Women with elevated BMI had a higher prevalence of nausea compared to men. Although antiemetic prophylaxis with dexamethasone was the most commonly used, it did not completely prevent PONV. Obesity showed a trend towards increased susceptibility to PONV, highlighting the need for an individualized approach in antiemetic prophylaxis. The study provides relevant evidence on the relationship between BMI and PONV, emphasizing the importance of considering BMI in the selection of preventive therapies to improve the postoperative experience.


REFERENCES

  1. Weibel S, Rücker G, Eberhart LH, Pace NL, Hartl HM, Jordan OL et al. Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network meta-analysis. Cochrane Database Syst Rev. 2020; 10 (10): CD012859.

  2. Gan TJ, Belani KG, Bergese S, Chung F, Diemunsch P, Habib AS et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2020; 131 (2): 411-448. doi: 10.1213/ANE.0000000000004833. Erratum in: Anesth Analg. 2020; 131 (5): e241.

  3. Stoelting RK, Hillier SC. Pharmacology and physiology in anesthetic practice. 2012.

  4. Choy R, Pereira K, Silva SG, Thomas N, Tola DH. Use of apfel simplified risk score to guide postoperative nausea and vomiting prophylaxis in adult patients undergoing same-day surgery. J Perianesth Nurs. 2022; 37 (4): 445-451.

  5. Eslick GD. Gastrointestinal symptoms and obesity: a meta-analysis. Obes Rev. 2012; 13 (5): 469-479.

  6. Smit M, Werner MJM, Lansink-Hartgring AO, Dieperink W, Zijlstra JG, van Meurs M. How central obesity influences intra-abdominal pressure: a prospective, observational study in cardiothoracic surgical patients. Ann Intensive Care. 2016; 6 (1): 99.

  7. Wang JC, Wang L. Correct understanding and intervention of postoperative nausea and vomiting can provide reference for clinical practice. World J Gastrointest Surg. 2024; 16 (12): 3658-3662.

  8. Barquera S, Hernández-Barrera L, Trejo-Valdivia B, Shamah T, Campos-Nonato I, Rivera-Dommarco J. Obesity in Mexico, prevalence and trends in adults. Ensanut 2018-2019. Salud Pública de México. 2020; 62 (6): 682-669.

  9. Kim JH, Hong M, Kim YJ, Lee HS, Kwon YS, Lee JJ. Effect of body mass index on postoperative nausea and vomiting: propensity analysis. J Clin Med. 2020; 9 (6): 1612.

  10. Lagos AC, Quezada ES. Profilaxis y tratamiento de las náuseas y vómitos postoperatorios. Rev Chil Anest. 2009; 38 (1): 24-33.




2020     |     www.medigraphic.com