Abstract
Purpose: The purpose of this study was to identify whether adolescent females are more prone to postoperative BMI decreases when compared to other female age groups and all male age groups. We hypothesized postoperative BMI would decrease in adolescent females when compared to males and younger females. Methods: A list of patients aged 5 to 19 who underwent surgery from 2016-2020 was generated with the 50 most frequently used diagnosis codes of two orthopedic surgeons at an orthopaedic hospital. Patients were excluded if they had undergone multiple surgeries. BMI data was collected at baseline and 2-8 months post-surgery. Patients were divided in cohorts by age: school-age, pre-adolescent, and adolescent. Results: A total of 156 patients were analyzed with a mean BMI of 20.9. There were 24 school-aged, 72 pre-adolescent, and 60 adolescent patients. No statistically significant difference in BMI change was noted between groups as determined by one-way ANOVA (p=0.86). Conclusion: There were no significant postoperative changes in BMI between males and females over the time intervals measured, however, surgeons should still be attentive to this risk. Further research focused on subtle changes in eating habits is necessary to determine if eating disorders develop without BMI changes following surgical intervention.
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