Objective Effects of Breast Reduction Surgery on Physical Fitness
Jennifer A. Knox, M.D.1, Kerry Latham, M.D.2.
1Tripler Army Medical Center, Honolulu, HI, USA, 2Walter Reed Military Medical Center, Washington, D.C., DC, USA.
PURPOSE: Reduction mammoplasty is a procedure known for excellent outcomes and patient satisfaction. Several studies subjectively document improvement in pain, weight loss, and exercise. However, objective data on physical fitness benefits are limited.
METHODS: Using the Stanford Military Data Repository, 105 U.S. Army active duty women undergoing reduction mammoplasty from 2011 to 2014 were identified. Paired t-tests were used to compare the means of preoperative versus postoperative Army Physical Fitness Test (APFT) scores including total score, push-ups, sit-ups, and a timed two-mile run. The relative differences in each individual’s preoperative and postoperative scores were also analyzed.
RESULTS: Of the 105 women with complete APFT records before and after surgery, 65% percent of patients improved in total scores. The means for the patients’ total APFT scores increased (236 preoperative versus 243 postoperative, p = 0.014.) Significant differences are seen for the two-mile run (75 preoperative versus 78 postoperative, p = 0.022) and sit-up test (77 preoperative versus 80 postoperative, p = 0.007). For the 33 subjects with at least 2 scores before and after surgery, 73% showed an improvement in total score after surgery. The difference in means was significant (235 preoperative versus 246 postoperative, p = 0.004) and the individuals demonstrated an average 5.2% relative improvement in scores (std 9.3, p = 0.005).
CONCLUSIONS: Objective improvements in physical fitness were demonstrated by U.S. Army active duty women after reduction mammoplasty. Standardized testing in active duty Soldiers can be used to objectively measure physical fitness following breast reduction surgery.
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