ABSTRACT. To analyze factors associated with bone mineral density (BMD) of candidates and patients admitted to Bariatric Surgery (BS). This study included 61 women who had done or were waiting for BS. Anthropometric variables, body composition and BMD from the femur, femoral neck, lumbar spine and the whole body were measured. The factors associated with changes in BMD, such as smoking, alcohol ingestion, sedentary lifestyle, BS, nutritional supplementation and age were evaluated. The statistical significance was set at 5%. Age and BS were associated with changes in BMD. Among the individuals who had BS done, the rates of osteopenia/osteoporosis were greater in the femur (OR 3.34 Fatores associados à densidade mineral óssea em mulheres submetidas à cirurgia bariátrica RESUMO. Analisar fatores associados à densidade mineral óssea (DMO) de candidatas e de pacientes submetidas à cirurgia bariátrica (CB). Neste estudo transversal foram avaliadas variáveis antropométricas, composição corporal e DMO do fêmur, colo do fêmur, coluna lombar e corpo inteiro, além dos fatores associados às alterações na DMO: tabagismo, consumo de álcool, sedentarismo, CB, suplementação e idade em 61 mulheres com média de idade de 43,97 (± 10,73) anos. Significância pré estabelecida em 5%. A idade e CB apresentaram associação com alterações na DMO. Os sujeitos operados apresentaram maiores chances de apresentar osteopenia/osteoporose no fêmur (RC 3,34; IC [1,83]) e no colo do fêmur (RC 3,69; IC [1,08]) e os sujeitos com idade superior a 50 anos apresentaram maiores chances de apresentar alterações na DMO na coluna lombar (RC 4,12; IC [2,(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)33]), no corpo inteiro (RC 4,77; IC [1,14]), fêmur (RC 16,94; IC [2,32]) e no colo do fêmur (RC 14,95; IC [1,66]). Pacientes submetidos à CB e com idade superior a 50 anos apresentam maiores alterações na DMO, demonstrando a importância de mais estudos que explorem os efeitos da CB e suas repercussões sobre o metabolismo ósseo.Palavras-chave: densidade óssea, obesidade, cirurgia bariátrica, osteoporose.
ABSTRACT. The objective of this study is to compare the scores of health related quality of life (HRQOL) of candidates for bariatric surgery with patients that underwent bariatric surgery at different time intervals. A cross sectional study was performed in the city of Maringá and Paranavaí, Paraná, Brazil, with 44 candidates to bariatric surgery and 63 individuals submitted to it. The group of individuals submitted to bariatric surgery was divided into 3 subgroups according to the elapsed time of surgery. (more than 18 months -G2; at least 19 and maximum 36 months -G3 and more than 36 months -G4).The quality of life related to the health of the patients was assessed by the SF-36 and BAROS. The comparison among groups was performed by using parametric and nonparametric statistic tests. The magnitude of the effects of the bariatric surgery by effect size (ES) was also evaluated. The assessment of HRQOL shows differences among the groups, with lower scores observed in group 4 when compared to group 2. A comparison of mean scores of the domains of the SF-36 shows that the groups formed by people who underwent bariatric surgery have average scores significantly higher than those presented by candidates to bariatric surgery (p < 0.05). Though not return to the levels of candidates to bariatric surgery, the scores of the areas "Pain body" and "General health", presented by the groups 2 and 4, as well as those submitted by the groups 2 and 3 for the field "Vitality", suggest a worsening in HRQOL with the passage of time after surgery. The results of this study indicate that people who suffer from morbid obesity have a strong impact on HRQOL and suggest that the implementation of bariatric surgery is able to promote improvements HRQOL important for these people.Keywords: morbid obesity, bariatric surgery, health related quality of life.Melhora na qualidade de vida de pacientes submetidos à cirurgia bariátrica RESUMO. O objetivo do presente estudo foi comparar os escores de qualidade de vida relacionada à saúde (QVRS) de candidatos à cirurgia bariátrica (CCB) com os de indivíduos submetidos à cirurgia bariátrica (CB) em diferentes intervalos de tempo pós-cirúrgico. Estudo de corte transversal, realizado nas cidades de Maringá e de Paranavaí -Paraná -Brasil, com 44 CCB e com 63 indivíduos a ela submetidos. O grupo de indivíduos submetidos à CB foi dividido em três (3) subgrupos, de acordo com o tempo decorrido do procedimento cirúrgico (operados em até 18 meses -G2; operados entre 19 e 36 meses -G3 e operados há mais de 36 meses -G4). A QVRS dos pacientes foi avaliada por meio do SF-36 e BAROS. A comparação entre os grupos foi realizada por meio de testes paramétricos e não paramétricos. Avaliou-se também a magnitude dos efeitos da CB pelo tamanho do efeito (TE). A avaliação da QVRS revela diferença entre os grupos: escores inferiores observados no grupo 4, quando comparados aos do grupo 2. O cotejo dos escores médios dos domínios do SF-36 revela que os grupos, formados por pessoas que se submeteram à CB, apresentam escor...
0.05). Obese and Dyn-Ob individuals in the AT+RT group increased TTE compared with baseline levels and this increase was greater compared to the Control group (P 0.05). Furthermore, in Dyn-Ob individuals, HbA1c significantly decreased after AT+RT compared to the Control group (0.48%, CI: -1.20, 0.23 vs. +0.19%, CI -0.60, 0.99; P 0.05). Conclusion: These results suggest that the combination of AT and RT might magnified the improvement in fitness and glycemic control in Dyn-Ob individuals with type 2 diabetes.
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