Nutritional status and life quality in patients undergoing bariatric surgery

Abstract

BackgroundThe obesity has achieved an alarming increase in recent years, which led this disease to global epidemic condition.AimTo evaluate the nutritional status as well as the quality of life of obese patients undergoing bariatric surgery.MethodsA transversal study was conducted with obese adults of both genders who underwent bariatric surgery by Fobi-Capella technique for at least 30 days. It was evaluated: age, gender, marital status, occupation, weight before surgery, current weight, height, preoperative and current BMI, weight loss and loss of excess weight percentages, presence of clinical manifestations and food intolerances.ResultsThe sample consisted of 70 patients, being 81.4% female, 37.1% aged 30 to 39 years, 58.6% were married, 41.4% have undergone the bariatric surgery in the last 12 months. It was observed a reduction in BMI from 37.2 kg/m2 (one to three months) to 28.9 kg/m2 (>12 months) and consequent increase in weight loss and loss of excess weight percentages. The most frequent clinical manifestation was alopecia (62.9%). The most reported food intolerance was on the red meat (24%). According to the Baros questionnaire, 50% of patients were classified as having good quality of life.ConclusionThe operation of Fobi-Capella proved to be effective in promoting gradual and lasting weight loss. Quality of life was considered good in most patients, indicating that the operation had a positive impact on their lives.

Avaliação da qualidade de vida, perda de peso e comorbidades de pacientes submetidos à cirurgia bariátrica

“…When analyzing the relationship between bariatric surgery and its impact on weight loss, we noted, as others did, that this procedure has been shown to be quite effective 12,20,21,23 . The mean BMI before and after surgery was 48.10kg/ m 2 and 31.05kg/m 2 , respectively, which implies a significant reduction in cardiovascular mortality and in mortality from all causes associated with excessive weight 7,18 .…”

“…In Brazil, epidemiological data revealed a prevalence of obesity of 17.6% among men and 18.2% among women 19 . In addition to the epidemiological data confirming a growth and prevalence of obesity in women, some studies also point to other factors that could explain the predominance of women in relation to bariatric surgery, such as personal aesthetic motivations 20 and stigma from a society that has a beauty pattern of lean women 21 . Unlike women, men tend to seek this resource only when their daily physical activities are compromised 22 .…”

Impact of Roux-en-Y Gastric Bypass Surgery (Rygb) on Metabolic Syndrome Components and on the Use of Associated Drugs in Obese Patients

“…The population studied included obese patients who underwent Roux-en-Y Gastric Bypass Surgery (RYGB) in the Integrated (17) . Patients who did not return after the surgery for nutritional and clinical assessments were excluded.…”

Estado nutricional antropométrico e comorbidades associadas à síndrome metabólica em mulheres submetidas à cirurgia bariátrica

“…Segundo a Organização Mundial da Saúde, em 2014 mais de 600 milhões (aproximadamente 13%) de adultos no mundo estavam obesos. No Brasil, de acordo com pesquisa do Ministério da Saúde, 82 milhões de pessoas maiores de 18 anos estão acima do peso, ou seja, pouco mais da metade (56,9%) da população do País [2][3][4][5].…”

“…O procedimento cirúrgico pode ser realizado por meio de técnicas restritivas, disabsortivas ou mistas, e têm como objetivo diminuir a quantidade de alimentos ingeridos e/ou absorvidos pelo trato digestório [12]. No entanto, apesar da intervenção cirúrgica ter proporcionado resultados positivos quanto à redução do peso e de comorbidades que acompanham a doença, tem-se observado deficiências nutricionais [3]. É achado comum na literatura que indivíduos submetidos à cirurgia bariátrica apresentam dieta quantitativa e qualitativamente inadequada para suprir as necessidades nutricionais [13].…”