Evolução da massa corporal magra após 12 meses da cirurgia bariátrica

Cunha, Selma Freire de Carvalho da; Sanches, Maísa; Faria, Angélica Rosa; Santos, José Ernesto dos; Nonino, Carla Barbosa

doi:10.1590/s1415-52732010000400004

Cited by 11 publications

(16 citation statements)

References 20 publications

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“…According to Bouchard 3 resistance exercises can help obese to increase this rate (MCM) or at least slow its loss. This statement was confirmed when is compared the study of Cunha et al 5 , with the result of counter-kinesiotherapy resisted (this study), which gave an average loss of 43.86 kg of fat mass after the counter-resisted kinesiotherapy against an average of 39.8 kg, with a loss equivalent to 11% of MCM in the same time interval of six months.…”

Section: Discussionsupporting

confidence: 80%

Efeito da fisioterapia contra-resistida com relação à massa corporal magra em pacientes no pós-operatório de cirurgia bariátrica

Nassif¹,

Nassif²,

Lucas³

et al. 2011

ABCD, arq. bras. cir. dig.

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-Background -Calculations of metabolic and physical activity are carried out from the active tissue in the body, known as lean body mass, which is the sum of fat-free lean mass to essential fat. Kinesiotherapy helps in weight strength and flexibility and can be applied in the patients recovery. Aim -In patients undergoing surgical treatment for morbid obesity are the objectives: 1) to evaluate the effect of physiotherapy counter resisted in lean mass; 2) to assess the factors associated with variations in lean body mass with physical therapy; 3) to compare the group of patients who lost lean mass to the one who won using physical therapy, analyzing the co-morbidities that interfered with these results. Method -The study included 100 patients operated on by Fobi-Capella technique divided into group A, patients who lost lean body mass measured in two periods (between 30 days and three months between three months and six months) and group B by the patients that gained lean body mass in at least period. Data collection was performed using the Electronic Multiprofessional Protocol of Metabolic and Bariatric Surgery with emphasis in Physical Therapy, identified as SINPE © (Integrated Electronic Protocols). The patients were evaluated pre-operatively and followed in the postoperative period in four phases: in the hospital, 30 days, three months and six months after the operation. Results -There were significant differences between the three assessments (p <0.001). By comparing the 30 days to three months, there was loss of lean body mass with statistical significance (p <0.001). Similarly, between 30 days and six months (p <0.001). However, the period between three months and six months did not show results with significance level (p <0.612), showing a tendency to maintain lean body mass. Conclusions -Physical therapy counter resisted helped in maintaining lean body mass between the periods of three months and six months; 2) elderly men, diabetic and dyslipidemic lost more lean mass; duration of obesity, cardiovascular and orthopedic disease not changed the lean mass; 3) groups A and B showed no significant differences for both gain and loss lean mass in relation to cardiovascular and orthopedic comorbidities, but patients with diabetes mellitus and dyslipidemia were more prevalent in Group A. ABCDDV/797RESUMO -Racional -Cálculos metabólicos e de atividade física são realizados a partir do tecido ativo presente no corpo, conhecido como massa corporal magra, que resulta da soma da massa magra isenta de gordura com a gordura essencial. A cinesioterapia é a musculação terapêutica que auxilia na força e flexibilidade. Objetivos -No paciente submetido a tratamento cirúrgico para obesidade mórbida: 1) avaliar o efeito da fisioterapia contra-resistida na massa magra; 2) avaliar os fatores associados às variações de massa corporal magra com tratamento fisioterapêutico; 3) comparar o grupo de pacientes que perdeu com o que ganhou massa magra com o tratamento fisioterapêutico, analisando as co-morbidades que interferira...

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Section: Discussionsupporting

confidence: 80%

Efeito da fisioterapia contra-resistida com relação à massa corporal magra em pacientes no pós-operatório de cirurgia bariátrica

Nassif¹,

Nassif²,

Lucas³

et al. 2011

ABCD, arq. bras. cir. dig.

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“…These authors reported a similar reduction of 3.6 kg. Studies analyzing longer postoperative periods reported reductions in lean mass of 13.7 kg (17.5%) and 6.4 kg (10.4%) after 6 and 3 months, respectively 15,25 . The changes in nutrient absorption caused by surgery manifest in most cases as some type of nutritional deficiency.…”

Section: Discussionmentioning

confidence: 98%

“…These values are similar to those obtained in the present study. Fat mass reductions of 27.8 kg (40.5%) and 16.1 kg (24.4%) have been reported when the patients were followed up for a longer period of time after surgery (6 and 3 months, respectively) 15,25 .…”

Section: Discussionmentioning

confidence: 99%

“…It is well established in the literature that bariatric surgery increases longevity and improves the quality of life of morbidly obese patients through better control of comorbidities 11,12 . The benefits of bariatric surgery in terms of body fat mass reduction, improvement of comorbidities, and BMI reduction have been recognized [13][14][15] . However, most studies followed up patients after surgery over periods of 6 months or more 14,15 , whereas reports evaluating the short-term postoperative changes in body composition induced by bariatric surgery are rare, especially in Brazil.…”

Section: Introductionmentioning

confidence: 99%

“…The benefits of bariatric surgery in terms of body fat mass reduction, improvement of comorbidities, and BMI reduction have been recognized [13][14][15] . However, most studies followed up patients after surgery over periods of 6 months or more 14,15 , whereas reports evaluating the short-term postoperative changes in body composition induced by bariatric surgery are rare, especially in Brazil. Therefore, the objective of the present study was to analyze the body composition of morbidly obese patients undergoing bariatric surgery in the city of Pelotas, southern Brazil, 30 days after the surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

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Efeitos da cirurgia bariátrica na composição corporal de adultos

Hartwig

Santos²,

González

et al. 2013

Rev. Bras. Cineantropom. Desempenho Hum.

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-The prevalence of obese individuals has increased worldwide in recent years. The most alarming cases are known as morbidly obese. An effective method to change the anthropometric characteristics of this population with excess body weight and high fat mass is bariatric surgery. The objective of this study was to analyze the body composition of morbidly obese patients undergoing bariatric surgery in the city of Pelotas, southern Brazil. In a prospective cohort study, a group of morbidly obese patients was followed up 30 days before and 30 days after surgery. The sample consisted of 123 patients who underwent vertical banded Roux-en-Y gastroplasty between April 2003 and May 2010. Body composition (fat percentage) was determined by bioelectrical impedance analysis. The mean age of the patients was 36.1 ± 8.8 years and mean body weight loss was 14.1 ± 6.0 kg (p<0.001). The mean reduction in body mass index (BMI) was 5.2 ± 2.1 kg/m 2 (p<0.001). Body fat percentage and fat mass were reduced by 2.8% (p<0.001) and 9.7 ± 4.9 kg (p<0.001), respectively. In addition, there was a reduction of 4.4 ± 3.4 kg (p<0.001) in lean mass. We concluded that the surgical procedure significantly reduced body weight, BMI, fat percentage and fat mass and is an alternative when conventional treatments appear ineffective. de 14,kg ± 6,0 (p<0,001) e a média de redução do índice de massa corporal (IMC) foi de 5,2 kg/m² ± 2,1 (p<0,001). Em relação às variáveis percentual de gordura e massa gorda, houve redução de 2,8% (p<0,001) e 9,7 kg ± 4,9 (p<0,001), respectivamente, ocorrendo, também, uma perda de 4,4 kg ± 3,4 (p<0,001)

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