Adherence to outpatient nutritional follow-up after bariatric surgery and associated factors
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/9283 |
Resumo: | ObjectiveThis study estimated the prevalence of adherence to outpatient postoperative nutritional follow-up after bariatric surgery and analyzed the association between adherence and selected factors. MethodsA total of 241 records of female and male adults who underwent Roux-en-Y gastric bypass between 2006 and 2008 were reviewed for this retrospective cohort study. The data included the preoperative and postoperative periods. Individuals were considered compliant when they attended four or more nutritional appointments in the first 12 months after surgery. Prevalence ratios were calculated for estimating the association between adherence to postoperative nutritional follow-up and factors such as age, gender, marital status, education level, employment status, distance between home and hospital, weight loss strategies used during thepreoperative period, body mass index immediately before surgery, presence of comorbidities and duration of hospital stay after surgery, and the Poisson multiple regression was used for adjusted analysis. ResultsAdherence prevalence was 56.0% (CI95% 49.7-62.3). Women composed 80.9% of the population; the mean age of the sample was 44.4 years (SD=11.6) and mean preoperative body mass index was 47.2kg/m2 (SD=6.2). Among the study factors, only duration of postoperative hospital stay was significantly associated with adherence after adjustment for age and gender (PR=1.46 CI95% 1.15-1.86). ConclusionThe adherence prevalence of this population was similar to those of foreign studies, but below the minimum prevalence of 75% considered reference. The greater adherence of individuals with longer postoperative hospital stays may have stemmed from their prolonged interaction with the multidisciplinary team, which may have increased their awareness of disease severity and need of long-term health care. |
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Adherence to outpatient nutritional follow-up after bariatric surgery and associated factorsAdesão ao seguimento nutricional ambulatorial pós-cirurgia bariátrica e fatores associadosNutrition assessmentBariatric surgeryObservational studiesObesityPostoperative periodAvaliação nutricionalCirurgia bariátricaEstudos observacionaisObesidadePeríodo pós-operatórioObjectiveThis study estimated the prevalence of adherence to outpatient postoperative nutritional follow-up after bariatric surgery and analyzed the association between adherence and selected factors. MethodsA total of 241 records of female and male adults who underwent Roux-en-Y gastric bypass between 2006 and 2008 were reviewed for this retrospective cohort study. The data included the preoperative and postoperative periods. Individuals were considered compliant when they attended four or more nutritional appointments in the first 12 months after surgery. Prevalence ratios were calculated for estimating the association between adherence to postoperative nutritional follow-up and factors such as age, gender, marital status, education level, employment status, distance between home and hospital, weight loss strategies used during thepreoperative period, body mass index immediately before surgery, presence of comorbidities and duration of hospital stay after surgery, and the Poisson multiple regression was used for adjusted analysis. ResultsAdherence prevalence was 56.0% (CI95% 49.7-62.3). Women composed 80.9% of the population; the mean age of the sample was 44.4 years (SD=11.6) and mean preoperative body mass index was 47.2kg/m2 (SD=6.2). Among the study factors, only duration of postoperative hospital stay was significantly associated with adherence after adjustment for age and gender (PR=1.46 CI95% 1.15-1.86). ConclusionThe adherence prevalence of this population was similar to those of foreign studies, but below the minimum prevalence of 75% considered reference. The greater adherence of individuals with longer postoperative hospital stays may have stemmed from their prolonged interaction with the multidisciplinary team, which may have increased their awareness of disease severity and need of long-term health care.ObjetivoEstimar a prevalência da adesão ao seguimento nutricional ambulatorial pós-cirúrgico e avaliar sua associação com fatores selecionados em indivíduos submetidos à cirurgia bariátrica. MétodosEstudo de coorte retrospectiva com base na revisão de dados pós-operatórios de 241 prontuários de adultos submetidos à gastroplastia redutora com derivação em Y de Roux entre 2006 e 2008. Considerou-se aderente o indivíduo que compareceu a quatro ou mais consultas nutricionais nos 12 primeiros meses após a cirurgia. Para investigar a associação entre adesão ao seguimento nutricional e idade, sexo, estado conjugal, escolaridade, situação empregatícia, distância entre a residência e o hospital, estratégias para perda de peso no período préoperatório, índice de massa corporal no pré-cirúrgico imediato, presença de comorbidades e duração da internação pós-operatória, foram calculadas razões de prevalência e utilizou-se regressão múltipla de Poisson. ResultadosA prevalência de adesão foi de 56% (IC95%=49,7-62,3) nessa população predominantemente feminina (80,9%), com média de idade de 44,4 anos (DP=11,6) e de IMC pré-operatório de 47,2kg/m2 (DP=6,2). Dos fatores estudados, somente a duração da internação pós-operatória igual ou superior a 6 dias mostrou-se significativamente associada à adesão após análise ajustada por sexo e idade (RP=1,46; IC95%=1,15-1,86). ConclusãoA prevalência de adesão encontrada foi semelhante às de estudos internacionais, mas baixa considerando-se 75% como referência. A maior adesão observada nos indivíduos com internação pós-operatória prolongada pode sugerir que o maior contato com a equipe multiprofissional aumente a percepção da necessidade de cuidados com a saúde em longo prazo.Núcleo de Editoração – PUC-Campinas2023-08-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9283Brazilian Journal of Nutrition; Vol. 25 No. 4 (2012): Revista de NutriçãoRevista de Nutrição; Vol. 25 Núm. 4 (2012): Revista de NutriçãoRevista de Nutrição; v. 25 n. 4 (2012): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPporhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9283/6662Copyright (c) 2023 Veruska Magalhães SCABIM, Jose ELUF-NETO, Beatriz Helena TESShttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMagalhães SCABIM, Veruska ELUF-NETO, Jose TESS, Beatriz Helena 2023-10-05T19:05:40Zoai:ojs.periodicos.puc-campinas.edu.br:article/9283Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-10-05T19:05:40Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Adherence to outpatient nutritional follow-up after bariatric surgery and associated factors Adesão ao seguimento nutricional ambulatorial pós-cirurgia bariátrica e fatores associados |
title |
Adherence to outpatient nutritional follow-up after bariatric surgery and associated factors |
spellingShingle |
Adherence to outpatient nutritional follow-up after bariatric surgery and associated factors Magalhães SCABIM, Veruska Nutrition assessment Bariatric surgery Observational studies Obesity Postoperative period Avaliação nutricional Cirurgia bariátrica Estudos observacionais Obesidade Período pós-operatório |
title_short |
Adherence to outpatient nutritional follow-up after bariatric surgery and associated factors |
title_full |
Adherence to outpatient nutritional follow-up after bariatric surgery and associated factors |
title_fullStr |
Adherence to outpatient nutritional follow-up after bariatric surgery and associated factors |
title_full_unstemmed |
Adherence to outpatient nutritional follow-up after bariatric surgery and associated factors |
title_sort |
Adherence to outpatient nutritional follow-up after bariatric surgery and associated factors |
author |
Magalhães SCABIM, Veruska |
author_facet |
Magalhães SCABIM, Veruska ELUF-NETO, Jose TESS, Beatriz Helena |
author_role |
author |
author2 |
ELUF-NETO, Jose TESS, Beatriz Helena |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Magalhães SCABIM, Veruska ELUF-NETO, Jose TESS, Beatriz Helena |
dc.subject.por.fl_str_mv |
Nutrition assessment Bariatric surgery Observational studies Obesity Postoperative period Avaliação nutricional Cirurgia bariátrica Estudos observacionais Obesidade Período pós-operatório |
topic |
Nutrition assessment Bariatric surgery Observational studies Obesity Postoperative period Avaliação nutricional Cirurgia bariátrica Estudos observacionais Obesidade Período pós-operatório |
description |
ObjectiveThis study estimated the prevalence of adherence to outpatient postoperative nutritional follow-up after bariatric surgery and analyzed the association between adherence and selected factors. MethodsA total of 241 records of female and male adults who underwent Roux-en-Y gastric bypass between 2006 and 2008 were reviewed for this retrospective cohort study. The data included the preoperative and postoperative periods. Individuals were considered compliant when they attended four or more nutritional appointments in the first 12 months after surgery. Prevalence ratios were calculated for estimating the association between adherence to postoperative nutritional follow-up and factors such as age, gender, marital status, education level, employment status, distance between home and hospital, weight loss strategies used during thepreoperative period, body mass index immediately before surgery, presence of comorbidities and duration of hospital stay after surgery, and the Poisson multiple regression was used for adjusted analysis. ResultsAdherence prevalence was 56.0% (CI95% 49.7-62.3). Women composed 80.9% of the population; the mean age of the sample was 44.4 years (SD=11.6) and mean preoperative body mass index was 47.2kg/m2 (SD=6.2). Among the study factors, only duration of postoperative hospital stay was significantly associated with adherence after adjustment for age and gender (PR=1.46 CI95% 1.15-1.86). ConclusionThe adherence prevalence of this population was similar to those of foreign studies, but below the minimum prevalence of 75% considered reference. The greater adherence of individuals with longer postoperative hospital stays may have stemmed from their prolonged interaction with the multidisciplinary team, which may have increased their awareness of disease severity and need of long-term health care. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-08-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/9283 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/9283 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/9283/6662 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Veruska Magalhães SCABIM, Jose ELUF-NETO, Beatriz Helena TESS https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Veruska Magalhães SCABIM, Jose ELUF-NETO, Beatriz Helena TESS https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 25 No. 4 (2012): Revista de Nutrição Revista de Nutrição; Vol. 25 Núm. 4 (2012): Revista de Nutrição Revista de Nutrição; v. 25 n. 4 (2012): Revista de Nutrição 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
instname_str |
Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
collection |
Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
||sbi.submissionrn@puc-campinas.edu.br |
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1799126072517722112 |