Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/24174 |
Resumo: | Aims: To assess the impact of bariatric surgery on anthropometric nutritional status and comorbidities associated with metabolic syndrome and to verify the adequacy of micronutrient intake of women undergoing this surgical procedure.Methods: An observational cross-sectional study was performed to evaluate women undergoing bariatric surgery. Dietary intake was assessed using a food record in triplicate. The anthropometric nutritional status (weight, height, body mass index, and waist circumference) was measured in the postoperative period. Anthropometric data before surgery and presence of comorbidities (hypertension, diabetes mellitus, dyslipidemia, cardiovascular diseases, among others) were obtained by a structured, standardized, pre-coded questionnaire. To evaluate the results, women were stratified into two groups considering the time after surgery: less than or equal to 36 months (G1) and greater than 36 months (G2).Results: Fourteen women with a mean age of 34.6±14 years and postoperative time between 11 and 84 months were assessed; eight of whom were allocated to G1 and six to G2. Decreases in weight (p<0.01) and BMI (p<0.01) were observed in both groups after bariatric surgery. Twenty-five percent of G1 women (up to 36 months after surgery) and 33% of G2 women (more than 36 months after surgery) were considered to be obese. There were a lower number of comorbidities associated with metabolic syndrome when preoperative and postoperative assessments were compared. Micronutrient deficiencies (especially of calcium, iron, and vitamin B12) were detected after surgery.Conclusions: Bariatric surgery was shown to be an effective method for treating obesity and controlling comorbidities associated with metabolic syndrome. Inadequate nutrient intake, however, indicates a greater need of postoperative nutritional care in patients undergoing bariatric surgery. |
id |
PUC_RS-25_e9a5d7693d6913db8d44c2cd8bfe2337 |
---|---|
oai_identifier_str |
oai:ojs.revistaseletronicas.pucrs.br:article/24174 |
network_acronym_str |
PUC_RS-25 |
network_name_str |
Scientia Medica (Porto Alegre. Online) |
repository_id_str |
|
spelling |
Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgeryEstado nutricional antropométrico e comorbidades associadas à síndrome metabólica em mulheres submetidas à cirurgia bariátricametabolic syndrome Xbariatric surgeryobesitynutritional statuscomorbidity.síndrome x metabólicacirurgia bariátricaobesidadeestado nutricionalcomorbidades.Aims: To assess the impact of bariatric surgery on anthropometric nutritional status and comorbidities associated with metabolic syndrome and to verify the adequacy of micronutrient intake of women undergoing this surgical procedure.Methods: An observational cross-sectional study was performed to evaluate women undergoing bariatric surgery. Dietary intake was assessed using a food record in triplicate. The anthropometric nutritional status (weight, height, body mass index, and waist circumference) was measured in the postoperative period. Anthropometric data before surgery and presence of comorbidities (hypertension, diabetes mellitus, dyslipidemia, cardiovascular diseases, among others) were obtained by a structured, standardized, pre-coded questionnaire. To evaluate the results, women were stratified into two groups considering the time after surgery: less than or equal to 36 months (G1) and greater than 36 months (G2).Results: Fourteen women with a mean age of 34.6±14 years and postoperative time between 11 and 84 months were assessed; eight of whom were allocated to G1 and six to G2. Decreases in weight (p<0.01) and BMI (p<0.01) were observed in both groups after bariatric surgery. Twenty-five percent of G1 women (up to 36 months after surgery) and 33% of G2 women (more than 36 months after surgery) were considered to be obese. There were a lower number of comorbidities associated with metabolic syndrome when preoperative and postoperative assessments were compared. Micronutrient deficiencies (especially of calcium, iron, and vitamin B12) were detected after surgery.Conclusions: Bariatric surgery was shown to be an effective method for treating obesity and controlling comorbidities associated with metabolic syndrome. Inadequate nutrient intake, however, indicates a greater need of postoperative nutritional care in patients undergoing bariatric surgery. Objetivos: Avaliar o impacto da cirurgia bariátrica sobre o estado nutricional antropométrico e comorbidades associadas à síndrome metabólica e verificar a adequação do consumo de micronutrientes em mulheres submetidas ao procedimento.Métodos: Estudo observacional, transversal, no qual foram avaliadas mulheres submetidas à cirurgia bariátrica. O consumo alimentar foi avaliado por meio de registro alimentar aplicado em triplicata. O estado nutricional antropométrico (peso, altura, índice de massa corporal e circunferência da cintura) foi aferido no período pós-cirúrgico. Dados sobre antropometria antes da cirurgia e presença de comorbidades (hipertensão arterial, diabetes mellitus, dislipidemia, doenças cardiovasculares e outras doenças) foram obtidos por questionário estruturado, padronizado e pré-codificado. Para avaliação dos resultados, as mulheres foram estratificadas em dois grupos considerando o tempo transcorrido após a cirurgia no momento da avaliação: G1 com tempo pós-cirúrgico até 36 meses e G2 G1 com tempo pós-cirúrgico maior do que 36 meses.Resultados: Foram estudadas 14 mulheres, com média de idade de 34,6±14 anos, com tempo de realização da cirurgia compreendido entre 11 a 84 meses, sendo oito alocadas em G1 e seis em G2. Na avaliação após a cirurgia bariátrica observou-se redução do peso (p<0.01) e do índice de massa corporal (p<0.01) em ambos os grupos. Na avaliação pós cirúrgica, foram classificadas como obesas pelo índice de massa corporal 25,0% das mulheres do G1 (tempo de cirurgia até 36 meses) e 33,3% das mulheres do G2 (tempo de cirurgia após 36 meses). Verificou-se diminuição das comorbidades associadas à síndrome metabólica entre as avaliações pré e pós cirúrgicas. Foram detectadas deficiências no consumo relatado de micronutrientes após a cirurgia, destacando-se cálcio, ferro e vitamina B12.Conclusões: Os resultados apontam para a eficácia da cirurgia bariátrica no tratamento da obesidade e controle das comorbidades associadas à síndrome metabólica nesta amostra de mulheres. A presença de inadequações no consumo de nutrientes assinala a necessidade do cuidado nutricional no pós operatório da cirurgia bariátrica.Editora da PUCRS - ediPUCRS2016-10-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2417410.15448/1980-6108.2016.3.24174Scientia Medica; Vol. 26 No. 3 (2016): Special issue on Metabolic Syndrome; ID24174Scientia Medica; v. 26 n. 3 (2016): Número especial sobre Síndrome Metabólica; ID241741980-61081806-556210.15448/1980-6108.2016.3reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/24174/14917Copyright (c) 2016 Scientia Medicainfo:eu-repo/semantics/openAccessQuerido, Júlia de Castrode Aguiar, Laís RodriguesJustino, Marina PereiraFaria, Sheilla de OliveiraSilva, Roberta RibeiroGrasselli, Cristiane da Silva Marciano2018-01-26T21:17:14Zoai:ojs.revistaseletronicas.pucrs.br:article/24174Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2018-01-26T21:17:14Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery Estado nutricional antropométrico e comorbidades associadas à síndrome metabólica em mulheres submetidas à cirurgia bariátrica |
title |
Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery |
spellingShingle |
Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery Querido, Júlia de Castro metabolic syndrome X bariatric surgery obesity nutritional status comorbidity. síndrome x metabólica cirurgia bariátrica obesidade estado nutricional comorbidades. |
title_short |
Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery |
title_full |
Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery |
title_fullStr |
Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery |
title_full_unstemmed |
Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery |
title_sort |
Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery |
author |
Querido, Júlia de Castro |
author_facet |
Querido, Júlia de Castro de Aguiar, Laís Rodrigues Justino, Marina Pereira Faria, Sheilla de Oliveira Silva, Roberta Ribeiro Grasselli, Cristiane da Silva Marciano |
author_role |
author |
author2 |
de Aguiar, Laís Rodrigues Justino, Marina Pereira Faria, Sheilla de Oliveira Silva, Roberta Ribeiro Grasselli, Cristiane da Silva Marciano |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Querido, Júlia de Castro de Aguiar, Laís Rodrigues Justino, Marina Pereira Faria, Sheilla de Oliveira Silva, Roberta Ribeiro Grasselli, Cristiane da Silva Marciano |
dc.subject.por.fl_str_mv |
metabolic syndrome X bariatric surgery obesity nutritional status comorbidity. síndrome x metabólica cirurgia bariátrica obesidade estado nutricional comorbidades. |
topic |
metabolic syndrome X bariatric surgery obesity nutritional status comorbidity. síndrome x metabólica cirurgia bariátrica obesidade estado nutricional comorbidades. |
description |
Aims: To assess the impact of bariatric surgery on anthropometric nutritional status and comorbidities associated with metabolic syndrome and to verify the adequacy of micronutrient intake of women undergoing this surgical procedure.Methods: An observational cross-sectional study was performed to evaluate women undergoing bariatric surgery. Dietary intake was assessed using a food record in triplicate. The anthropometric nutritional status (weight, height, body mass index, and waist circumference) was measured in the postoperative period. Anthropometric data before surgery and presence of comorbidities (hypertension, diabetes mellitus, dyslipidemia, cardiovascular diseases, among others) were obtained by a structured, standardized, pre-coded questionnaire. To evaluate the results, women were stratified into two groups considering the time after surgery: less than or equal to 36 months (G1) and greater than 36 months (G2).Results: Fourteen women with a mean age of 34.6±14 years and postoperative time between 11 and 84 months were assessed; eight of whom were allocated to G1 and six to G2. Decreases in weight (p<0.01) and BMI (p<0.01) were observed in both groups after bariatric surgery. Twenty-five percent of G1 women (up to 36 months after surgery) and 33% of G2 women (more than 36 months after surgery) were considered to be obese. There were a lower number of comorbidities associated with metabolic syndrome when preoperative and postoperative assessments were compared. Micronutrient deficiencies (especially of calcium, iron, and vitamin B12) were detected after surgery.Conclusions: Bariatric surgery was shown to be an effective method for treating obesity and controlling comorbidities associated with metabolic syndrome. Inadequate nutrient intake, however, indicates a greater need of postoperative nutritional care in patients undergoing bariatric surgery. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-10-30 |
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://revistaseletronicas.pucrs.br/scientiamedica/article/view/24174 10.15448/1980-6108.2016.3.24174 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/24174 |
identifier_str_mv |
10.15448/1980-6108.2016.3.24174 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/24174/14917 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2016 Scientia Medica info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2016 Scientia Medica |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 26 No. 3 (2016): Special issue on Metabolic Syndrome; ID24174 Scientia Medica; v. 26 n. 3 (2016): Número especial sobre Síndrome Metabólica; ID24174 1980-6108 1806-5562 10.15448/1980-6108.2016.3 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101751215718400 |