Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery

Detalhes bibliográficos
Autor(a) principal: Querido, Júlia de Castro
Data de Publicação: 2016
Outros Autores: de Aguiar, Laís Rodrigues, Justino, Marina Pereira, Faria, Sheilla de Oliveira, Silva, Roberta Ribeiro, Grasselli, Cristiane da Silva Marciano
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. 
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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
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