AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®

Detalhes bibliográficos
Autor(a) principal: Calcing, Aline
Data de Publicação: 2020
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional Universidade Franciscana
Texto Completo: http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/897
Resumo: Overweight affects up to two thirds of the world population and obesity represents one of the main challenges for global public health. Bariatric surgery is indicated for patients with failed clinical treatment and promotes rapid weight loss with improvement in comorbidities, however, it produces profound changes in body composition and is still controversial in view of the consequences and decline in bone density. The present study is characterized by being cross-sectional, having occurred from August 2018 to December 2019, the sample consisted of patients selected by convenience from a private bariatric surgery service. Those over 18 years of age who underwent the Rouxen- Y bypass technique for more than 18 months, with weight stability for at least 6 months, were included. All study participants had detailed information about the work and were included by signing the informed consent form. Through a structured interview, clinical data, laboratory tests, bone mineral density and body composition were collected through DXA, and application of the FRAX® tool to analyze the risk of fractures. The objective of the study was to analyze body composition, bone mineral density and risk of fractures in patients. Twenty-six patients participated in the research, most of them female, with an average of % of excess weight loss of 97,6%. Patients in the groups with the highest % of excess weight loss had lower Fat Mass Index (P=0,006) and Appendicular Lean Mass (P=0,016), lower android/gynoid rate (P=0,023) and lower visceral fat (P=0,008). Values of osteopenia and osteoporosis were found in the sample, supplementation of vitamin D, calcium and multivitamin for the majority of the sample was discontinued, patients with lumbar bone mineral density classified as below the control population had higher values of calcium (P=0,027) and highest % of excess weight loss. There was a correlation between lumbar bone mineral density below the control population and high calcium values (P=0,027), as well as higher values of % of excess weight loss (P=0,004). There was a significant correlation between the possibility of hip fracture and lower lumbar bone mineral density (P=0,018) and lower femur bone mineral density (P=0,002). The sample showed satisfactory results in the % of excess weight loss. Body composition values show that the surgery did not harm the patients' lean mass and that it improved aspects of fat mass and visceral fat, however the high rate of % of excess weight loss and the discontinued use of supplementation may have altered the lower lumbar bone mineral density of the sample and this interfered with the probability of developing hip fracture.
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spelling Moraes, Cristina Machado Bragança deChagas, PatriciaColpo, ElisangelaCalcing, Aline2020-08-13T13:16:36Z2021-07-262020-03-05Calcing, Aline. AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®. 2020. 69f. Dissertação( Mestrado em Ciências da Saúde e da Vida) - Universidade Franciscana, Santa Maria - RS .http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/897Overweight affects up to two thirds of the world population and obesity represents one of the main challenges for global public health. Bariatric surgery is indicated for patients with failed clinical treatment and promotes rapid weight loss with improvement in comorbidities, however, it produces profound changes in body composition and is still controversial in view of the consequences and decline in bone density. The present study is characterized by being cross-sectional, having occurred from August 2018 to December 2019, the sample consisted of patients selected by convenience from a private bariatric surgery service. Those over 18 years of age who underwent the Rouxen- Y bypass technique for more than 18 months, with weight stability for at least 6 months, were included. All study participants had detailed information about the work and were included by signing the informed consent form. Through a structured interview, clinical data, laboratory tests, bone mineral density and body composition were collected through DXA, and application of the FRAX® tool to analyze the risk of fractures. The objective of the study was to analyze body composition, bone mineral density and risk of fractures in patients. Twenty-six patients participated in the research, most of them female, with an average of % of excess weight loss of 97,6%. Patients in the groups with the highest % of excess weight loss had lower Fat Mass Index (P=0,006) and Appendicular Lean Mass (P=0,016), lower android/gynoid rate (P=0,023) and lower visceral fat (P=0,008). Values of osteopenia and osteoporosis were found in the sample, supplementation of vitamin D, calcium and multivitamin for the majority of the sample was discontinued, patients with lumbar bone mineral density classified as below the control population had higher values of calcium (P=0,027) and highest % of excess weight loss. There was a correlation between lumbar bone mineral density below the control population and high calcium values (P=0,027), as well as higher values of % of excess weight loss (P=0,004). There was a significant correlation between the possibility of hip fracture and lower lumbar bone mineral density (P=0,018) and lower femur bone mineral density (P=0,002). The sample showed satisfactory results in the % of excess weight loss. Body composition values show that the surgery did not harm the patients' lean mass and that it improved aspects of fat mass and visceral fat, however the high rate of % of excess weight loss and the discontinued use of supplementation may have altered the lower lumbar bone mineral density of the sample and this interfered with the probability of developing hip fracture.O excesso de peso acomete até dois terços da população mundial e a obesidade representa um dos principais desafios da saúde pública global. A cirurgia bariátrica está indicada para pacientes com falha no tratamento clínico e promove uma rápida perda de peso com melhora das comorbidades, porém, produz mudanças profundas na composição corporal e ainda é controvérsia frente as consequências e declínio de densidade óssea. O presente estudo caracteriza-se por ser de delineamento transversal, tendo ocorrido no período de agosto de 2018 a dezembro de 2019, a amostra foi constituída por pacientes selecionados por conveniência advindos de um serviço privado de cirurgia bariátrica. Foram incluídos aqueles com idade superior a 18 anos que realizaram técnica de bypass em Y de Roux a mais de 18 meses, com estabilidade de peso há pelo menos 6 meses. Todos os participantes do estudo tiveram informações detalhadas sobre o trabalho e foram incluídos mediante a assinatura do termo de consentimento livre e esclarecido. Através de uma entrevista estruturada, foram coletados dados clínicos, exames laboratoriais, densidade mineral óssea e composição corporal através de DXA, e aplicação da ferramenta FRAX® para a análise do risco de fraturas. O objetivo do estudo foi analisar a composição corporal, densidade mineral óssea e risco de fraturas nos pacientes. Participaram da pesquisa 26 pacientes, a maioria do gênero feminino, com média de % de perda de excesso de peso de 97,6%. Pacientes dos grupos com maior % de perda de excesso de peso apresentaram menor Índice de Massa Gorda (P=0,006) e Massa magra apendicular (P=0,016), menor taxa androide/ginoide (P=0,023) e menor gordura visceral (P=0,008). Valores de osteopenia e osteoporose foram encontrados na amostra, a suplementação de vitamina D, cálcio e multivitamínico pela maioria da amostra foi de uso descontinuado, pacientes com densidade mineral óssea lombar classificada como abaixo da população controle apresentaram valores mais altos de cálcio (P=0,027) e maior de perda de excesso de peso. Houve correlação entre densidade mineral óssea lombar abaixo da população controle e valores altos de cálcio (P=0,027), assim como valores mais altos de % de perda de excesso de peso (P=0,004). Houve correlação significativa entre possibilidade de fratura de quadril e menor densidade mineral óssea lombar (P=0,018) e menor densidade mineral óssea lombar de fêmur (P=0,002). A amostra apresentou resultados satisfatórios no % de perda de excesso de peso. Valores de composição corporal mostram que a cirurgia não trouxe prejuízos na massa magra dos pacientes e que melhorou aspectos de massa gorda e de gordura visceral, porém o elevado índice de % de perda de excesso de peso e o uso descontinuado de suplementação podem ter alterado a menor densidade mineral óssea lombar da amostra e esta interferiu na probabilidade em desenvolver fratura de quadril.Submitted by MARCIA ROVADOSCHI (marciar@unifra.br) on 2020-08-13T13:16:36Z No. of bitstreams: 3 Dissertacao_AlineCalcing_VersãoParcial.pdf: 2694733 bytes, checksum: 29dfee1a5a2f447b3e36808f9aacf91f (MD5) Dissertacao_AlineCalcing.pdf: 2940529 bytes, checksum: 8c723f64f3a6887a93cbac94c48c5431 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2020-08-13T13:16:36Z (GMT). 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dc.title.por.fl_str_mv AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®
title AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®
spellingShingle AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®
Calcing, Aline
Cirurgia Bariátrica. Obesidade. Densidade Óssea. Composição Corporal.
Bariatric Surgery. Obesity. Bone Density. Body Composition.
Ciências da Saúde e da Vida
title_short AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®
title_full AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®
title_fullStr AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®
title_full_unstemmed AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®
title_sort AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®
author Calcing, Aline
author_facet Calcing, Aline
author_role author
dc.contributor.advisor1.fl_str_mv Moraes, Cristina Machado Bragança de
dc.contributor.referee1.fl_str_mv Chagas, Patricia
dc.contributor.referee2.fl_str_mv Colpo, Elisangela
dc.contributor.author.fl_str_mv Calcing, Aline
contributor_str_mv Moraes, Cristina Machado Bragança de
Chagas, Patricia
Colpo, Elisangela
dc.subject.por.fl_str_mv Cirurgia Bariátrica. Obesidade. Densidade Óssea. Composição Corporal.
topic Cirurgia Bariátrica. Obesidade. Densidade Óssea. Composição Corporal.
Bariatric Surgery. Obesity. Bone Density. Body Composition.
Ciências da Saúde e da Vida
dc.subject.eng.fl_str_mv Bariatric Surgery. Obesity. Bone Density. Body Composition.
dc.subject.cnpq.fl_str_mv Ciências da Saúde e da Vida
description Overweight affects up to two thirds of the world population and obesity represents one of the main challenges for global public health. Bariatric surgery is indicated for patients with failed clinical treatment and promotes rapid weight loss with improvement in comorbidities, however, it produces profound changes in body composition and is still controversial in view of the consequences and decline in bone density. The present study is characterized by being cross-sectional, having occurred from August 2018 to December 2019, the sample consisted of patients selected by convenience from a private bariatric surgery service. Those over 18 years of age who underwent the Rouxen- Y bypass technique for more than 18 months, with weight stability for at least 6 months, were included. All study participants had detailed information about the work and were included by signing the informed consent form. Through a structured interview, clinical data, laboratory tests, bone mineral density and body composition were collected through DXA, and application of the FRAX® tool to analyze the risk of fractures. The objective of the study was to analyze body composition, bone mineral density and risk of fractures in patients. Twenty-six patients participated in the research, most of them female, with an average of % of excess weight loss of 97,6%. Patients in the groups with the highest % of excess weight loss had lower Fat Mass Index (P=0,006) and Appendicular Lean Mass (P=0,016), lower android/gynoid rate (P=0,023) and lower visceral fat (P=0,008). Values of osteopenia and osteoporosis were found in the sample, supplementation of vitamin D, calcium and multivitamin for the majority of the sample was discontinued, patients with lumbar bone mineral density classified as below the control population had higher values of calcium (P=0,027) and highest % of excess weight loss. There was a correlation between lumbar bone mineral density below the control population and high calcium values (P=0,027), as well as higher values of % of excess weight loss (P=0,004). There was a significant correlation between the possibility of hip fracture and lower lumbar bone mineral density (P=0,018) and lower femur bone mineral density (P=0,002). The sample showed satisfactory results in the % of excess weight loss. Body composition values show that the surgery did not harm the patients' lean mass and that it improved aspects of fat mass and visceral fat, however the high rate of % of excess weight loss and the discontinued use of supplementation may have altered the lower lumbar bone mineral density of the sample and this interfered with the probability of developing hip fracture.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-08-13T13:16:36Z
dc.date.issued.fl_str_mv 2020-03-05
dc.date.available.fl_str_mv 2021-07-26
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dc.identifier.uri.fl_str_mv http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/897
identifier_str_mv Calcing, Aline. AVALIAÇÃO DA COMPOSIÇÃO CORPORAL, DENSIDADE MINERAL ÓSSEA E RISCO DE FRATURAS EM PACIENTES PÓS-BARIÁTRICOS TARDIOS UTILIZANDO O DXA E A FERRAMENTA FRAX®. 2020. 69f. Dissertação( Mestrado em Ciências da Saúde e da Vida) - Universidade Franciscana, Santa Maria - RS .
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