Nutritional and clinical status of patients submitted to bariatric surgery

Authors

DOI:

https://doi.org/10.35699/2316-9389.2022.38664

Keywords:

Bariatric Surgery, Nutritional Status, Epidemiology, Gastric Bypass

Abstract

Objective: to analyze the clinical and nutritional status of patients submitted to bariatric surgery. Methods: this is an observational epidemiological study, with a cross-sectional design, guided by the STROBE tool. It was carried out between 2015 and 2016, with data from patients undergoing Rouxen-Y bariatric surgery in the years 2012 to 2014, in a private hospital in Minas Gerais. Data collection took place through a semi-structured questionnaire developed by the researchers. To verify the existence of an association between the variables of nutritional and clinical status and the time after surgery, Pearson's chi-square test or Fisher's exact test was used for categorical variables. And for continuous ones, the Kruskal-Wallis or Mann-Whitney tests. Results: there was statistical significance for the variables: ‘weakening of nails’ p=0.002), ‘emesis’ (p=0.018), ‘frequency of alcohol consumption’ (p=0.018) and ‘number of daily meals’ (p=0.028) in the female group. Conclusion: this study revealed changes in the clinical and nutritional component of patients undergoing bariatric surgery. There were statistically significant associations in the female group, including changes in the clinical profile of greater episode of emesis and greater frequency of alcohol consumption. Regarding the nutritional profile, female patients had higher proportions in the number of meals and more weakening of the nails after the surgical procedure. The importance of monitoring and continuous nutritional and psychological guidance, pre-and post-surgical, is reinforced, minimizing the negative impacts of this result on the health of individuals.

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References

Hsiung Y, Lee CF, Chi LK, Huang JP. “Moving for My Baby!” Motivators and Perceived Barriers to Facilitate Readiness for Physical Activity during Pregnancy among Obese and Overweight Women of Urban Areas in Northern Taiwan. Int J Environ Res Public Health. 2021[cited 2021 Jul 14];18(10).Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156013/

Associação Brasileira para o Estudo da Obsediade e da Sindrome Metabólica (ABESO) Diretrizes brasileiras de obesidade 2016-4ed.2016[cited 2021 Jul 14]. p. 7–186. Available from: https://abeso.org.br/wp-content/uploads/2019/12/Diretrizes-Download-Diretrizes-Brasileiras-de-Obesidade-2016.pdf

Sociedade Brasileira de Cirurgia Bariátrica e Metabólica. Cirurgia bariátrica cresce 84,73% entre 2011 e 2018. 2019[cited 2021 Jul 14]. Available from: https://www.sbcbm.org.br/cirurgia-bariatrica-cresce-8473-entre-2011-e-2018/

BRASIL. Ministério da Saúde. Vigitel Brasil 2019. Vigitel Brasil 2019 : vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico : estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados. 2020[cited 2021 Mar 14]. 139 p.. Available from: https://www.saude.gov.br/images/pdf/2020/April/27/vigitel-brasil-2019-vigilancia-fatores-risco.pdf

Gletsu-Miller N, Wright BN. Mineral Malnutrition Following Bariatric Surgery. Adv Nutr. 2013[cited 2021 mar 14];4(5):506–17.. Available from: https://doi.org/10.3945/an.113.004341

Artero A, Martinez-Ibañez J, Civera M, Martínez-Valls JF, Ortega-Serrano J, Real JT, et al. Anthropometric parameters and permanent remission of comorbidities 10 years after open gastric bypass in a cohort with high prevalence of super-obesity. Endocrinol diabetes y Nutr. 2017[cited 2021 mar 17];64(6):310–6.. Available from: https://www.sciencedirect.com/science/article/abs/pii/S2530016417301258?via%3Dihub

Parrott JM, Craggs-Dino L, Faria SL, O’Kane M. The optimal nutritional programme for bariatric and metabolic surgery. Curr Obes Rep. 2020[cited 2021 mar 17];9(3):326–38.. Available from: https://pubmed.ncbi.nlm.nih.gov/32451780/

Siqueira AC, Zanotti SV. Programa de cirurgia bariátrica e reganho de peso. psicol saúde doença. 2017[cited 2021 mar 17];18(1):157–69. Available from: www.sp-ps.com

Rocha QDS, Mendonça SS, Fortes RC. Perda ponderal após gastroplastia em y de roux e importância do acompanhamento nutricional – uma revisão de literatura. Comun em Ciências da Saúde. 2011[cited 2021 mar 11];22(1):61–70.. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mis-33844

Ruiz-Tovar J, Oller I, Llavero C, Zubiaga L, Díez M, Arroyo A, et al. Hair Loss in Females after Sleeve Gastrectomy: Predictive value of serum zinc and iron levels. Am Surg. 2014[cited 2021 maio 11];80:466–71. Available from: https://pubmed.ncbi.nlm.nih.gov/24887725/

Bužga M, Marešová P, Petřeková K, Holéczy P, Kuča K. The efficacy of selected bariatric surgery methods on lipid and glucose metabolism: a retrospective 12-month study. Cent Eur J Public Health. 2018[cited 2021 jul 14];26(1):49–53. Available from: https://cejph.szu.cz/artkey/cjp-201801-0009_the-efficacy-of-selected-bariatric-surgery-methods-on-lipid-and-glucose-metabolism-a-retrospective-12-month-st.php

Mahawar KK, Bhasker AG, Bindal V, Graham Y, Dudeja U, Lakdawala M, et al. Zinc deficiency after gastric bypass for morbid obesity: a systematic review. Obes Surg. 2017[cited 2021 Jul 14];27(2):522–9. Available from: https://doi.org/10.1007/s11695-016-2474-8

Silva HBA da, Rossoni CR, Oliveira TMS, Iannuzzi GC, Nakasu MVPN. Percepção da imagem corporal e tolerância alimentar de pacientes submetidos à cirurgia bariátrica e metabólica em um Hospital do Sul de Minas Gerais. Semin Ciências Biológicas e da Saúde. 2020[cited 2021 Jul 11];41(2):123. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1224208

Nóbrega MP, Cabral PC, Pinho CPS, Costa J, Lima DSC de. Perfil alimentar e reganho de peso de pacientes submetidos à cirurgia bariátrica em um hospital universitário / food profile and weight regain of patients submitted to bariatric surgery in an university hospital. Brazilian J Dev. 2020[cited 2021 mar 10];6(12):94771–85. Available from: ttps://www.brazilianjournals.com/index.php/BRJD/article/view/21061.

Krzizek E-C, Brix JM, Stöckl A, Parzer V, Ludvik B. Prevalence of micronutrient deficiency after bariatric surgery. Obes Facts. 2021[cited 2021 jul 10];14(2):197–204. Available from: https://pubmed.ncbi.nlm.nih.gov/33794530.

Soheilipour F, Ebrahimian M, Pishgahroudsari M, Hajian M, Amirkashani D, Ordooei M, et al. The prevalence of zinc deficiency in morbidly obese patients before and after different types of bariatric surgery. BMC Endocr Disord. 2021[cited 2021 jul 10];21(1):107.. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8147400/.

Chaves Y da S, Destefani AC. Pathophysiology, diagnosis and treatmentof dumping syndrome and its relation to bariatric surgery tt - fisiopatologia, diagnóstico e tratamento da síndrome de dumping e sua relação com a cirurgia bariátrica. abcd Arq Bras Cir Dig (São Paulo). 2016[cited 2021 jul 10];29:116–9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000600116&lang=pt%0Ahttp://www.scielo.br/pdf/abcd/v29s1/0102-6720-abcd-29-s1-00116.pdf%0Ahttp://www.scielo.br/pdf/abcd/v29s1/pt_0102-6720-abcd-29-s1-00116.pdf

Camargo AVL, Santos CCP dos, Ignácio GP de O, Leal LQ, Machado LH de A, Puls ML, et al. Pacientes com síndrome de Dumping pós-gastroplastia tipo bypass em Y-de-Roux: conhecimentos e práticas alimentares. Rev Bras Multidiscip. 2018[cited 2021 jul 10];21(1):72–80. Available from: https://revistarebram.com/index.php/revistauniara/article/view/470.

Marchesini SD, Antunes MC. Fatores grupais e sociais que influenciam no reganho de peso, em pacientes submetidos à cirurgia bariátrica. Bol - Acad Paul Psicol. 2020[cited 2021 Jul 15];40(98):100–8. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1415-711X2020000100011&lng=pt&nrm=iso&tlng=pt

Silva RF da, Kelly E de O. Reganho de peso após o segundo ano do Bypass gástrico em Y de Roux TT - Regained weight after the second year of the gastric Bypass and Y ofRoux. Comun ciênc saúde. 2013[cited 2021 Jul 15];24(4):341–50. Available from: http://bvsms.saude.gov.br/bvs/artigos/ccs/reganho_peso_apos_segundo_ano.pdf

Menegotto ALS, Cruz MRR, Soares FL, Nunes MGJ, Branco-Filho AJ. Avaliação da frequência em consultas nutricionais dos pacientes após cirurgia bariátrica. ABCD Arq Bras Cir Dig (São Paulo). 2013[cited 2021 Jul 15];26(2):117–9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202013000200009&lng=pt&tlng=pt

Rodrigues G, Precybelovicz T, Bettini SC, Farias G. Acompanhamento nutricional no pré-operatório de cirurgia bariátrica : tempo de seguimento versus redução de peso. Rev PsicoFAE Plur em Saúde Ment. 2017[cited 2021 Jul 15];6(2):97–112. Available from: https://revistapsicofae.fae.edu/psico/article/view/140

Bramming M, Hviid SS, Becker U, Jørgensen MB, Neermark S, Bisgaard T, et al. Changes in relationship status following bariatric surgery. Int J Obes (Lond). 2021[cited 2021 out 11];45(7):1599–606. Available from: https://pubmed.ncbi.nlm.nih.gov/27317599/.

Rolim FF de A, Cruz FS, Campos JM, Ferraz ÁAB. Repercussões em longo prazo da derivação gástrica em Y de Roux em população de baixa renda: avaliação após dez anos de cirurgia. Rev Col Bras Cir. 2018[cited 2021 Jul 15];45(4). Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000400155&lng=pt&tlng=pt

King WC, Chen J-Y, Courcoulas AP, Dakin GF, Engel SG, Flum DR, et al. Alcohol and other substance use after bariatric surgery: prospective evidence from a U.S. multicenter cohort study. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. 2017[cited 2021 Jul 15];13(8):1392–402.;45(4). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568472/

Porto DL, Junior GA. A decorrência do uso do álcool em pacientes que submeteram à cirurgia bariátrica. Psicol e Saúde em debate. 2017[cited 2021 Jul 15];3(Supl. 1 SE-Anais):14–6.Available from: http://psicodebate.dpgpsifpm.com.br/index.php/periodico/article/view/211

Carvalho AM de, Piovezan LG, Selem SS de C, Fisberg RM, Marchioni DML. Validation and calibration of self-reported weight and height from individuals in the city of São Paulo. Rev Bras Epidemiol. 2014[cited 2021 Jul 15];17(3):735–46. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300735&lng=en&tlng=en

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Published

2022-04-08

How to Cite

1.
Brandão LGVA, Silva TPR, Gotschalg AL, Cardoso TZD, Silva TMR da, Santos FBO, Simão DA da S, Matozinhos FP, Percegoni N. Nutritional and clinical status of patients submitted to bariatric surgery. REME Rev Min Enferm. [Internet]. 2022 Apr. 8 [cited 2024 May 13];26. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/38664

Issue

Vol. 26 (2022)

Section

Research

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