Bariatric surgery repercussions on the quality of life, biochemical profile, and blood pressure of patients with morbid obesity
DOI:
https://doi.org/10.1590/1809-2950/17017725032018Keywords:
Obesity, Obesity, Morbid, Bariatric Surgery, Quality of Life, Weight LossAbstract
The indication of bariatric surgery (BS) for weight loss and reduction of obesity-related comorbidities is increasing. The objective of this study was to analyze the repercussions of BS on quality of life (QOL), biochemical profile, and blood pressure (BP) of morbidly obese individuals at three different moments: one month before, three months after and six months after BS. The sample consisted of 42 morbidly obese individuals from the BS program of a hospital in the city of Juiz de Fora – MG, Brazil. They were randomly divided into intervention group (IG, n=21) and control group (CG, n=21). The IG underwent surgical intervention and the CG was instructed to maintain the usual daily tasks throughout the study period, besides receiving nutritional monitoring. The QOL, biochemical profile, and BP were evaluated through the SF-36 instrument, laboratory blood tests obtained in the patients’ medical records, and with the sphygmomanometer and stethoscope, respectively. The results showed a reduction in the biochemical variables HDL, LDL, VLDL, cholesterol, triglycerides, glycated hemoglobin, glucose, systolic blood pressure, and diastolic blood pressure in the IG 6 months after surgery. There was a significant improvement in the variables related to QQL, except in the emotional aspects. It can be concluded that BS can positively affect most QOL domains, improve the biochemical profile and BP of morbidly obese patients 3 and 6 months after BS.
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References
World Health Organization. Overweight and obesity. Fact sheet.
nº 311. Geneva: WHO; 2014 [cited 2014 Aug] Available from:
http://www.wpro.who.int/mediacentre/factsheets/obesity/en/
World Health Organization. Obesity: preventing and managing
the global epidemic: Report of a World Health Organization
Consultation. Geneva: WHO; 2000, p. 256.
Segal A, Fandiño J. Indicações e contra-indicações para realização
das operações bariátricas. Rev Bras Psiquiatr. 2002;24(Supl
III):68-72. doi: 10.1590/S1516-44462002000700015.
Delgado PM, Lunardi AC. Complicações respiratórias
pós-operatórias em cirurgia bariátrica: revisão da
literatura. Fisioter Pesqui. 2011;18(4):388-92. doi: 10.1590/
S1809-29502011000400016.
Sociedade Brasileira de Diabetes. Diretrizes da Sociedade
Brasileira de Diabetes: 2015-2016, São Paulo, 2016:1-348.
Silva PRB, Souza MR, Silva EM, Silva SA. Nutritional status and life
quality in patients undergoing bariatric surgery. Arq Bras Cir Dig.
;27(Supl I):35-8. doi: 10.1590/s0102-6720201400s100009.
Ramos AC, Silva ACS, Ramos MG, Canseco EGC, Galvão-Neto
MP, Menezes MA, et al. Simplified gastric bypass: 13 years of
experience and 12,000 patients operated. Arq Bras Cir Dig.
;27(Suppl. 1)2-8. doi: 10.1590/s0102-6720201400s100002.
Silveira-Júnior S, Albuquerque MM, Nascimento RR, Rosa LS,
Hygidio DA, Zapelini RM. Nutritional repercussions in patients
submitted to bariatric surgery. Arq Bras Cir Dig. 2015:28(1):48-
doi: 10.1590/s0102-67202015000100013.
Leiro LS, Melendez-Araújo MS. Diet micronutrient adequacy
of women after 1 year of gastric bypass. Arq Bras Cir Dig.
;27(Suppl 1):21-5. doi: 10.1590/s0102-6720201400s100006.
Mariano MLL, Monteiro CS, Paula MAB. Cirurgia bariátrica:
repercussões na vida laboral do obeso. Rev Gaúcha Enferm.
;34(2):38-45. doi: 10.1590/S1983-14472013000300005.
The WHOQOL group. The World Health Organization quality
of life assessment (WHOQOL): position paper from the World
Health Organization. Soc Sci Med. 1995;41(10):1403-9. doi:
1016/0277-9536(95)00112-K.
Pereira EF, Teixeira CS, Santos A. Qualidade de vida: abordagens,
conceitos e avaliação. Rev Bras Educ Fís Esporte. 2012;26(2):241-
doi: 10.1590/S1807-55092012000200007.
Larsen JK, Zijlstra H, van Ramshort B, Geenen R. Conversion to
gastric bypass in patients with unsuccessful weight loss after
gastric banding may depend on mental quality of life. Obes
Facts. 2010;3(2):127-30. doi: 10.1159/000295101.
Søvik TT, Aasheim ET, Taha O, Engström M, Fagerland MW,
Björkman S, et al. Weight loss, cardiovascular risk factors,
and quality of life after gastric bypass and duodenal switch:
a randomized trial. Ann Intern Med. 2011;155(5):281-91. doi:
7326/0003-4819-155-5-201109060-00005.
Woodman G, Cywes R, Billy H, Montgomery K, Cornell C,
Okerson T; APEX Study Group. Effect of adjustable gastric
banding on changes in gastroesophageal reflux disease (GERD)
and quality of life. Curr Med Res Opin. 2012;28(4):581-9. doi:
1185/03007995.2012.666962.
Sarwer DB, Spitzer JC, Wadden TA, Mitchell JE, Lancaster K,
Courcoulas A, et al. Changes in sexual functioning and sex
hormone levels in women following bariatric surgery. JAMA
Surg. 2014;149(1):26-33. doi: 10.1001/jamasurg.2013.5022.
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR.
Tradução para a língua Portuguesa e validação do questionário
genérico de avaliação da qualidade de vida SF-36 (Brasil SF36). Rev Bras Reumatol. 1999;39(3):143-50.
Duarte MIXT, Bassitt DP, Azevedo OC, Waisberg J, Yamaguchi
N, Pinto Junior PE. Impact on quality of life, weight loss and
comorbidities: a study comparing the biliopancreatic diversion
with duodenal switch and the banded Roux-en-Y gastric
bypass. Arq Gastroenterol. 2014;51(4):320-7. doi: 10.1590/
S0004-28032014000400010.
Rosenthal R, Rosnow RL. Essentials of behavioral research:
methods and data analysis. 2nd ed. New York: McGraw Hill;
Aurichio TR, Rebelatto JR, Castro AP. Obesidade em idosos
do Município de São Carlos, SP e sua associação com diabetes
melito e dor articular. Fisioter Pesqui. 2010;17(2):114-7. doi:
1590/S1809-29502010000200004.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde.
Departamento de Atenção Básica. Estratégias para o cuidado
da pessoa com doença crônica: obesidade.Brasília, DF:
Ministério da Saúde; 2014.
Martinez Y, Ruiz-López MD, Giménez R, Pérez de la Cruz
AJ, Orduña R. Does bariatric surgery improve the patient’s
quality of life? Nutr Hosp. 2010:25(6):925-30. doi: 10.3305/
nh.2010.25.6.4632.
Silva SSP, Maia AC. Obesity and treatment meanings in
bariatric surgery candidates: a qualitative study. Obes Surg.
;22(11):1714-22. doi: 10.1007/s11695-012-0716-y.
Costa RCNC, Yamaguchi N, Santo MA, Riccioppo D,
Pinto-Junior PE. Outcomes on quality of life, weight
loss, and comorbidities after Roux-en-Y gastric bypass.
Arq Gastroenterol. 2014;51(3):165-70. doi: 10.1590/
S0004-28032014000300002.
Cambi MPC, Marchesini SD, Baretta GAP. Reganho de peso
após cirurgia bariátrica: avaliação do perfil nutricional dos
pacientes candidatos ao procedimento de plasma endoscópico
de argônio. Arq Bras Cir Dig. 2015;28(1):40-3. doi: 10.1590/
S0102-67202015000100011
Oliveira DM, Merighi MAB, Jesus MCP. A decisão da mulher
obesa pela cirurgia bariátrica à luz da fenomenologia
social. Rev Esc Enferm USP. 2014;48(6):970-6. doi: 10.1590/
S0080-623420140000700002.
Silva-Neto EF, Vázquez CMP, Soares FM, Silva DG, Souza MFC,
Barbosa KBF. Cirurgia bariátrica reverte risco metabólico em
pacientes assistidos em nível ambulatorial. Arq Bras Cir Dig.
;27(1):38-42. doi: 10.1590/S0102-67202014000100010.
Carvalho PS, Moreira CLCB, Barelli MC, Oliveira FH, Guzzo MF,
Miguel GPS, Zandonade E. Cirurgia bariátrica cura síndrome
metabólica? Arq Bras Endocrinol Metab. 2007;51(1):79-85. doi:
1590/S0004-27302007000100013.
Pimenta GP, MDN, Adorno Filho ET, Jaudy TR, Jaudy TR, AguilarNascimento JE. Avaliação da qualidade de vida tardia após
gastroplastia vertical. Rev Col Bras Cir. 2013;40(6):453-7. doi:
1590/S0100-69912013000600006.
Vieira RAL, Silva RA, Tomiya MTO, Lima DSC. Efeito da
cirurgia bariátrica sobre o perfil lipídico mais aterogênico
em curto prazo. Nutr Clín Diet Hosp. 2015;35(1):24-31. doi:
12873/351vieirarenata.
Moreira MA, Silva SA, Araújo CMS, Nascimento CCC. Avaliação
clínico-nutricional de obesos submetidos ao bypass gástrico em
Y de Roux. Acta Gastroenterol Latinoam. 2010;40(3):244-50.
Bordalo LA, Teixeira TFS, Bressan J, Mourão DM. Cirurgia
bariátrica: como e por que suplementar. Rev Assoc Med Bras.
;57(1):113-20. doi: 10.1590/S0104-42302011000100025.
Carvalho IR, Loscalzo IT, Freitas MFB, Jordão RE, Friano
TC. Incidência da deficiência de vitamina B12 em pacientes
submetidos à cirurgia bariátrica pela técnica Fobi-Capella
(Y-de-Roux). Arq Bras Cir Dig. 2012;25(1):36-40. doi: 10.1590/
S0102-67202012000100009.
Julia C, Ciangura C, Capuron L, Bouillot JL, Basdevant A, Poitou C,
et. al. Quality of life after Roux-en-Y gastric bypass and changes
in body mass index and obesity-related comorbidities. Diabetes
Metab. 2013;39(2):148-54. doi: 10.1016/j.diabet.2012.10.008.
Grans R, Warth CF, Farah JFM, Bassitt DP. Qualidade de vida
e prevalência de dor osteoarticular em pacientes submetidos
à cirurgia bariátrica. Einstein. 2012;10(4):415-21. doi: 10.1590/
S1679-45082012000400004.
Boscatto EC, Duarte MFS, Gomes MA. Comportamentos
ativos e percepção da saúde em obesos submetidos à cirurgia
bariátrica. Rev Bras Ativ Fís Saúde. 2011;16(1):43-7. doi: 10.12820/
RBAFS.V.16N1P43-47.
Silva I, Pais-Ribeiro J, Cardoso H. Cirurgia de obesidade:
qualidade de vida e variáveis psicológicas antes e depois do
tratamento cirúrgico. Psicol Teor Prat. 2009;11(2):196-210.
Vasques F, Martins FC, Azevedo AP. Aspectos psiquiátricos do
tratamento da obesidade. Rev Psiquiatr Clín. 2004;31(4):195-8.
doi: 10.1590/S0101-60832004000400013.
Marcelino LF, Patrício ZM. A complexidade da obesidade e o
processo de viver após a cirurgia bariátrica: uma questão de
saúde coletiva. Ciênc Saúde Coletiva. 2011;16(12):4767-76. doi:
1590/S1413-81232011001300025.
Khawali C, Ferraz MB, Zanella MT, Ferreira SRG. Evaluation
of quality of life in severely obese patients after bariatric
surgery carried out in the public healthcare system. Arq
Bras Endocrinol Metab. 2012;56(1):33-8. doi: 10.1590/
S0004-27302012000100006.
Oliveira VM, Linardi RC, Azevedo AP. Cirurgia bariátrica:
aspectos psicológicos e psiquiátricos. Rev Psiquiatr Clín.
;31(4):199-201. doi: 10.1590/S0101-60832004000400014
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