Weight loss strategies before bariatric surgery
Abstract
Introduction: Patients with obesity look for weight reduction through different treatments, including bariatric surgery, but this strategy usually does not occur without a previous history. Objective: To describe the strategies for weight loss used for obese patients referred to bariatric surgery. Method: Descriptive research with candidates for bariatric surgery at an obesity center. Individuals aged ≥ 18 years with BMI ≥ 35 kg/m2 were included and excluding those with heart failure, hepatic, pancreatic, renal, respiratory, consumptive disease, decompensated thyroid dysfunction and patients with incomplete data on weight loss strategies. The data were collected in the medical records and in a self-administered questionnaire. The factors associated with the strategies considered in this study were: age, sex, BMI, schooling, beginning of obesity and marital status. Results: A total of 705 pacientes were studied, with a mean (standard deviation) of 36,4 (10,0) years, with BMI ≥ 40,0 kg/m2 and 71,1% female. The most used weight loss strategies were diet (84,5%), physical activity (80,6%) followed by medication (68,7%). The gender, the beginning of obesity, and level of schooling influenced both the choice and the number of weight loss strategies. Already, age and marital status interfered only in the selection of strategies. Conclusion: The patients had an extensive historic of weight loss strategies and that both the choice and the quantity of strategies varies according to the demographic variables studied.
References
-Andrade, S.C.; Araújo, R.M.; Lara, D.R. Association of Weight control behaviors with body mass index and weight-based self-evaluation. Revista Brasileira de Psiquiatria. Vol. 39. Num. 2. 2017. p. 237-43.
-Araújo, G.B.; Brito, A.P.S.O.; Mainardi, C.R.; Neto, E.S.M.; Centeno, D.M.; Brito, M.V.H. Perfil clínico-epidemiológico de pacientes submetidos à cirurgia bariátrica. Pará Research Medical Journal. Vol. 1. Num. 4. 2018.
-ABESO. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Diretriz Brasileira de Obesidade. 4ªedição. São Paulo. 2016.
-Bray, G.A.; Frühbeck, G.; Ryan, D.H.; Wilding, J.P.H. Management of obesity. The Lancet. Vol. 7. Num. 10031. 2016. p. 1947-56.
-Beaulac, J.; Sandre, D. Critical review of bariatric surgery, medically supervised diets, and behavioural interventions for weight management in adults. Perspect Public Health. Vol. 137. Num. 3. 2017. p. 162‐172.
-Carvalho, T.S.; Vasconcelos, F.C.; Carvalho, M.D.B.M. Análise do histórico de métodos de emagrecimento dos pacientes submetidos à Cirurgia Bariátrica em um hospital público de Belém-PA. Revista Brasileira de Obesidade, Nutrição e Emagrecimento. São Paulo. Vol. 10. Num. 55. 2016. p. 4-11.
-Castro, M.R.; Ferreira, M.E.C.; Carvalho, R.S.; Ferreira, V.N.; Pereira, H.A.C. Cirurgia Bariátrica: a trajetória de mulheres obesas em busca de emagrecimento. HU Revista. Juiz de Fora. Vol. 36. Num. 1. 2010. p. 29-36.
-Costa, A.C.C.; Ivo M.L.; Cantero, W.B.; Tognini, J.R.F. Obesidade em pacientes candidatos a cirurgia bariátrica. Acta Paulista de Enfermagem. Vol. 22 Num. 1. 2009. p. 55-59.
-Eduardo, D.A.; Silva, A.A.; Viana, G.C.P.; Cruz, C.D.; Rocha, R.L.P. Cirurgia bariátrica: A percepção do paciente frente ao impacto físico, psicológico e social. Revista de Enfermagem do Centro-Oeste Mineiro. Vol. 7. 2017. p. 1173-84.
-Junges, V.M.; Cavalheiro, J.M.B.; FAM, E.F.; Closs, E.V.; Gottlieb, M.G.V. Perfil do paciente obeso e portador de síndrome metabólica candidato à cirurgia bariátrica em uma clínica particular de Porto Alegre, Rio Grande do Sul. Scientia Médica. Rio Grande do Sul. Vol. 26. Num. 3. 2016.
-Kushner, R.F. Weight Loss Strategies for Treatment of Obesity: Lifestyle Management and Pharmacotherapy. Progress in Cardiovascular Diseases. Vol 61. Num. 2. 2018. p. 246-252.
-Oliveira, D.M.; Merighi, M.A.B.; Jesus, M.C.P. The decision of an obese woman to have bariatric surgery: the social phenomenology. Revista da Escola de Enfermagem da USP. São Paulo. Vol. 48. Num. 6. 2014. p. 970-976.
-Santos, H.N.; Lima, J.M.S.; Souza, M.F.C. Estudo comparativo da evolução nutricional de pacientes candidatos à cirurgia bariátrica assistidos pelo Sistema Único de Saúde e pela Rede Suplementar de Saúde. Ciência & Saúde Coletiva. Vol. 19. Num. 5. 2014. p. 1359-65.
-Segura, D.C.A.; Fleck, P.B.G.; Nascimento, F.C.; Sierota, E.M.; Salvador, A.F.A.; Prado, V. Análise das principais comorbidades relacionadas à obesidade no pré e pós-operatório de gastroplastia. Revista Biosalus. Vol. 3. Num. 1. 2018.
-Silva, P.T.; Patias, L.D.; lvarez, G.C.; Kirsten, V.R.; Colpo, E.; Moraes, C.M. Profile of patients who seek the bariatric surgery. Arquivos Brasileiros de Cirurgia Digestiva. Vol. 28. Num. 4. 2015. p. 270-3.
-SBCBM. Sociedade Brasileira de Cirurgia Bariátrica e Metabólica. Número de cirurgias bariátricas no Brasil aumenta 46,7%. São Paulo. 2018.
-SBCBM. Sociedade Brasileira de Cirurgia Bariátrica e Metabólica. Número de cirurgias bariátricas no Brasil cresce 7,5% em 2016. São Paulo. 2017.
-Taglietti,R.L.;Riepe, S.B.; Maronezi, T.B.; Teo, C.R.P.A. Tratamento nutricional para redução de peso: aspectos subjetivos do processo. Revista Brasileira de Obesidade, Nutrição e Emagrecimento. São Paulo. Vol. 12. Num. 69. 2018. p. 101-109.
-Wolfe, B.M.; Kvach E.; Eckel R.H. Treatment of Obesity: Weight Loss and Bariatric Surgery.Circulation Research. Vol. 118. Num. 11. 2016. p. 1844‐1855.
-World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva. 2000.
-Zenk, S.N.; Tarlov, E.; Wing, C.; Matthews, S.A.; Tong, H.; Jones, K.K.; Powell, L.M. Long-term weight loss effects of a behavioral weight management program: Does the community food environment matter? International Journal Environmental Research and Public Health. Vol. 15. Num. 2. 2018.
Copyright (c) 2020 Layanne Rodrigues Trindade Sampaio, Cláudia da Silva Daltro, Jéssica dos Santos Barbosa, Wagno Alcantara de Santana, Emile Miranda Pereira, Jessica Santos Costa, Carla Hilário da Cunha Daltro
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish in this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication, with work simultaneously licensed under the Creative Commons Attribution License BY-NC which allows the sharing of the work with acknowledgment of the authorship of the work and initial publication in this journal.
- Authors are authorized to enter into additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal.
- Authors are allowed and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can bring about productive change as well as increase impact and impact. citation of published work (See The Effect of Free Access).
