Cortisol concentration in obese patients submitted to bariatric surgery
Abstract
Obesity is disease that affects a significant part of the world population and, for this health implications, has been the focus of numerous researches, as it is associated with the main causes of preventable diseases. This study aims to investigate pre/postoperative cortisol levels in obese patients undergoing bariatric surgery. This research a review, basead on a search of eletronic databases, such as PubMed, Lilacs and Scielo, where observational studies and / or clinical trials in the Portuguese and English languages, published in the last 10 years were selected. The following search strategies were used: 1) Cortisol and bariatric sugery; 2) corticosteroid and bariatric surgery; 3) cortisol and weight loss; 4) stress and bariatric surgery. As a result of this research, five authors fit the objectives of this review, having as results found the fact that all articles researched agree that obesity is treated as a worldwide problem, being related to stress that can, in turn, be measured by cortisol levels in the human body. One of the most enduring and effective treatments for morbid obesity is bariatric surgery and several studies control the patient's pre- and post-surgery cortisol levels to measure their stress level, correlating it with weight loss. Despite the strong association between high cortisol levels and obesity, some studies show that cortisol levels did not change significantly after bariatric surgery and consequent weight loss. Our study confirms the need for further research to prove the relationship between weight loss and significant decrease in cortisol levels in the human body, thus serving as a basis for future research.
References
-Araújo, M.F.M.; Vasconcelos, H.C.A.; Marinho, N.B.P.; Freitas, R.W.J.F.; Damasceno, M.M.M.C. Níveis plasmáticos de cortisol em universitários com má qualidade de sono. Cadernos Saúde Coletiva. Vol. 24. Num. 1. 2016. p.105-110.
-Assis, D.C.; Resende, D. V.; Marziale, M.H.P. Associação entre turnos de trabalho, níveis de cortisol salivar, estresse e fadiga em enfermeiros: revisão integrativa. Escola Anna Nery. Vol. 22. Num. 1. 2018. p.1-7.
-Bordalo, L.A.; Mourão, D.M.; Bressan, J. Deficiências nutricionais após cirurgia bariátrica. Por que ocorrem? Acta Medica Portuguesa. Vol. 24. Num. S4. 2011. p. 1021-1028.
-Brunori, E.H.F.R.; Lopes, C.T.; Cavalcante, A.M.R.Z.; Silva, M.C.S.R.; Lopes, J.L.; Barros, A.L.B.L. Consumo alimentar e estresse em pacientes com síndrome coronariana aguda. Revista Brasileira de Enfermagem. Vol. 68. Num. 5. 2015. p. 810-816.
-Castanha, C.R.; Ferraz, A.A.B.; Castanha, A.R.; Belo, G.Q.M.B.; Lacerda, R.M.R.; Vilar, L. Avaliação da qualidade de vida, perda de peso e comorbidades de pacientes submetidos à cirurgia bariátrica. Revista do Colégio Brasileiro de Cirurgiões. Vol. 45 Num. 3. 2018. p.1-9.
-Cavalinhos, M. A.S. Atelier de Nutrição®: promover a (re)educação alimentar. Dissertação de mestrado. Instituto Universitário de Lisboa. Lisboa. 2014.
-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.
-Friedman, C.E.; Pearsall, M.; Miller, K.M.; Wheeler, A.E.; Denninger, J.W.; Mehta, DH.; Dossett, M.L. Total Lifestyle Coaching: a pilot study evaluating the effectiveness of a mind-body and nutrition telephone coaching program for obese adults at a community health center. Global Advances in Health and Medicine. Vol.4. Num. 7. 2018. p.1-10.
-Heide, L.J.M.; Boer, H.H.R.; Borren, M.; Emous, M.; Arts, E.; Boer, H. Pharmacokinetics of Glucocorticoid Replacement Before and After Bariatric Surgery in Patients With Adrenal Insufficiency. Journal of the Endocrine Society. Vol. 2. Num. 12. 2018. p.1338-1344.
-Hewagalamulage, S.D.; Lee, T.K.; Clarke, I.J.; Henry, B.A. Stress, cortisol and obesity: a role for cortisol responsiveness in identifying individuals prone to obesity. Domestic Animal Endocrinology. Vol. 6. 2016. p.112-120.
-Hulme, P.A.; McBride, C.; Kupzyk, K.A.; A francesa, J. Pilot Study on Childhood Sexual Abuse, Diurnal Cortisol Secretion, and Weight Loss in Bariatric Surgery Patients. Journal of Child Sexual Abuse. Vol. 24. Num. 4. 2015. p.385-400.
-Larsen, J.K.; Ramshorst van, B.; Doornen van, L.J.P.; Geenen, R. Salivary Cortisol and Binge Eating Disorder in Obese Women After Surgery for Morbid Obesity. International Journal of Behavioral Medicine. Vol.16. 2009. p.311-315.
-Lira, N.S.; Macedo, C.E.S.; Belo, G.M.; Santa-Cruz, F.; Siqueira, L.T.; Ferraz, A.A.B. Análise do perfil lipídico de pacientes submetidos à gastrectomia vertical e à derivação gástrica em Y de Roux. Revista do Colégio Brasileiro de Cirurgiões. Vol. 45. Num. 6. 2018. p.1-9.
-MS. Ministério da Saúde. Com obesidade em alta, pesquisa mostra brasileiros iniciando vida mais saudável. Brasília. 2018.
-Melim, D.; Pinhão, S.; Correia, F. Stresse e sua relação com a obesidade. Alimentação Humana. Vol. 19. Num. 3. 2013. p.74-81.
-Mendes, F.B.; Garin, N.C.; Timm, E.Z.; Riberio, J.L. Aplicação da metodologia coaching para o tratamento da obesidade: uma visão multidisciplinar. Ciência em Movimento. Biociências e Saúde. Vol.19. Num. 39. 2017. p.61-69.
-Pardina, E.; Baena-Fustegueras, J.A.; Manuel, F.J.; Ferrer, R.; Rossell, J.; Esteve, M.; Onsurbe-Peinado, J.; Grasa, M. Hepatic and Visceral Adipose Tissue 11βHSD1 Expressions are Markers of Body Weight Loss After Bariatric Surgery. Obesity. Vol. 23. Num. 9. 2015. p.1856-1863.
-Paredes, S.; Ribeiro, L. Cortisol: the villain in Metabolic Syndrome? Revista da Associação Médica Brasileira. Vol. 60. Num. 1. 2014. p.84-92.
-Rask, E.; Simonnyte, K.; Lönn, L.; Axelson, M. Cortisol metabolism after weight loss: associations with 11 b-HSD type 1 and markers of obesity in women. Clinical Endocrinology. Vol. 78. Num. 5. 2013. p.700-705.
-Rodriguez, A.C.I; Epel, S.E.; Branco, M.L.; Standen, E.C.; Seckl, J.R.; Tomiyana, U.J. Hypothalamic-pituitary-adrenal axis dysregulation and cortisol activity in obesity: A systematic review. Psychoneuroendocrinology. Vol. 62. 2015. p.301-318.
-Rossum, E.F.C. van. Obesity and Cortisol: New Perspectives on an Old Theme. Obesity. Vol. 25. Num. 3. 2017. p.500-501.
-Santos, P.B.; Machado, T.A.; Osiecki, A.C.V.; Góes, S.M.; Leite, N.; Stefanello, J. M.F. A necessidade de parâmetros referenciais de cortisol em atletas: Uma revisão sistemática. Motricidade. Vol. 10. Num. 1. 2014. p.107-125.
-Schakarowski, F.B.; Padoin, A. V.; Mottin, C.C.; Castro, E.K. Percepção de Risco da Cirurgia Bariátrica em Pacientes com Diferentes Comorbidades Associadas à Obesidade. Trends in Psychology. Vol. 26. Num. 1. 2018. p.339-346.
-Schorr, M.; Lawson, E.; E Dichtel, L.; Klibanski, A.; Miller, K.K. Cortisol Measures Across the Weight Spectrum. The Journal Clinical Endocrinology & Metabolism. Vol. 100. Num. 9. 2015. p.3313-3321.
-Tanaka, K.; Sasai, H.; Wakaba, K.; Murakami, S.; Ueda, M.; Yamagata, F.; Sawada, M.; Takekoshi, K. Professional dietary coaching within a group chat using a smartphone application for weight loss: a randomized controlled trial. Journal of Multidisciplinary Healthcare. Vol. 11. Num. 3. 2018. p.339-347.
-Valentine, A.R.; Raff, H.; Ballesteros, H.; Rose, J.M.; Jossart, G.H.; Cirangle, P.; Bravata, D.M. Salivary Cortisol Increases after Bariatric Surgery in women. Hormone and Metabolic Research. Vol. 43. Num. 08. 2011. p.587-590.
-Wilmore, J.H.; Costill, D.I. Fisiologia do Esporte e do Exercício. São Paulo. Manole. 2001.
-Woods, C.P.; Corrigan, M.; Gathercole, L.; Taylor, A.; Hughes, B.; Gaoatswe, G.; Manolopoulos, K.; Hogan, A.E.; O’Connell, J.; Stewart, P.M.; Tomlinson, J.W.; O’Shea, D.; Sherlock, M. Tissue Specific Regulation of Glucocorticoids in Severe Obesity and the Response to Significant Weight Loss Following Bariatric Surgery (BARICORT). The Journal of Clinical Endocrinology & Metabolism. Vol. 100. Num. 4. 2015. p.1434-1444.
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