Implications of consumption of protein and practice of physical activity in lean body mass of women exposed to gastric bypass

  • Patrí­cia Regina Moreira Secretaria de Estado de Saúde do Distrito Federal / Hospital Regional da Asa Norte
  • Emily de Oliveira Kelly Secretaria de Saúde do Distrito Federal
Keywords: Bariatric sergery, Protein intake, Physical exercise, Body composition

Abstract

Objective: To evaluate the implications of protein intake and physical activity on lean body mass in women undergoing gastric bypassafter 1 year. Materials and Methods: It was included 30 women in postoperative gastric bypass period ≥ 1 year. Anthropometric measurements and body composition by bioelectrical impedance analysis were performed; assessment of protein intake by FFQ (Food Frequency Questionnaire) and supplementation; and physical activity, and the parameters were compared with the recommendations of the American Association of Clinical Endocrinologists. Results: The average height excess loss found was 68.8±19.4%. As for protein intake, it was noted that only through diet, this intake was below the recommendations that 60g/day, and appropriate values were achieved when added to supplementation (73.9±23.9g/day). The average physical activity was 135±161.4 minutes weekly. When combined, it was noted that adequate protein intake positively influenced the percentage of lean body mass (69.1±5.1% vs65.7±6.1%) and %EWL (69.7±15.7% vs67.2±25.4%) as well as the proper practice of physical activity (69.0± 4.8% vs66.9±6.2%). Conclusion: Adequate protein intake and regular physical activity appear to be beneficial in the preservation of lean body mass after bariatric individuals.

References

-Andreu, A.; Moizé, V.; Rodriguez, L.; Flores, L.; Vidal,J. Protein Intake, Body Composition, and Protein Status Following Bariatric Surgery. Obes. Surg. Vol. 20. p. 1509-1515. 2010.

-Bordalo, L.A.; Teixeira, T.F.S.; Bressan, J.; Mourão, D.M. Cirurgia bariátrica: como e por que suplementar. Rev Assoc Med Bras. Vol. 57. Núm. 1. p. 113-120. 2011.

-Brasil. Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa de Orçamentos Familiares (POF) 2008 –2009. Antropometria e Estado Nutricional de Crianças, Adolescentes e Adultos no Brasil. Rio de Janeiro. Ministério do Planejamento, Orçamento e Gestão-IBGE. 2010.

-Buchwald, H.; e colaboradores. Bariatric surgery: a systematic review and metanalysis. JAMA. Vol. 292. Núm. 14. p. 1724-1737. 2004.

-Buchwald, H.; Oien, D.M. Metabolic/Bariatric Surgery Wordwide 2008. Obes Surg. Vol. 19. Núm. 12. p.1605-1611. 2009.

-Cabral, M.D. Tratamento Clínico na Obesidade Mórbida. In: Garrido Junior, A.B. Cirurgia da Obesidade. Rio de Janeiro. Atheneu. 2002. p. 35-42.

-Carravetta, E.S. Atividade física pós-cirurgia da obesidade. In: Silva, R.S.; Kawahara, N.T. Cuidados pré e pós-operatórios na cirurgia da obesidade. Porto Alegre. AGE. 2005. p. 423-430.

-Chumlea, W.C.; e colaboradores. Total body water reference values and prediction equations for adults.Kidney Int. Vol. 59. Núm. 6. p. 2250-2258. 2001.

-Coppini, L.Z. Avaliação Nutricional em pré e pós-operatório de Cirurgia Bariátrica. In: Burgos, G. Nutrição em Cirurgia Bariátrica. Rubio. 2011. p. 91-100.

-Cunha, S.F.C.; Sanches, M.; Faria, A.; Dos Santos, J.E.; Nonino-borges, C.B. Evolução da massa corporal magra após 12 meses da cirurgia bariátrica. Rev. Nutr. Campinas. Vol. 23. Núm. 4. p. 535-541. 2010.

-Cunha, A.C.P.T.; Neto, C.S.P.; Junior, A.T. Indicadores de obesidade e estilo de vida de dois grupos de mulheres submetidas à cirurgia bariátrica. Fitness & Performance Journal. Vol. 5. Núm. 3. p. 146-154. 2006.

-Duarte, A.C.G. Avaliação Nutricional: aspectos clínicos e laboratoriais. São Paulo. Atheneu. 2007. p. 68

-Halverson, J.D. Metabolic risk of obesity surgery and long-term follow-up. Am J Clin Nutr. Vol. 55. p. 602-605. 1992.

-Heber, D.; Greenway, F.L.; Kaplan, L.M.; Livingston, E.; Salvador, J.; Still, C. Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. Vol. 95. Núm. 11. p. 4823-4843. 2010.

-Joia-Neto, L.; Lopes-Junior, A.G.; Jacob, C.E. Alterações metabólicas e digestivas no pós-operatório de cirurgia bariátrica. ABCD Arq Bras Cir Dig. Vol. 23. Núm. 4. p. 266-269. 2010.

-Lima, J.G.; Nóbrega, L.H.C.; Mesquita, J.B. Gestação após gastroplastia para tratamento da obesidade mórbida: série de casos e revisão da literatura. Rev. Bras. Ginecol. Obstet. Vol. 28. Núm. 2. p. 107-111. 2006.

-Logue, J. Management of Obesity: A National Clinical Guideline. Series: SIGN (115). NHS Quality Improvement Scotland, 2010.

-Mechanick, J.I.; e colaboradores. Clinical Practice Guidelines for the Perioperative nutritional, metabolic, and nonsurgical support of the Bariatric Surgery Patient –2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric surgery (AACE/TOS/ASMBS Guidelines). Endocr Pract. Vol. 19. Núm. 2. 2013.

-Metcalf, B.; Rabkin, R.A.; Rabkin, J.M. Weight loss composition: the effects of exercise following obesity surgery as measured by bioelectrical impedance analysis. Obes Surg. Vol. 15. p. 183-186. 2005.

-Moizé, V.; Andreu, A.; Rodríguez, L.; Flores, L.; Ibarzabal, A. Protein intake and lean tissue mass retention following bariatric surgery. Clinical Nutrition. Vol. 32. Núm. 4. p. 550-555. 2012.

-Monteiro Junior, F.C. Effects of weight loss induced bybariatric surgery on the prevalence of metabolic syndrome. Arq. Bras. Cardiol. Vol. 92. Núm. 6. p. 452-456. 2009.

-Novais, P.F.S.; Junior, I.R.; Leite, C.V.S.; Oliveira, M.R.M.E. Evolução e classificação do peso corporal em relação aos resultados da cirurgia bariátrica -derivação gástrica em Y de Roux. Arq. Bras. Endocrinol. Metab. Vol. 54. Núm. 3. p. 303-310. 2010.

-Pasiakos, S.M.; Cao, J.J.; Margolis, L.M.; Sauter, E.R.; Whigham, L.D. et al. Effects of high-protein diets on fat-free mass and muscle protein synthesis following weight loss: a randomized controlled trial. The FASEB Journal. v. 27. 2013.

-Raftopoulos, I.; Bernstein, B.; O’hara, K.; Ruby, J.A.; Chhatrala, R.; Carty, J. Protein intake compliance of morbidly obese patients undergoing bariatric surgery and its effect on weight loss and biochemical parameters.Surgery for Obesity and Related Diseases. Núm. 7. p. 733-742. 2011.

-Sociedade Brasileira de Cirurgia Bariátrica e Metabólica (SBCBM). Disponível em: http://www.sbcb.org.br. acesso em 24/02/2011.

-Suter, M.; Giusti, V. Surgical options of obesity treatment: results and complications. Rev Med Suisse. Vol. 1. Núm. 12. p. 832-836. 2005.

-World Health Organization. Obesity and overweight. Disponível em: http://www.who.int/mediacentre/factsheets/fs311/en/index.html. 1997.

Published
2014-08-16
How to Cite
Moreira, P. R., & Kelly, E. de O. (2014). Implications of consumption of protein and practice of physical activity in lean body mass of women exposed to gastric bypass. Brazilian Journal of Obesity, Nutrition and Weight Loss, 8(46). Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/335
Section
Scientific Articles - Original