Prevalence and factors interfering in regained weight in women who underwent Gastric Bypass Roux-Y, 2 years after bariatric surgery

  • Renata Florentino da Silva Programa de Residência em Nutrição Clínica, Hospital Regional da Asa Norte, Secretaria de Estado de Saúde do Distrito Federal.
  • Emily de Oliveira Kelly Mestre em Nutrição Humana –Faculdade de Ciências da Saúde –Universidade de Brasília –UNB/Preceptora do Programa de Residência em Nutrição Clínica, Hospital Regional da Asa Norte, Secretaria de Estado de Saúde do Distrito Federal
Keywords: Bariatric surgery, Obesity, Weight gain

Abstract

Aim: To analyze the prevalence and the interfering factors of the regain weight in women who underwent to the gastric Bypass in Y of Roux two year after bariatric surgery. Materials and Methods: Was conducted an analytical research; transversal; descriptive. The sample consisted of 30 patients during the period from December 2012 to August 2013. A questionnaire was applied in which were evaluated: the weight, physical activity, and the average time to realize of the main meals, difficulty chewing and the use of protein supplementation. Results:The regain weight among persons who practice physical activity (3,34 ± 2,23) was lower than in persons who do not practice (9,2 ± 10,3). The persons who do not practice physical activity earn an average 1,5 kg more than those who practice. As observed there is a the greater trend regain weight, patients who consume less protein and have the habit of snacking. Conclusion:The surgery does not end the treatment of obesity, and the ancillary therapies have to be associated to the continuous monitoring of the multidisciplinary team. However more research is needed in order to elucidate the predictors’ factors of regain weight.

References

-American Association of Clinical endocrinologist, the obesity Society and American Society for metabolic & bariatric surgery medical (AACE/TOS/ASMBS). Guidelines for clinical practice for the perioperative nutritional, metabolic and nonsurgical support of the bariatric surgery patient. Surg. Obes. Relat. Dis. Vol. 4. p. S109-S184. 2008

-Buffington, C.K.; Cowan, G.S..; Smith, H. Significant changes in the lipid-lipoprotein status of premenopausal morbidly obese females following gastric bypass surgery. Obes Surg. Vol. 4. p. 328-35. 1994.

-Brasil. Portaria nº 628/GM Brasília: Ministério da Saúde. 2001.

-Bond, D.S.; e colaboradores. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity, Vol. 17. p. 78-83. 2008.

-Brolin, R.E. Bariatric surgery and long term control of morbid obesity. JAMA. Vol. 288. p.p. 2793-6. 2002.

-Buchwald, H, Concensus conference Statement Bariatric surger for obesity: Health implications for patients, health professionals, and third-party payers. Surg obes related dis. Vol. 1. p. 371-81. 2005.

-Christou,N.V.; e colaboradores. Surgery decreases long-term mortality, morbidity, and health care use in morbidlyobese patients. Ann Surg. Vol. 240. Núm. 3. p. 416-23. 2004.

-Colles, S.L.;Dixon, J.B.; O’brien, P.E. Grazing and Loss of Control Relaated to Eating: Two High-risk Factors Following Bariatric Surgery. Obesity: a research journal. Vol. 16. Núm. 3. p. 170-6. 2008.

-Faria, S.L.; e colaboradores. Dietary protein intake and bariatric surgery patients: a review. Obesity Surgery. Vol. 21. p. 1798-1805. 2011.

-Geloneze, B.; Tambascia, M.A.; Pareja, J.C.; Repetto, E.M.; Magna, L.A.; Pereira, S.G. Serum leptin levels after bariatric surgery across a range of glucose tolerance from normal to diabetes. Obes Surg. Vol. 11. p. 693-8. 2001.

-Leite, S.; e colaboradores. Nutrição e cirurgia bariátrica. Rer Nutr clin. Vol. 18. Núm. 4. p. 183-189. 2003.

-Lima,J.G.; e colaboradores. 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.

-Magro, D.O.; Geloneze, B.; Delfini, R.; Pareja, B.C.; Callejas, F.; Pareja, J.C. Long-term Weight Regain after Gastric bypass: A 5-year Prospective Study. Obes Surg. Vol.18. Núm. 6. p. 648-51. 2008.

-Pasiakos, S.M.; e colaboradores. Effects of high-protein diets on fat-free mass and muscle protein synthesis following weight loss: a randomized controlled trial. The FASEB Journal. Vol. 27. 2013

-Santos, F.; Teixeira, W.B. O profissional de educação física em uma equipe interdisciplinar de cirurgia bariátrica. Bariátrica & Metabólica. Revista da Sociedade Brasileira de Cirurgia Bariátrica e Metabólica. Vol. 1. Núm. 4. p. 24-8. 2007-2008.

-Silver, H,J.; Torquati, A.; Jensen, G.L.; Richards, W.O. Weight, dietary and physical exercises behaviors two years after gastric bypass. Obes Surg. Vol. 16. p. 859-64. 2006.

-Thompson, C.C.; e colaboradores. Peroral endoscopic reduction of dilated gastrojejunal anastomosis after Roux-en-Y gastricbypass: a possible new option for patients with weight regain. Surg Endosc. Vol. 20. Núm. 11. p. 1744-8. 2006.

-Valezi,A.C.; e colaboradores. Estudo do padrão alimentar tardio em obesos submetidos à derivação gástrica com bandagem em y de roux: comparação entre homens e mulheres. Revista do Colégio Brasileiro de Cirurgiões. Vol. 35. Núm. 6. 2008. p. 387-391.

-Waitman, J.A.; Aronne, L.J. Obesity surgery: pros and cons. J Endocrinol Invest. Vol. 25. Núm. 10. p. 925-8. 2002.

Published
2014-08-26
How to Cite
da Silva, R. F., & Kelly, E. de O. (2014). Prevalence and factors interfering in regained weight in women who underwent Gastric Bypass Roux-Y, 2 years after bariatric surgery. Brazilian Journal of Obesity, Nutrition and Weight Loss, 8(47). Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/342
Section
Scientific Articles - Original