Profile clinic of candidates for bariatric surgery
Abstract
In parallel to the epidemic rates of overweight and obesity, there is the popularity of bariatric surgery as an alternative treatment, with the number of procedures growing every year. Aim: To describe a clinical profile of patients eligible for bariatric surgery at a hospital in Manaus (Amazonas, Brazil). Methods: It was evaluated 50 patients included in 6 Bariatric Surgery Program group Adriano Jorge Hospital Foundation (AM, Brazil), through anamnesis and clinical assessment of vital signs. Results: Among the patients, 39 were female and 11 males. Among women, the average age was 35.9 ± 9.0 years, body mass index (BMI) of 51.8 ± 9.4 kg/m². In men, age was 37.8 ± 7.7 and BMI 50.0 ± 5.7. 52% of patients reported having systemic hypertension, while 48% were also diabetics; 98% of these patients were taking medication regularly. Musculoskeletal disorders were present in 18% of subjects. Vital signs measured during the evaluation revealed Blood Pressure (BP) average of 127/88 mm / hg, while heart rate (HR) was 81.2 ± 12.5 bpm and respiratory rate (FR) 19.2 ± 3.6 bpm. Conclusion: This study revealed that the search for bariatric surgery happens for individuals of working age in both sexes, and is also related to the presence of associated diseases such as Hypertension and Diabetes, confirming the multisystem condition of obesity.
References
-World Health Organization. Obesity: preventing and managing the global epidemic -report of a WHO consultation on obesity [online]. Geneva: WHO; 1998. Disponível em: <http://www.who.int/nutrition/publications/obesity/ en/index.html>.Acesso em 05/07/2016.
-Fontaine, K.R.; Barofsky, I. Obesity and health-related quality of life. Obesity Reviews. Vol. 2. Num. 3. 2001. p. 173-82.
-WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet. Vol. 363. Num. 9403. 2004. p. 157-63.
-World Health Organization. Obesity and overweight and what is the scale of the obesity problem in your country? Report of a WHO consultation on obesity. Geneva: WHO; 2006. Disponível em: <http://www.who.int/infobase/report.aspx?rid=118>, Acesso em 05/07/2016.
-Marcelino, L.F.; Patrício, Z.M. A complexidade da obesidade e o processo de viver após a cirurgia bariátrica: uma questão de saúde coletiva. Revista Ciência & Saúde Coletiva. Rio de Janeiro. Vol.16. Num 12. 2011. p. 4767-76.
-Ferreira, V.A.; Magalhães, R. Obesidade no Brasil: tendências atuais. Revista portuguesa de saúde pública. Vol. 24. Num. 2. 2006. p. 71-81.
-Carvalho, E.A.A.; Simão, M.T.J. Fonseca, M.C.; Andrade, R.G.; Ferreira, M.S.G.; Silva, A.F. Obesidade: aspectos epidemiológicos e prevenção. Revista Médica de Minas Gerais. Belo Horizonte. Vol. 23. Num. 1. 2013. p. 74-82.
-Oliveira, A.P.F.; Malheiros, C.A.; Santos, A.S.; Jesus, S.R.; Manuel, J. Perfil de pacientes submetidos à cirurgia bariátrica atendidos em um hospital universitário do município de São Paulo. Saúde Coletiva. São Paulo. Vol. 06. Num. 35. 2009. p. 275-9.
-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. São Paulo. Vol. 22. Num. 1. 2009. p. 55-9.
-Rey-López, J.P.; Rezende, L.F.; Sá, T.H.; Stamatakis, E.; Stamatakis, E. Is the metabolically healthy obesity phenotype an irrelevant artifact for public health?. American Jounal of Epidemiology. Vol. 182. Num. 9. 2015. p. 737-41.
-Tavares, T.B.; Nunes, S.M.; Santos, M.O. Obesidade e qualidade de vida: revisão da literatura. Revista Médica de Minas Gerais. Belo Horizonte. Vol. 20. Num. 3. 2010. p. 359-66.
-Hintze, L.J.; Bevilaqua, C.A.; Pimentel, E.B.; Nardo Junior, N. Cirurgia bariátrica no Brasil. Revista de Ciências Médicas. Campinas. Vol. 20. Num. 3-4. 2011. p. 87-98.
-National Institute of Health [NIH]. Consensus Statements: Gastrointestinal Surgery for Severe Obesity. 1991.
-Kelles, S.M.B.; Machado, C.J.; Barreto, S.M. Dez anos de cirurgia bariátrica no brasil: mortalidade intra-hopitalar em pacientes atendidos pelo sistema único de saúde ou por operadora da saúde suplementar. Arquivos Brasileiros de Cirurgia Digestiva. São Paulo. Vol. 27. Num. 4. p. 261-7.
-Borg,G. Escala CR10 de Borg. In: Borg G (Editors). Escalas de Borg para dor e esforço percebido. Manole. 2000. p. 43-47.
-Pereira, L.; Francischi, R.; Lancha, A. Obesidade: hábitos nutricionais, sedentarismo e resistência à insulina. Arquivos Brasileiros de Endocrinologia Metabólica. São Paulo. Vol. 47. Num. 2. 2003. p. 111-27.
-Sjöström, L.; Narbro, K.; Sjöström, C.D.; Karason, K.; Larsson, B.; Wedel, H. Effects of Bariatric Surgery on Mortality in Swedish Obese Subjects. The New England Jounal of Medicine. Massachusetts. Vol. 357. Num. 8. 2007. p. 741-52.
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