scholarly journals A Retrospective Study about the Differences in Cardiometabolic Risk Indicators and Level of Physical Activity in Bariatric Surgery Patients from Private vs. Public Units

2019 ◽  
Vol 16 (23) ◽  
pp. 4751 ◽  
Author(s):  
Rebeca Rocha de Almeida ◽  
Márcia Cândido de Souza ◽  
Dihogo Gama de Matos ◽  
Larissa Monteiro Costa Pereira ◽  
Victor Batista Oliveira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Retrospective Study ◽  
Healthcare System ◽  
Cardiometabolic Risk ◽  
Risk Indicators ◽  
Public Healthcare ◽  
Post Surgery ◽  
Bariatric Patients ◽  
One Year

Background: Obesity is a pathology with a growing incidence in developing countries. Objective: To evaluate the evolution of cardiometabolic, anthropometrics, and physical activity parameters in individuals undergoing bariatric surgery (BS) in the public healthcare system (PUS) and private healthcare system (PHS). Methods: A longitudinal, observational, and retrospective study was conducted with 111 bariatric patients on two different health systems, with 60 patients from the PUS and 51 from the PHS. Cardiometabolic risk (CR) was analyzed by the assessment of obesity-related comorbidities (AORC) on admission and 3, 6, and 12 months after BS, and the International Physical Activity Questionnaire (IPAQ) was surveyed before and 12 months after BS. In addition, cardiometabolic risk was also assessed by biochemical (fasting glucose and complete lipidogram) and anthropometric (weight, weight loss, waist circumference, and waist-to-height ratio) parameters. Results: On admission, the parameters of severe obesity, systemic arterial hypertension (SAH), Diabetes mellitus (DM), and waiting time to BS were higher in the PUS. Additionally, in the PUS, AORC was reduced only in the SAH parameter. However, in the post-surgery moment, AORC reduced, and there was no difference between the two groups after BS. Regarding physical activity, the IPAQ showed a higher level of activity in the PHS before and one year after BS. Conclusion: At the PUS, BS is performed in patients with a higher degree of comorbidities, but BS improved the reduction of the CR at a similar level to those observed in the PHS.

scholarly journals Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system

2012 ◽  
Vol 56 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Cristina Khawali ◽  
Marcos Bosi Ferraz ◽  
Maria Tereza Zanella ◽  
Sandra R. G. Ferreira
Keyword(s):  
Bariatric Surgery ◽  
Healthcare System ◽  
Short Form ◽  
Public Healthcare ◽  
Obese Patients ◽  
Public Healthcare System ◽  
Post Surgery ◽  
Sf 36 ◽  
Before And After ◽  
Severely Obese

OBJECTIVES: To assess QoL of obese patients in the Brazilian public healthcare system, before and after bariatric surgery, and to determine the appropriateness of the Moorehead-Ardelt Questionnaire II (M-A-QoLQII) compared with the Short-Form Health Survey (SF-36). SUBJECTS AND METHODS: Forty-one severe obese patients in a waiting-list, and 84 patients who underwent bariatric surgery were included. Correlations were tested and reliability determined by the Cronbach's coefficient. RESULTS: BMI differed between the pre- and post-surgery groups (52.3 ± 8.3 kg/m² vs. 32.5 ± 6.4 kg/m², p < 0.001). The latter showed better scores in the SF-36 domains than in the pre-surgery. SF-36 and M-A-QoLQII categories were correlated (r = 0.53, 0.49 and 0.47, for vitality, mental health, and general health domains, p < 0.001). In the logistic regression, age, previous BMI, and loss of excess weight were associated with functional capacity. CONCLUSIONS: The outcomes of bariatric surgery obtained in a Brazilian public healthcare center were successful. M-A-QoLII represents a useful tool to assess surgery outcomes, including QoL.

scholarly journals Changes in Physical Activity in Relation to Body Composition, Fitness and Quality of Life after Primary Bariatric Surgery: a Two-Year Follow-Up Study

2020 ◽  
Author(s):  
Malou A. H. Nuijten ◽  
Onno M. Tettero ◽  
Rens J. Wolf ◽  
Esmée A. Bakker ◽  
Thijs M. H. Eijsvogels ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Bariatric Surgery ◽  
Body Composition ◽  
Fat Free Mass ◽  
Post Surgery ◽  
Related Quality ◽  
Health Related ◽  
Bariatric Patients

Abstract Purpose The success of bariatric surgery varies largely, which may relate to variance in adopting a physically active lifestyle. This study aimed to determine whether two-year changes in physical activity (PA) were associated with weight loss, fat-free mass, cardiorespiratory fitness and quality of life up to two years after bariatric surgery. Materials and Methods In this retrospective study, 3879 post-bariatric patients were divided into three groups: 1) decreased PA (n = 388), 2) maintained PA (n = 2002) or 3) increased PA (n = 1498). Measurements regarding PA (Baecke questionnaire), body composition (bioelectrical impedance analysis), estimated cardiorespiratory fitness (Åstrand test) and health-related quality of life (RAND-36) were performed preoperatively and two years post-surgery. Results Bariatric patients with increased PA had greater excess weight loss (76.3% vs. 73.2% vs. 72.9%, P < 0.001), greater increases in %fat-free mass (Δ14.0% vs. 13.0% vs. 12.8%; P < 0.001), larger improvements in VO2max (Δ11.8 vs. 10.2 vs. 8.0 ml/kg/min, P < 0.001), and larger increases in health related quality of life subscale scores (P < 0.05) compared to patients with maintained- and decreased PA. Conclusions Bariatric patients who managed to induce improvements in habitual physical activity had better body composition, fitness and quality of life at 2 years post-surgery, compared to patients who maintained or even reduced their PA levels. These findings underscore the importance of perioperative-bariatric care programs to change lifestyle and achieve sustainable improvements in PA levels.

IH-106 Change in physical activity one year post-surgery in the longitudinal assessment of bariatric surgery-2 (LABS-2)

2011 ◽  
Vol 7 (3) ◽  
pp. 361
Author(s):  
Wendy C. King ◽  
Jesse Y. Hsu ◽  
Anita P. Courcoulas ◽  
George M. Eid ◽  
David R. Flum ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Longitudinal Assessment ◽  
Post Surgery ◽  
One Year

scholarly journals Renal Outcomes One Year After Metabolic Bariatric Surgery: A Clinical Audit

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A26-A26
Author(s):  
Zongwen Wee ◽  
Kwang Wei Tham ◽  
Hong Chang Tan ◽  
Sonali Ganguly ◽  
Chin Hong Lim ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Renal Function ◽  
Positive Impact ◽  
Primary Outcome Measure ◽  
Ethnic Composition ◽  
Lipid Lowering ◽  
Diabetes Group ◽  
Tertiary Centre ◽  
Post Surgery ◽  
One Year

Abstract Introduction: Obesity increases the risk of incident chronic kidney disease (CKD), being one of the strongest risk factors for new-onset CKD even in the metabolically normal obese. Weight loss has been shown to reduce renal hyperfiltration and proteinuria. Metabolic Bariatric Surgery (MBS) remains an effective treatment for obesity and its metabolic related complications. However, literature on its impact on long term renal function remains limited. Methods: This was an observational retrospective study in a tertiary centre in Singapore. MBS cases performed at the centre between 2008 and 2019 were included. The primary outcome measure was estimated Glomerular Filtration Rate (eGFR), calculated using the CKD Epidemiology Collaboration equation, and albuminuria (defined as urine Albumin-Creatinine Ratio (uACR) &gt;3.5 mg/mmol) at baseline and at one-year post surgery. Results: 557 patients were included. Baseline parameters are as follows: mean age 41.7 ±10.1 years; female 65.4%; ethnic composition: Chinese (35.2%), Malay (33.0%), Indian (26.9%); BMI 42.5 ±7.9 kg/m²; glycaemic status: Diabetes Mellitus (34.5%), Pre-diabetes (13.5%), Non-diabetic (52.1%); Hypertensive status: Hypertension (55.2%), Pre-Hypertension (1.9%), Normotensive (42.9%). Median eGFR was 110.9 (92.4 - 121.5) mL/min/1.73 m² and median uACR was 1.00 (0.40 - 3.55) mg/mmol. At one-year post surgery, patients achieved statistically significant reductions in mean BMI (-11.3 ±4.2 kg/m2), systolic BP (-3.24 ±19.3 mmHg), diastolic BP (-5.23 ±13.8 mmHg), fasting glucose (-1.95 ±2.89 mmol/L) and improvement in HDL (0.29 ±0.26 mmol/L). In addition, statistically significant reductions in the proportion of patients on anti-hypertensive (48.8% to 14.4%), anti-diabetic (34.1% to 12.7%) and lipid-lowering medications (37.8% to 20.4%) were seen. In particular, ACE-inhibitor and/or angiotensin receptor blocker (32.9% to 9.2%, p&lt; 0.001) usage was reduced. At one-year post surgery, median eGFR increased by 1.66 mL/min/1.73 m² (p&lt;0.001). Further stratification by glycemic status showed significant increases in GFR in patients without diabetes or pre-diabetes. There was a decrease in median uACR (0.30 mg/mmol, p=0.001) at one-year post surgery; this remained statistically significant in patients with diabetes and pre-diabetes. 12.9% of patients had improvements in CKD staging. The proportion of patients with albuminuria decreased from 24.8% at baseline to 1.89% one-year post surgery (p&lt;0.001). Conclusions: Metabolic bariatric surgery had a positive impact on renal function as shown by the improvement in eGFR in the non-diabetic group, and the reduction in albuminuria in the diabetes and pre-diabetes group at one-year post surgery. More adequately powered, longer-term data is required to investigate the durability of this impact.

scholarly journals Low levels of physical activity and metabolic syndrome: cross-sectional study in the Brazilian public health system

2016 ◽  
Vol 21 (4) ◽  
pp. 1043-1050 ◽  
Author(s):  
Bruna Camilo Turi ◽  
Jamile Sanches Codogno ◽  
Rômulo Araújo Fernandes ◽  
Henrique Luiz Monteiro
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Metabolic Syndrome ◽  
Activity Level ◽  
Risk Indicators ◽  
Public Healthcare ◽  
Cross Sectional ◽  
The Metabolic Syndrome ◽  
Low Levels

Abstract This study investigated whether low levels of physical activity in different domains is associated with risk factors for the occurrence of metabolic syndrome or metabolic syndrome itself. Habitual physical activity level was assessed among 963 participants, aged 50 years old or more, using Baecke’s questionnaire. Risk factors for metabolic syndrome followed the recommendations of “The IDF Consensus Worldwide Definition of the Metabolic Syndrome”. All the participants were users of the Brazilian Public Healthcare System. The prevalence of metabolic syndrome was 30.9%. Participants with lower levels of physical activity in leisure-time had higher chances of occurrence of diabetes mellitus, hypercholesterolemia and metabolic syndrome. Occurrence of arterial hypertension was associated with lower levels of sports activities. It was found high rates of risk indicators for the occurrence of metabolic syndrome, as well as for diseases alone as hypertension, diabetes mellitus, hypercholesterolemia, and obesity. Lower involvement in physical activity in different domains increases the prevalence of risk factors for metabolic syndrome.

Change in Physical Activity Prior to Bariatric Surgery does not Predict Post-Surgery Weight Loss

2016 ◽  
Vol 48 ◽  
pp. 155 ◽  
Author(s):  
Sara J. Kovacs ◽  
Melissa A. Kalarchian ◽  
Marsha D. Marcus ◽  
Anita P. Courcoulas ◽  
Michele D. Levine ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Post Surgery

scholarly journals Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis (Preprint)

2020 ◽  
Author(s):  
Irene Sequi-Dominguez ◽  
Celia Alvarez-Bueno ◽  
Vicente Martinez-Vizcaino ◽  
Rubén Fernandez-Rodriguez ◽  
Alicia del Saz Lara ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Effect Size ◽  
Cardiometabolic Risk ◽  
Meta Analysis ◽  
Density Lipoprotein ◽  
Health Interventions ◽  
Risk Indicators ◽  
Lifestyle Interventions

BACKGROUND Physical activity and lifestyle interventions, such as a healthy diet, have been proven to be effective approaches to manage metabolic syndrome. However, these interventions require great commitment from patients and clinicians owing to their economic costs, time consumption, and lack of immediate results. OBJECTIVE The aim of this systematic review and meta-analysis was to analyze the effect of mobile-based health interventions for reducing cardiometabolic risk through the promotion of physical activity and healthy lifestyle behaviors. METHODS PubMed, Scopus, Web of Science, Cochrane Central Register of Controlled Trials, and SPORTdiscus databases were searched for experimental studies evaluating cardiometabolic risk indicators among individuals with metabolic syndrome who were included in technology-assisted physical activity and lifestyle interventions. Effect sizes, pooled mean changes, and their respective 95% CIs were calculated using the DerSimonian and Laird method. Outcomes included the following clinical and biochemical parameters: body composition (waist circumference [WC] and BMI), blood pressure (systolic blood pressure [SBP] and diastolic blood pressure [DBP]), glucose tolerance (fasting plasma glucose [FPG] and glycated hemoglobin A1c [HbA<sub>1c</sub>]), and lipid profile (total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol [HDL-C], and triglycerides). RESULTS A total of nine studies were included in the meta-analysis. Owing to the scarcity of studies, only pooled mean pre-post changes in the intervention groups were estimated. Significant mean changes were observed for BMI (−1.70 kg/m2, 95% CI −3.20 to −0.20; effect size: −0.46; <i>P</i>=.03), WC (−5.77 cm, 95% CI −9.76 to −1.77; effect size: −0.54; <i>P</i>=.005), SBP (−7.33 mmHg, 95% CI −13.25 to −1.42; effect size: −0.43; <i>P</i>=.02), DBP (−3.90 mmHg, 95% CI −7.70 to −0.11; effect size: −0.44; <i>P</i>=.04), FPG (−3.65 mg/dL, 95% CI −4.79 to −2.51; effect size: −0.39; <i>P</i>&lt;.001), and HDL-C (4.19 mg/dL, 95% CI 2.43-5.95; effect size: 0.23; <i>P</i>&lt;.001). CONCLUSIONS Overall, mobile-based health interventions aimed at promoting physical activity and healthy lifestyle changes had a strong positive effect on cardiometabolic risk indicators among individuals with metabolic syndrome. Nevertheless, further research is required to compare this approach with usual care in order to support the incorporation of these technologies in health systems. CLINICALTRIAL PROSPERO CRD42019125461; https://tinyurl.com/y3t4wog4.

scholarly journals Experiences of Physical Activity One Year after Bariatric Surgery

2014 ◽  
Vol 6 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Malin Wiklund ◽  
Monika Fagevik Olbers ◽  
Torsten Olbers ◽  
Carin Willén
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Qualitative Content Analysis ◽  
Evidence Based ◽  
Structured Interviews ◽  
Weight Loss Outcome ◽  
Physically Active ◽  
One Year ◽  
Patients Experience ◽  
Global Health Problem

Background and purpose: Obesity is a major global health problem today and the only evidence-based method leading to a long-lasting weight reduction is bariatric surgery. Physical activity improves health, decreases the incidence of several diseases and may influence weight loss outcome after bariatric surgery. Knowledge regarding how patients experience physical activity after bariatric surgery could provide us with better tools to enhance physically active. Methods: The aim of the present study was to describe how patients experience physical activity one year after bariatric surgery. An inductive qualitative content analysis was used to analyse semi-structured interviews with twenty-four patients one year after bariatric surgery. Results: Results: The main findings emerged in four overarching themes: “Hindrances of physical activity”, “Physical activity with a less obese body implies achievement”, “Coming to an understanding of the benefits of physical activity” and “Need of support”. Conclusion: According to our findings patients experience both achievements and hinders with regard to physical activity one year after surgery. Patients had an increased understanding of the benefits of physical activities, but support appears necessary to obtain and maintain a suitable level.

scholarly journals Chew and spit (CHSP) in bariatric patients: a case series

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Phillip Aouad ◽  
Kristin Stedal ◽  
Gro Walø-Syversen ◽  
Phillipa Hay ◽  
Camilla Lindvall Dahlgren
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Disordered Eating ◽  
Weight Loss Surgery ◽  
Eating Pathology ◽  
Post Surgery ◽  
Significant Depression ◽  
Bariatric Patients ◽  
Clinically Significant

Abstract Background Studies into the disordered eating behaviour of chew and spit have alluded to several cohorts more likely to engage in the behaviour, one such group being bariatric surgery candidates and patients. Weight-loss surgery candidates have received little to no attention regarding engaging in chew and spit behaviour. Changes in pre- and post- surgery eating pathology related to chew and spit behaviour has yet to be explored and described in academic literature. Case presentation The current study reports on three cases of individual women, aged 30, 35, and 62 respectively, who indicated engagement in chew and spit. All three cases underwent bariatric surgery (two underwent gastric bypass, one underwent vertical sleeve gastrectomy). Eating pathology—including chew and spit behaviour, anxiety and depression, and adherence to the Norwegian nutritional guidelines were examined pre-operatively and post-operatively (one and two-year follow-up). At baseline (pre-surgery), two participants reported that they engaged in chew and spit, compared to one patient post-surgery. All three cases reported that they, to at least some extent, adhered to dietary guidelines post-surgery. Subjective bingeing frequency appeared to be relatively low for all three cases, further declining in frequency at one-year follow-up. At baseline, one participant reported clinically significant depression and anxiety, with no clinically significant depression or anxiety reported at follow-ups in participants that chew and spit. Conclusions The current study provides a starting point for the exploration of chew and spit as a pathological symptom of disordered eating in bariatric patients. It highlights the need to further explore chew and spit before and after weight-loss surgery.

scholarly journals Improving vitamin D status in bariatric surgery subjects with monthly high-dose ergocalciferol

2021 ◽  
Author(s):  
Shannon Galyean ◽  
David Syn ◽  
Hadil S Subih ◽  
Mallory Boylan
Keyword(s):  
Bariatric Surgery ◽  
Vitamin D ◽  
Group Versus ◽  
Treated Group ◽  
Vitamin D Insufficiency ◽  
Control Group ◽  
High Dose ◽  
Post Surgery ◽  
Vitamin D Levels ◽  
One Year

Abstract. Background: Vitamin D insufficiency is common before and after bariatric surgery. Optimal supplementation to treat vitamin D insufficiency is not clearly defined. Objective: Determine if serum 25 (OH) D levels improve by the consumption of an additional monthly ergocalciferol supplement by subjects after bariatric surgery. Study design: Thirty-two subjects were randomly divided to receive an additional 100,000 IUs of ergocalciferol monthly after bariatric surgery (n=10) or standard level vitamin D supplement after bariatric surgery (n=22). Serum 25 (OH) D, calcium, and hemoglobin A1c levels were measured preoperatively and one year after bariatric surgery. Results: Mean changes in BMI at 1-year post-operation was −18.12±6.46 kg/m2 in the control group versus −18.84±4.7 kg/m2; p=0.638 in the vitamin D group. One year after bariatric surgery, the mean changes from baseline in vitamin D levels were 2.69±9.4 and 12.4±17.0 ng/mL in control and intervention groups, respectively. The treated group showed a marginally higher mean increase in Vitamin D than the control group, p=0.059. Other mean changes at 1-year post-surgery that were not significantly different include calcium −0.264±0.45 and −0.21±0.509 mg/dl in control and intervention groups, respectively and Hgb A1c −1.0±1.21 and −0.95±0.071% in control and intervention groups, respectively. Conclusion: This study showed 100,000 IUs ergocalciferol once a month is a safe and effective treatment for vitamin D insufficiency in most patients having bariatric surgery.

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