scholarly journals O aconselhamento nutricional na prevenção das complicações metabólicas em paciente bariátrico / The nutritional counseling in prevention of metabolic complications in bariatric patients

2021 ◽  
Vol 4 (5) ◽  
pp. 22228-22240
Author(s):  
Danusa Coelho Braga Sanches ◽  
Adrielly Barbosa Pereira ◽  
Giovanna da Silva Castro ◽  
Sarah Camila Fortes Santos ◽  
Aline Prado Dos Santos ◽  
...  
Keyword(s):  
Nutritional Counseling ◽  
Metabolic Complications ◽  
Bariatric Patients

scholarly journals Physical ability in bariatric patients - improvement needed by supervised and individual approach

2017 ◽  
Vol 7 (2) ◽  
pp. 99-114
Author(s):  
Tadeja Pintar ◽  
Tanja Carli ◽  
Uroš Godnov ◽  
Niko Kaliterna ◽  
Iztok Štotl
Keyword(s):  
Bariatric Surgery ◽  
Body Composition ◽  
Exercise Program ◽  
Nutritional Counseling ◽  
Exercise Protocol ◽  
Physical Ability ◽  
Supervised Exercise ◽  
Motivational Support ◽  
Bariatric Patients ◽  
Supervised Exercise Program

Introduction: Physical activity (PA), exercise, and lifestyle intervention are basic interventions to reduce short- and long-term surgical and non-surgical complications in bariatric patients. The purpose of our study was, first, to evaluate the importance of individualized, professionally guided training, encouraging PA, and subsequent positive effects of physical ability and body composition following a structured and supervised exercise program. Methods: A total of 11 morbidly obese male (n = 4) and female (n = 7), aged 30–54 years, previously subjected to bariatric surgery, were recruited and subjected to 10-weeks structured and supervised exercise protocol with nutritional counseling and motivational support, consisting of twice weekly aquatic and outdoors training sessions. The same protocol was applied to the control group but without supervision, counseling and support. Blood analyses, basic anthropometric measures, body composition analyses, and physical fitness tests were performed before and after the exercise protocol. Results: The weight, body fat, BMI, systolic and diastolic pressures were mildly decreased after the exercise program, while sit-to-stand, handgrip, and one leg stance scores showed mild increase after the exercise program. Conclusion: Obese bariatric surgery patients may benefit from structured, supervised exercise program with nutritional counseling and motivational support. Further studies with larger number of participants are needed to confirm the results.

POSTOPERATIVE COMPLIANCE OF BARIATRIC SURGERY PATIENTS REGARDING THE ASSESSMENT OF SERUM LEPTIN LEVELS AND INSULIN RESISTANCE

2019 ◽  
Vol 49 (1/2019) ◽  
Keyword(s):  
Insulin Resistance ◽  
Bariatric Surgery ◽  
Serum Levels ◽  
Medical Laboratory ◽  
Leptin Resistance ◽  
Obese Patients ◽  
Laboratory Assessment ◽  
Serum Leptin ◽  
Before And After ◽  
Bariatric Patients

Background and aims: Overweight and obese patients who undergo bariatric surgery require a rigorous clinical and paraclinical assessment both before and after the surgery at 3, 6, and 12 months.The present study aims the assessment of serum leptin levels and insulin resistance status in compliant bariatric patients to scheduled medical laboratory assessment at 6 months after surgery. Material and Method: The study included 109 eligible patients selected for bariatric surgery, 48 of whom attended the scheduled visit at 6 months after the surgery. Laboratory assessing regarded the insulin resistance by determining before meal the serum levels of leptin, glucose and insulin, as well as HOMA 1 and HOMA 2 indexes. Results: Patients who underwent bariatric treatment experienced a significant decrease in insulin resistance status. A higher percentage in the preoperative group was recorded in women, feature which was also recorded in the postoperative group that attended the scheduled visit at 6 months after surgery. Age is also an important factor that significantly influences the behavioral adherence to postoperative visits. Conclusions: Insulin resistance status improved significantly in 6 months after bariatric surgery among the fully compliant patients. The percentage of attendance at scheduled visits is higher among women, and decreases with age. Keywords: obesity surgery, leptin resistance, insulin resistance, HOMA index, compliance

Atypical Antipsychotics and Metabolic Complications

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 714-P ◽  
Author(s):  
MUNAZA AKUNJEE ◽  
SHRUTI M. GANDHI ◽  
ERIC NYLEN
Keyword(s):  
Atypical Antipsychotics ◽  
Metabolic Complications

Impact of Prolactin Hipersecrey on Glucid and Lipid Metabolisms

2019 ◽  
Vol 70 (5) ◽  
pp. 1603-1607
Author(s):  
Elena Ionescu ◽  
Bogdan Virgil Cotoi ◽  
Anca Ganescu
Keyword(s):  
Cranial Nerves ◽  
Pituitary Tumors ◽  
Optic Chiasm ◽  
Anterior Lobe ◽  
Visual Field Defects ◽  
Large Tumor ◽  
Metabolic Complications ◽  
Clinical Onset ◽  
Vision Defects ◽  
Upper Level

Pituitary is a common terrain for the appearance of tumoral changes, representing the origin of about 15% of all intracranial tumors [13]. These tumors are, for the most part, histologically benign, as they arise from hormone secreting cells in the anterior lobe. Therefore, the aim of the paper is to specify the clinical and paraclinical clinical onset characteristics, the evolutionary peculiarities, as well as the metabolic complications secondary to the prolactin hypersecretion. The effects of prolactin-secreting pituitary tumors may occur as a result of mass effects of tumors or even hyperprolactinaemia. Because microadenomas are intrathecal, visual defects may not occur, but headaches occur more often (50%) than normal (27%) [1, 6]. A large tumor that extends beyond the limbs of the turkey can cause headaches and vision defects. The classical presentation is bitemporal hemianopsia due to the compression of the optic chiasm from a tumor that extends to the upper level. If chiasma is prefixed or if the tumor extends posteriorly, compression of a single optical system results in visual field defects similar. The lateral extension in the cavernous sinus can lead to the illness of the oculomotor function involving the cranial nerves III, IV and VI and the branches V1 and V2 of the cranial nerve V, alone or in combinations.

Semi-Quantitative Ultrasonographic Evaluation of NAFLD

2020 ◽  
Vol 26 (32) ◽  
pp. 3915-3927 ◽  
Author(s):  
Stefano Ballestri ◽  
Claudio Tana ◽  
Maria Di Girolamo ◽  
Maria Cristina Fontana ◽  
Mariano Capitelli ◽  
...  
Keyword(s):  
Liver Disease ◽  
Fatty Liver ◽  
Imaging Techniques ◽  
Metabolic Complications ◽  
Nonalcoholic Fatty Liver ◽  
Non Invasive ◽  
Increased Risk ◽  
Risk Of Progression ◽  
Progressive Liver Disease

: Nonalcoholic fatty liver disease (NAFLD) embraces histopathological entities ranging from the relatively benign simple steatosis to the progressive form nonalcoholic steatohepatitis (NASH), which is associated with fibrosis and an increased risk of progression to cirrhosis and hepatocellular carcinoma. NAFLD is the most common liver disease and is associated with extrahepatic comorbidities including a major cardiovascular disease burden. : The non-invasive diagnosis of NAFLD and the identification of subjects at risk of progressive liver disease and cardio-metabolic complications are key in implementing personalized treatment schedules and follow-up strategies. : In this review, we highlight the potential role of ultrasound semiquantitative scores for detecting and assessing steatosis severity, progression of NAFLD, and cardio-metabolic risk. : Ultrasonographic scores of fatty liver severity act as sensors of cardio-metabolic health and may assist in selecting patients to submit to second-line non-invasive imaging techniques and/or liver biopsy.

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