Comorbities associated with obesity in patients candidate to bariatric surgery/COMORBIDADES ASSOCIADAS A OBESIDADE EM PACIENTES CANDIDATOS A CIRURGIA BARIATRICA

• Published in: Revista brasileira de obesidade, nutrição e emagrecimento Vol. 13; no. 79; p. 351
• Main Authors: Klauck, Caroline Maliska, Zenatti, Gabriel Angelo Garute, Pappen, Debora Regina Hendges Poletto, Berto, Nanci Rouse Teruel
• Format: Journal Article
• Language: Portuguese
• Published: Instituto Brasileiro de Pesquisa e Ensino em Fisiologia do Exercicio. IBPEFEX 01-05-2019
• Subjects: Ambulatory care facilities; Analysis; Bariatric surgery; Cancer; Cardiovascular diseases; Comorbidity; Diabetes mellitus; Exercise; Food consumption; Hypertension; Insulin; Insulin resistance; Medical research; Nutrition; Obesity; Public health; Public health movements; Surgery
• ISSN: 1981-9919; 1981-9919

Introduction: The so-called contemporary Western lifestyle, marked by increased food consumption and decreased physical exercise, has led to the rise of a new epidemic: obesity. It is associated with several comorbidities, such as cardiovascular diseases, cancer, insulin resistance, among others. Objective: To analyze the prevalence of comorbidities present in obese patients who are candidates for bariatric surgery. Methods: This is a crosssectional, retrospective and descriptive study, based on the database provided by the Nutrition Outpatient Clinic, in the Centro Universitario Assis Gurgacz (FAG), attended by SUS. Results: Among the 230 patients who were candidates for bariatric surgery, the majority belonged to the female gender (83%), the mean BMI of the patients was 47.6 [+ or -] 7.7kg /[m.sup.2] and the mean age was 46.1 [+ or -] 10.4 years. Systemic Arterial Hypertension (SAH) was the most common comorbidity (64.1%), as well as others such as Diabetes Mellitus type II (17.2%) and dyslipidemia (10.2%). Obesity type II was the range of BMIs with a relative number of hypertensive patients (74.1%), although Obesity type III obtained the highest absolute number of hypertensive patients (131). Discussion: In a literature review, they also reported SAH as the most common comorbidity in their study. Conclusion: It was observed that the most prevalent pathology, as in other previous studies, was Systemic Arterial Hypertension. In addition, the intimate relationship between obesity and the onset of such pathologies was noted. Key words: Obesity. Nutrition in Public Health. Bariatric surgery. Introducao: O chamado estilo de vida ocidental contemporAneo, marcado pelo aumento do consumo de alimentos e diminuicao da realizacao de exercicios fisicos, tem provocado a ascensao de uma nova epidemia: a obesidade. Ela e associada a varias comorbidades, tais como, doencas cardiovasculares, cAncer, resistencia a insulina, entre outras. Objetivo: Analisar qual a prevalencia das comorbidades presentes em pacientes obesos candidatos a cirurgia bariatrica. Materiais e Metodos: Esse e um estudo transversal, retrospectivo e descritivo, realizado a partir do banco de dados fornecidos pelo Ambulatorio de Nutricao, localizado no campus do Centro Universitario Assis Gurgacz (FAG), atendido pelo Sistema Unico de Saude (SUS). Resultados: Dentre todos os 230 pacientes candidatos a cirurgia bariatrica, a maioria pertencia ao genero feminino (83%), sendo o IMC medio dos pacientes de 47,6 [+ or -] 7,7kg/[m.sup.2] e idade media de 46,1 [+ or -] 10,4 anos. A Hipertensao Arterial Sistemica (HAS) foi a comorbidade mais prevalente (64,1%), alem de outras, como Diabetes Mellitus tipo II (17,2%) e dislipidemias (10,2%). A Obesidade Grau II foi a faixa de IMC cujo numero relativo de pacientes hipertensos foi maior (74,1%), embora a Obesidade Grau III obteve o maior numero absoluto de pacientes hipertensos (131). Discussao: Em revisao de literatura, tambem relataram a HAS como a comorbidade mais encontrada em seu estudo. Conclusao: Observou-se que a patologia mais prevalente, assim como em outros estudos previos, foi a Hipertensao Arterial Sistemica. Ademais, notou-se a intima relacao entre a obesidade e o aparecimento de outras patologias. Palavras-chave: Obesidade. Nutricao em Saude Publica. Cirurgia bariatrica.