CARACTERIZACIÓN DEL ESTADO NUTRICIONAL EN PACIENTES SOMETIDOS A CIRUGÍA BARIÁTRICA / Characterization of patients submitted to bariatric surgery

  • William Plua Universidad Estatal de Guayaquil
  • Marilin García Universidad Técnica de Manta
  • Johanna Alcívar Universidad Técnica de Manabí
  • Hazel Anderson Universidad del Zulia
Palabras clave: Obesidad, índice de masa corporal, gastrectomía en manga, hipertensión arterial, diabetes mellitus tipo 2, Obesity, body mass index, sleeve gastrectomy, high blood pressure, diabetes mellitus type 2.

Resumen

RESUMEN

La obesidad es un problema de salud pública cuyo tratamiento incluye desde el manejo de conductas para la adquisición de un estilo de vida saludable hasta los fármacos, nutrientes y opciones quirúrgicas. La cirugía bariátrica ha demostrado ser el único tratamiento para la obesidad severa que disminuye el riesgo de padecer comorbilidades y permite la reintegración del paciente a la vida social, laboral y familiar. El presente trabajo de tipo descriptivo, transversal, observacional no experimental, se realizó en la consulta de cirugía bariátrica en el Hospital Dr. Teodoro Maldonado Carbo de Guayaquil, Ecuador, con el objetivo de caracterizar el estado nutricional de acuerdo al IMC a los pacientes sometidos a cirugía bariátrica. Se tomó el peso corporal, talla e IMC. Para el análisis: chi cuadrado de Pearson y t de student (SPSS 20). Se evaluaron 100 sujetos, 21 hombres y 79 mujeres con 41±11 años de edad, con cirugías= 97% Gastrectomía en manga y 3% Bypass gástrico; e IMC de 44,68±9,15 kg/m2. En cuanto al diagnóstico del estado nutricional se evidenció Sobrepeso (4%), Obesidad I (5%),obesidad II (18%), obesidad III (52%), superobesidad (14%) y supersuper obesidad (7%). La obesidad fue más frecuente en las mujeres adultas jóvenes y de mediana edad y la cirugía más practicada fue la gastrectomía en manga. Se concluye que la caracterización es útil para identificar el tipo de paciente, el estado nutricional y la cirugía realizada.

ABSTRACT

Obesity is a public health problem whose treatment includes from the management of behaviors for the acquisition of a healthy lifestyle to drugs, nutrients and surgical options. Bariatric surgery has proven to be the only treatment for severe obesity that decreases the risk of comorbidities and allows the reintegration of the patient into social, work and family life. The present descriptive, cross-sectional, non-experimental observational work was carried out in the bariatric surgery consultation at the Dr. Teodoro Maldonado Carbo Hospital in Guayaquil, Ecuador, with the objective of characterizing the nutritional status according to the BMI to the patients submitted to bariatric surgery. Body weight, height and BMI were taken. For the analysis: Pearson’s chi square and student’s t (SPSS 20). 100 subjects, 21 men and 79 women with 41 ± 11 years of age, with surgeries = 97% Sleeve Gastrectomy and 3% Gastric Bypass were evaluated; and BMI of 44.68 ± 9.15 kg / m2. Regarding the diagnosis of nutritional status, it was evidenced Overweight (4%), Obesity I (5%), obesity II (18%), obesity III (52%), superobesity (14%) and super obesity (7%). Obesity was more frequent in young and middle-aged adult women and the most practiced surgery was sleeve gastrectomy. It is concluded that the characterization is useful to identify the type of patient, nutritional status and surgery performed

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Ali A., Crowther N. (2010). Factors pre- disposing to obesity: a review of the li- terature. S Afr Fam Pract. 52(3):193- 197.10.1080/20786204.2010.10873970.

Barquissau V., Léger B., Beuzelin D., Martins F., Amri E., Pisani D., Saris W., Astrup A., Maoret J., Lacovoni J., Déjean S., Moro C., Viguerie N., Lan- gin D. (2018). Caloric Restriction and Diet-Induced Weight Loss Do Not Induce Browning of Human Subcutaneous White Adipose Tissue in Women and Men with Obesity. Cell Rep. 22(4):1079-1089. doi: 10.1016/j.celrep.2017.12.102.

Beavers D., Beavers K., Lyles M., Nicklas B. (2013). Cardiometabolic risk after weight loss and sub- sequent weight regain in overweight and obese postmenopausal women. J Gerontol A Biol Sci Med Sci. 68(6): 691–698.

Buchwald H., Oien D. (2011). Metabolic/bariatric surgery worldwide.Obes Surg. 24: 427-36.

Campoverde M., Añez R., Salazar J., Rojas J., Ber- múdez V. (2014). Factores de riesgo para obe- sidad en adultos de la ciudad de Cuenca, Ecua- dor. Revista Latinoamericana de Hipertensión. 9 (1):1-11.

Cummings D., Rubino F. (2018). Metabolic surgery for the treatment of type 2 diabetes in obese indivi- duals. Diabetologia. 61(2):257-264. doi: 10.1007/ s00125-017-4513-y.

Chobot A., Górowska-Kowolik K., Sokołowska M.,Jarosz-Chobot P. (2018) Obesity and diabetes - not only a simple link between two epidemics. Diabetes Metab Res Rev. Jun 21: e3042. doi: 10.1002/dmrr.3042.

De Cleva R., Mota F., Gadducci A., Cardia L., D’An- dréa Greve J., Santo M. (2018). Resting metabo- lic rate and weight loss after bariatric surgery.Surg Obes Relat Dis. 14(6):803-807. doi: 10.1016/j. soard.2018.02.02.

El Salam M. (2018). Obesity, An Enemy of Male Fertility: A Mini Review.Oman Med J. 33(1): 3-6. doi: 10.5001/omj.2018.02-.

Fothergill E., Guo J., Howard L. (2016). Persis- tent metabolic adaptation 6 years after “The Bi- ggest Loser” competition. Obesity. 24(8):1612–9. 10.1002/oby.21538.

Fuchs T., Loureiro M., Both G., Skraba H., Cos- ta-Casagrande T. (2017).The role of the slee- ve gastrectomy and the management of type 2 diabetes. Arq Bras Cir Dig. 30(4):283-286. doi: 10.1590/0102-6720201700040013.

Garvey W., Garber A., Mechanick J., Bray G., Da- gogo-Jack S., Einhorn D., Grunberger G., Han- delsman Y., Hennekens C., Hurley D., McGill J., Palumbo P., Umpierrez G (The AACE Obesity Scientific Committee) 2014). American Associa- tion of Clinical Endocrinologists and American College of Endocrinology consensus conference on obesity: building an evidence base for compre- hensive action. Endocr Pract. 20(9): 956-976.

Goni L., Cuervo M., Milagro F., Martínez J. (2015). A genetic risk tool for obesity predisposition as- sessment and personalized nutrition implemen- tation based on macronutrient intake. Genes Nutr. 10(1):445. 10.1007/s12263-014-0445-z.

Guilbert L., Joo P., Ortiz C., Sepúlveda E., Alabi F., León A., Piña T., Zerrweck C. 2018. Safety and efficacy of bariatric surgery in Mexico: A detailed analysis of 500 surgeries performed at a high-vo- lume center. Rev Gastroenterol Mex. 18: 30128- 9. doi: 10.1016/j.rgmx.2018.05.002.

Guzmán S., Manrique M., Raddatz A., Norero E., Salinas J., Achurrab P., Funke R., Boza C., Cro- vari F., Escalona A., Pérez G., Pimentel F., Klas- sen J., Ibáñez L. (2013). Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile. revMed chile. 141: 553-561.

Herrera M., García-García E., Arellano-Ramos J., Madero M., Aldrete-Velasco J., Corvalá J. (2018). Metabolic Surgery for the Treatment of Diabetes Mellitus Positioning of Leading Medical Associ- ations in Mexico. Obes Surg. 2018 Jun 18.doi: 10.1007/s11695-018-3357-y

ISAK. (2001). International Standards For Anthro- pometric Assessment. International Society for the Advancement of Kinanthropometry. National Library of Australia. pp 1-123.

Jastrzębska-Mierzyńska M., Ostrowska L., Hady H., Dadan J., Konarzewska-Duchnowska E. (2015). The impact of bariatric surgery on nutritional sta- tus of patients. WideochirInne TechMaloinwazyj- ne. 10(1):115-24.doi: 10.5114/wiitm.2014.47764.

Kafalı M., Şahin M., Ece İ., Acar F., Yılmaz H., Alp- tekin H., Ateş L.(2017) The effects of bariatric sur- gical procedures on the improvement of metabolic syndrome in morbidly obese patients: Comparison of laparoscopic sleeve gastrectomy versus lapa- roscopic Roux-en-Y gastric bypass.Turk J Surg. 33(3):142-146. doi: 10.5152/turkjsurg.2017.3865.

Kanter R., Caballero B. (2012). Global gender dis- parities in obesity: a review. Adv Nutr. 3(4):491– 8.10.3945/an.112.002063.

Look AHEAD Research Group (2014). Eight-year weight losses with an intensive lifestyle interven- tion: the look AHEAD study. Obesity. 22(1):5–13. 10.1002/oby.20662.

Lecube A., Monereo S., Rubio M., Martínez-de-Ica- ya P., Martí A., Salvador J. (2017). Prevención, diagnóstico y tratamiento de la obesidad. Posi- cionamiento de la Sociedad Española para el Estudio de la Obesidad de 2016. Endocrinol Dia- betes Nutr. 64 (1):15-22 - DOI: 10.1016/j.endo- nu.2016.07.002.

Lovejoy J., Sainsbury A. (2009). Sex differences in obesity and the regulation of energy homeos- tasis. Obes Rev .10(2):154–67.10.1111/j.1467- 789X.2008.00529.x

Mechanick J., Hurley D., Garvey W. (2017). Adipo- sity-based chronic disease as a new diagnostic term: The American Association of Clinical Endo- crinologists and American College of Endocrino- logy Position Statement. Endocr Pract. 23(3):372- 378. doi: 10.4158/EP161688.

Moreno G. (2012). Definición y clasificación de la obesidad. Rev. Med. Clin. Condes. 23(2) 124-128.

Peeters A., et al.; NEDCOM, the Netherlands Epi- demiology and Demography (2003). Compres- sion of Morbidity Research Group Obesity in adul- thood and its consequences for life expectancy: a life-table analysis. Ann Intern Med. 138(1):24–32.

Parrott J., Frank L., Rabena R., Craggs-Dino L., Isom K., Greiman L. (2017). American Society for Metabolic and Bariatric Surgery Integrated Heal- th Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surg Obes Relat Dis. 13(5):727-741. doi: 10.1016/j. soard.2016.12.018.

Ravelli M., Schoeller D., Crisp A., Racine N., Pfri- mer K., Rasera J., Oliveira M. (2018) Accuracy of total energy expenditure predictive equations after a massive weight loss induced by bariatric surgery. ClinNutr. 26:57-65. doi: 10.1016/j.cl- nesp.2018.04.013.

Rosales R. (2012). Antropometría en el diagnósti- co de pacientes obesos. Nutrición Hospitalaria. (27):180-1806.

Rubino F., Nathan D., Eckel R. (2016) Metabolic surgery in the treatment algorithm for type 2 dia- betes: a joint statement by international diabetes organizations. Diabetes Care. 39:861–877.

Sartorius K., Sartorius B., Madiba T., Stefan C.(2018) Does high-carbohydrate intake lead to increased risk of obesity? A systematic review and me- ta-analysis. doi: 10.1136/bmjopen-2017-018449.

Schauer P., Mingrone G., Ikramuddin S., Wolfe B. (2016) Clinical outcomes of metabolic surgery: efficacy of glycaemic control, weight loss, and re- mission of diabetes. Diabetes Care. 39:902–911.

Seyssel K., Suter M., Pattou F., Caiazzo R., Verkin- dt H., Raverdy V., Jolivet M., Disse E., Robert M., Giusti V. (2018) Predictive Model of Weight Loss After Roux-en-Y Gastric Bypass up to 5 Years Af- ter Surgery: a Useful Tool to Select and Manage Candidates to Bariatric Surgery.Obes Surg. doi: 10.1007/s11695-018-3355-0.

Topart P., Becouarn G., Delarue J. (2017).Weight Loss and Nutritional Outcomes 10 Years after Biliopancreatic Diversion with Duodenal Switch. Obes Surg. 27(7):1645-1650. doi: 10.1007/ s11695-016-2537-x.

Wing R., Hamman R., Bray G. (2004). Achieving weight and activity goals among diabetes pre- vention program lifestyle participants. Obes Res. 12(9):1426–34. 10.1038/oby.2004.179.

Whitlock G. (2009) Prospective Studies Collabora- tion. Body-mass index and cause-specific mortali- ty in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 373:1083–1096.

WHO. What do we mean by “sex” and “gender”? Available from:http://www.who.int/gender/whatis- gender/en/

Publicado
2020-04-10
Cómo citar
Plua, W., García, M., Alcívar, J., & Anderson, H. (2020). CARACTERIZACIÓN DEL ESTADO NUTRICIONAL EN PACIENTES SOMETIDOS A CIRUGÍA BARIÁTRICA / Characterization of patients submitted to bariatric surgery. REDIELUZ, 9(1), 19-26. Recuperado a partir de https://produccioncientificaluz.org/index.php/redieluz/article/view/31642
Sección
Ciencias de la Salud