Abstract

BEZERRA DE MOURA ROCHA, Suellem Maria et al. Health profile of patients subjected to gastric bypass at Clinics Hospital of Acre, Brazil. Invest. clín [online]. 2025, vol.66, n.1, pp.49-62.  Epub Apr 16, 2025. ISSN 0535-5133.  https://doi.org/10.54817/ic.v66n1a05.

The study aimed to analyze the health profile of women undergoing Roux-en-Y gastric bypass according to the time elapsed since surgery. Ninety-three women who underwent this procedure at the Clinics Hospital in Acre, Brazil, from 2008-2017, were divided into three groups according to the post-surgery period: G1 (n = 37) up to two years; G2 (n = 20) from two to four years; G3 over four years (n = 36) after surgery. Pre-surgery and post-surgery clinical, anthropometric, and dietary variables were analyzed through a 24-hour recall. The postoperative time was 16.9±7.9 months (G1); 33.9±9.2 months (G2) and 75.3±19.1 months (G3). In the postoperative period, there was a decrease in the number of patients who practiced physical activity (35.5-33.3%). The mean percentage of excess weight loss was 66.1±15.4%. Satisfactory results were achieved by 88.17% (% PEP ≥50%). 67% of the patients presented weight reacquisition, proportional to the postoperative time (p˂0.001). The dietary survey indicated a daily energy consumption of 1262.75±424.11 kcal. The macronutrient distribution showed 59.25±8.33% for carbohydrates, 24.26±6, 90% for lipids and 17.12±6.68% for proteins. The mean protein intake was lower in group G1 (16.09±6.23), and lipid intake slightly increased over time. Bariatric surgery had a significant impact on the reduction of comorbidities, medication use, and the loss of excess weight. However, the nutrient adequacy and the increasing incidence of weight regain in the post-surgery period demonstrated that bariatric surgery does not end the obesity treatment, but it is only a step that requires periodic monitoring.

Keywords : obesity; bariatric surgery; weight recovery; weight loss; public health.

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