Quais são os fatores associados ao reganho de peso em pacientes submetidos a cirurgia bariátrica
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Data
2023-06-22
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Freitas, Bruna Daniela Saraiva
Orientador
Scariot, Estela Lopes
Coorientador
Resumo
Introdução: A obesidade é uma doença crônica causada pelo acúmulo excessivo de gordura corporal. A prevalência de obesidade tem aumentado de maneira epidêmica em todas as faixas etárias nas últimas décadas e, atualmente, representa um problema de saúde pública a nível mundial. Dentre os tratamentos, a cirurgia bariátrica ainda é a mais eficaz para perda de peso, entretanto, a longo prazo o reganho de peso nos pacientes tem sido expressivo. Objetivo: Identificar na literatura quais são os fatores associados ao reganho de peso em pacientes submetidos a cirurgia bariátrica. Métodos: Foram selecionados 40 artigos nas bases Scielo, Pubmed, Lilacs e outras bases, desses somente 13 foram utilizados. Resultados: Os resultados identificados foram de maior prevalência do sexo feminino, os estudos consideraram reganho de peso quando o paciente atinge um aumento progressivo do peso maior que 15%, além disso
56% dos indivíduos retornam ao peso inicial entre 5 e 10 anos após o procedimento. Conclusão: Em resumo, os fatores associados ao reganho de peso indicados nessa revisão foram fatores comportamentais, comer emocional, abandono da equipe multidisciplinar, velhos hábitos, sedentarismo, genética e alterações metabólicas e hormonais. Sendo necessário a análise e inclusão destes fatores de recuperação de peso na abordagem terapêutica, na medida em que esses fatores são modificáveis.
Introduction: Obesity is a chronic disease caused by excessive accumulation of body fat. The prevalence of obesity has increased epidemically in all age groups in recent decades and currently represents a public health problem worldwide. Among treatments, bariatric surgery is still the most effective for weight loss, however, in the long term, weight regain in patients has been significant. Objective: To identify in the literature which factors are associated with weight regain in patients undergoing bariatric surgery. Methods: 40 articles were selected from Scielo, Pubmed, Lilacs and other databases, of which only 13 were used. Results: The identified results were of a higher prevalence of the female gender, the studies considered weight regain when the patient reaches a progressive increase in weight greater than 15%, in addition, 56% of the individuals return to the initial weight between 5 and 10 years after the procedure. Conclusion: In summary, the factors associated with weight regain indicated in this review were behavioral factors, emotional eating, abandonment by the multidisciplinary team, old habits, sedentary lifestyle, genetics and metabolic and hormonal changes. It is necessary to analyze and include these weight recovery factors in the therapeutic approach, as these factors are modifiable.
Introduction: Obesity is a chronic disease caused by excessive accumulation of body fat. The prevalence of obesity has increased epidemically in all age groups in recent decades and currently represents a public health problem worldwide. Among treatments, bariatric surgery is still the most effective for weight loss, however, in the long term, weight regain in patients has been significant. Objective: To identify in the literature which factors are associated with weight regain in patients undergoing bariatric surgery. Methods: 40 articles were selected from Scielo, Pubmed, Lilacs and other databases, of which only 13 were used. Results: The identified results were of a higher prevalence of the female gender, the studies considered weight regain when the patient reaches a progressive increase in weight greater than 15%, in addition, 56% of the individuals return to the initial weight between 5 and 10 years after the procedure. Conclusion: In summary, the factors associated with weight regain indicated in this review were behavioral factors, emotional eating, abandonment by the multidisciplinary team, old habits, sedentary lifestyle, genetics and metabolic and hormonal changes. It is necessary to analyze and include these weight recovery factors in the therapeutic approach, as these factors are modifiable.
Palavras-chave
Reganho de peso, Cirurgia bariátrica, Fatores associados, Obesidade