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Body composition profile of patients submitted to bariatric surgery: DEXA
abstract
gestational diabetic. Only two bariatric patients experienced preeclampsia.Two of the infants were macrosomic, while another two were growth restricted. Average blood loss from delivery was 565 mL, while the mothers stayed an average of 4.3 days postpartum. There were no wound complications. conclusion: Women who undergo bariatric surgery as a form of permanent weight loss tend to do better during their pregnancies compared with obese women who have not undergone bariatric surgery. But according to recent surveys, many women still fail to get proper advice on weight management during and after pregnancy. Therefore, a correct and focused counselling on how to control weight even through surgery should be provided to better control all the risk factors linked to obesity in pregnancy, improve outcomes, and reduce costs.
Body Mass Index (BMI), and Skeletal Muscle Mass (SMM) was tested using the ANOVA – One Way test. For the occurrence of difference among groups indicated, the Bonferroni post hoc was realized to verify in the groups the difference occurred. Significance 5%. results: Medians and Interquartile range: BMI G1 (41 kg/m² [8,8]), G2 (28,7 kg/m² [5,1]) and G3 (28,1kg/m² [8,5]). FM: G1 (53,1kg [12,6]), G2 (27,7 kg [13,6]) and G3 (23,9 kg [12,8]). %F: G1 (51,7% [6,3]), G2 (39,6% [14,7]) and G3 (39,5% [11,4]). SMM: G1 (47,6kg [6,5]), G2 (40,7kg [7,8]) and G3 (38,3kg [6,3]). The G1 presented differences in relation to all groups in all analyzed variables, the G2 differentiated of group G3 in FM. conclusion: The main differences in the patient’s body composition occur in the first 18 months after the BS. 175
173 Factors associated with attendance and weight loss at an outpatient weight-loss program
Pregnancy post-bariatric surgery: Implications for mother and newborn C.M. Dell’Agnolo1, M.D.B. Carvalho2, and S.M. Pelloso1 Nursing Department, Health Sciences Center State University of Maringá, Paraná, Brazil; 2Medicine Department, Health Sciences Center State University of Maringá, Paraná, Brazil
A.A. Carlson , and K. Larocque University of Manitoba, Winnipeg, Manitoba, Canada; 2Brandon Regional Health Centre, Brandon, Manitoba, Canada
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Introduction: Outpatient weight-loss programs may be prone to high participant drop out rates. Utilization of self-report measures may help facilitators identify who may attend programming and be likely to lose weight. Methods: One-hundred individuals (12% male) attending an outpatient weight-loss program completed the Three-Factor Eating Questionnaire-18 (TFEQ), rated the quality of their health, and the impact of health on functioning, at the start and end of the program. results: Results indicated that 66% of participants completed more than half of classes. Higher attendance was associated with greater weight loss (r=.223, p<.05), poorer self-reported health at start of program (r=-.242, p<.05), and lower impact of health on functioning (r=-.264, p<.05). Better reported health was related to a lower body weight (r=-.454, p<.05) at the end of program. Higher cognitive restraint was associated with lower weight (r=-.231, p<.05), and better reported health (r=.378, p<.05), but the TFEQ subscales were not related to program attendance. conclusions: Overall results suggest that individuals with poor perceived health may be motivated to attend a weight-loss program, so long as the poor health does not interfere with functioning. The relationship between cognitive restraint and perceived health deserves further study.
Introduction: Currently, 84% of patients submitted to bariatric surgery are women. Many of these women are of childbearing age and show significant improvement in the reproductive area, with increased sexual activity and improved fertility. background: This study aimed to identify the implications for mother and newborn in pregnancies occurring post-bariatric surgery. Methods: This retrospective, exploratory cohort study was carried out with women of fertile age (10 to 49 years) who underwent bariatric surgery and subsequently became pregnant, residing in Maringá, from 1999 to 2008. results: The study identified 32 women with these characteristics. The majority were Caucasian, and slightly more than half were living with a partner, had some higher education, without comorbidities associated with obesity. Most of them were without surgical complications. The mean weight loss post-surgery was 44.09 pounds, with an average interval of 40 months between surgery and pregnancy, with improvement of various comorbidities post-surgery, but on the other hand presenting neuropsychiatric disorders and post-surgery anemia; 3 post-surgical abortions and prevalence of caesarean delivery. The majority of children had birth weights and were gestational age at term. There was a prevalence of male, Caucasian children, with no history of anemia. Hospitalization was required for 36.58% of the pregnant women, and blood transfusion due to anemia was required in 17.07% of cases. Hypertension cases in pregnancy were fewer than the number before surgery. conclusions: Pregnancy after bariatric surgery has proven to be safe for both mother and newborn. Although some pregnant women were anemic, newborn birth weight was not compromised.
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174 body composition profile of patients submitted to bariatric surgery: DEXa N.N. Júnior1, C.M. Dell’Agnolo2, B.G.Pagan1, A.S. Cremon1, C.A.Bevilaqua1, L.J.Hintze1, M.D.B. Carvalho3, S.M. Pelloso2 1 Department of Physical Education, Health Sciences Center State University of Maringá, Paraná, Brazil; 2Nursing Department, Health Sciences Center State University of Maringá, Paraná, Brazil; 3 Medicine Department, Health Sciences Center State University of Maringá, Paraná, Brazil Objective: To evaluate the body composition of women that were submitted and those whO wait for Bariatric Surgery (BS). Methods: 57 subjects participated in the study. Participants were divided into three groups: G1 (n=25) not operated; G2 (n=21) operated in the interval of 3 - 18 months; and G3 (n=11) operated from 19 to 36 months. The Dual Energy X Ray Absormetry was used to evaluate the variables. After the application of Levene test, we verified that fat percentage (%F) didn’t obey homogeneity criteria, so we utilized the Kruscall Wallis test to compare among the groups, and the Man Withney test to verify in which groups differences occurred. Fat Mass (FM),
176 bariatric sugery in morbidly obese adolescents C.M. Dell’Agnolo1, B.G.M. Pagan2, A.S. Cremon2, C.A. Bevilaqua2, L.J. Hintze2, D. Nasser3, B.N. Alexandrino3, E.A.S. Barbosa3, M.D.B. Carvalho4, N. Nardo Júnior2, and S.M. Pelloso 1 Nursing Department, Health Sciences Center State University of Maringá, Paraná, Brazil; 2Department of Physical Education, Health Sciences Center State University of Maringá, Paraná, Brazil; 3General Surgery, Maringá University Hospital, Maringá, Paraná, Brazil; 4Medicine Department, Maringá State University, Maringá, Paraná, Brazil Introduction: The prevalence of obese adolescents has tripled in the last three decades. Bariatric surgery is the current method that is more effective in achieving durable weight loss in morbidly obese patients. background: This study aimed to examine 48 adolescent patients with
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gestational diabetic. Only two bariatric patients experienced preeclampsia.Two of the infants were macrosomic, while another two were growth restricted. Average blood loss from delivery was 565 mL, while the mothers stayed an average of 4.3 days postpartum. There were no wound complications. conclusion: Women who undergo bariatric surgery as a form of permanent weight loss tend to do better during their pregnancies compared with obese women who have not undergone bariatric surgery. But according to recent surveys, many women still fail to get proper advice on weight management during and after pregnancy. Therefore, a correct and focused counselling on how to control weight even through surgery should be provided to better control all the risk factors linked to obesity in pregnancy, improve outcomes, and reduce costs.
Body Mass Index (BMI), and Skeletal Muscle Mass (SMM) was tested using the ANOVA – One Way test. For the occurrence of difference among groups indicated, the Bonferroni post hoc was realized to verify in the groups the difference occurred. Significance 5%. results: Medians and Interquartile range: BMI G1 (41 kg/m² [8,8]), G2 (28,7 kg/m² [5,1]) and G3 (28,1kg/m² [8,5]). FM: G1 (53,1kg [12,6]), G2 (27,7 kg [13,6]) and G3 (23,9 kg [12,8]). %F: G1 (51,7% [6,3]), G2 (39,6% [14,7]) and G3 (39,5% [11,4]). SMM: G1 (47,6kg [6,5]), G2 (40,7kg [7,8]) and G3 (38,3kg [6,3]). The G1 presented differences in relation to all groups in all analyzed variables, the G2 differentiated of group G3 in FM. conclusion: The main differences in the patient’s body composition occur in the first 18 months after the BS. 175
173 Factors associated with attendance and weight loss at an outpatient weight-loss program
Pregnancy post-bariatric surgery: Implications for mother and newborn C.M. Dell’Agnolo1, M.D.B. Carvalho2, and S.M. Pelloso1 Nursing Department, Health Sciences Center State University of Maringá, Paraná, Brazil; 2Medicine Department, Health Sciences Center State University of Maringá, Paraná, Brazil
A.A. Carlson , and K. Larocque University of Manitoba, Winnipeg, Manitoba, Canada; 2Brandon Regional Health Centre, Brandon, Manitoba, Canada
1
Introduction: Outpatient weight-loss programs may be prone to high participant drop out rates. Utilization of self-report measures may help facilitators identify who may attend programming and be likely to lose weight. Methods: One-hundred individuals (12% male) attending an outpatient weight-loss program completed the Three-Factor Eating Questionnaire-18 (TFEQ), rated the quality of their health, and the impact of health on functioning, at the start and end of the program. results: Results indicated that 66% of participants completed more than half of classes. Higher attendance was associated with greater weight loss (r=.223, p<.05), poorer self-reported health at start of program (r=-.242, p<.05), and lower impact of health on functioning (r=-.264, p<.05). Better reported health was related to a lower body weight (r=-.454, p<.05) at the end of program. Higher cognitive restraint was associated with lower weight (r=-.231, p<.05), and better reported health (r=.378, p<.05), but the TFEQ subscales were not related to program attendance. conclusions: Overall results suggest that individuals with poor perceived health may be motivated to attend a weight-loss program, so long as the poor health does not interfere with functioning. The relationship between cognitive restraint and perceived health deserves further study.
Introduction: Currently, 84% of patients submitted to bariatric surgery are women. Many of these women are of childbearing age and show significant improvement in the reproductive area, with increased sexual activity and improved fertility. background: This study aimed to identify the implications for mother and newborn in pregnancies occurring post-bariatric surgery. Methods: This retrospective, exploratory cohort study was carried out with women of fertile age (10 to 49 years) who underwent bariatric surgery and subsequently became pregnant, residing in Maringá, from 1999 to 2008. results: The study identified 32 women with these characteristics. The majority were Caucasian, and slightly more than half were living with a partner, had some higher education, without comorbidities associated with obesity. Most of them were without surgical complications. The mean weight loss post-surgery was 44.09 pounds, with an average interval of 40 months between surgery and pregnancy, with improvement of various comorbidities post-surgery, but on the other hand presenting neuropsychiatric disorders and post-surgery anemia; 3 post-surgical abortions and prevalence of caesarean delivery. The majority of children had birth weights and were gestational age at term. There was a prevalence of male, Caucasian children, with no history of anemia. Hospitalization was required for 36.58% of the pregnant women, and blood transfusion due to anemia was required in 17.07% of cases. Hypertension cases in pregnancy were fewer than the number before surgery. conclusions: Pregnancy after bariatric surgery has proven to be safe for both mother and newborn. Although some pregnant women were anemic, newborn birth weight was not compromised.
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2
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174 body composition profile of patients submitted to bariatric surgery: DEXa N.N. Júnior1, C.M. Dell’Agnolo2, B.G.Pagan1, A.S. Cremon1, C.A.Bevilaqua1, L.J.Hintze1, M.D.B. Carvalho3, S.M. Pelloso2 1 Department of Physical Education, Health Sciences Center State University of Maringá, Paraná, Brazil; 2Nursing Department, Health Sciences Center State University of Maringá, Paraná, Brazil; 3 Medicine Department, Health Sciences Center State University of Maringá, Paraná, Brazil Objective: To evaluate the body composition of women that were submitted and those whO wait for Bariatric Surgery (BS). Methods: 57 subjects participated in the study. Participants were divided into three groups: G1 (n=25) not operated; G2 (n=21) operated in the interval of 3 - 18 months; and G3 (n=11) operated from 19 to 36 months. The Dual Energy X Ray Absormetry was used to evaluate the variables. After the application of Levene test, we verified that fat percentage (%F) didn’t obey homogeneity criteria, so we utilized the Kruscall Wallis test to compare among the groups, and the Man Withney test to verify in which groups differences occurred. Fat Mass (FM),
176 bariatric sugery in morbidly obese adolescents C.M. Dell’Agnolo1, B.G.M. Pagan2, A.S. Cremon2, C.A. Bevilaqua2, L.J. Hintze2, D. Nasser3, B.N. Alexandrino3, E.A.S. Barbosa3, M.D.B. Carvalho4, N. Nardo Júnior2, and S.M. Pelloso 1 Nursing Department, Health Sciences Center State University of Maringá, Paraná, Brazil; 2Department of Physical Education, Health Sciences Center State University of Maringá, Paraná, Brazil; 3General Surgery, Maringá University Hospital, Maringá, Paraná, Brazil; 4Medicine Department, Maringá State University, Maringá, Paraná, Brazil Introduction: The prevalence of obese adolescents has tripled in the last three decades. Bariatric surgery is the current method that is more effective in achieving durable weight loss in morbidly obese patients. background: This study aimed to examine 48 adolescent patients with
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