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Previous issue date: 2016-09-01 / Introduction: The indication for bariatric surgery based on body mass index is being questioned due to the fact that it does not take body composition into consideration. Objective: Determine the patient's body composition prior to indicating bariatric surgery. Methods: Being included in the study, were patients treated at the Center for Obesity and Metabolic Syndrome at Hospital S?o Lucas da PUCRS for obesity. Body composition was measured by using an Bioelectrical impedance analysis device, model InBody 770. For the analysis of data, body fat percentage, lean mass percentage, waist, waist/hip ratio, visceral fat area, BMI and surgical indication were considered. Results: A total of 407 subjects were evaluated, 87 (21.4%) men, with the mean age being 36 years. In men, with and without indication for bariatric surgery, BMI, body fat percentage and visceral fat area were 44.3 kg/m? and 34.2 kg/m? (P <0.001), 45.1% and 37.6% (P = 0.001), 243.6 cm? and 187.5 cm? (P <0.001), respectively. In women, with and without indication for bariatric surgery, BMI, body fat percentage and visceral fat area were 42.2 kg/m? and 34.6 kg/m? (P <0.001), 50.7 % and 46.7 % (P < 0.001), 241.7 cm? and 204.2 cm? (P <0.001), respectively. Conclusion: This study showed a significant difference in body composition between men and women, among the obese with and without indication for bariatric surgery. / Introdu??o: A indica??o da cirurgia bari?trica baseada no ?ndice de massa corporal est? sendo questionada visto que este n?o discrimina a composi??o corporal. Objetivo: Determinar a composi??o corporal do paciente com indica??o de cirurgia bari?trica. M?todos: Foram inclu?dos pacientes atendidos no Centro de Obesidade e S?ndrome Metab?lica do Hospital S?o Lucas da PUCRS para tratamento de obesidade. A composi??o corporal foi aferida por meio do aparelho de bioimped?ncia el?trica modelo InBody 770. Para a an?lise dos dados foram considerados percentual de gordura corporal, percentual de massa magra, cintura, rela??o cintura/quadril, ?rea de gordura visceral, IMC e a indica??o cir?rgica. Resultados: Foram avaliados 407 indiv?duos, 87 (21,4%) homens, com a m?dia de 36 anos. Em homens, com e sem indica??o de cirurgia bari?trica, o IMC, a porcentagem de gordura corporal e ?rea de gordura visceral foram 44,3 Kg/m? e 34,2 Kg/m? (P<0,001), 45,1 % e 37,6 % (P=0,001), 243,6 cm? e 187,5 cm? (P<0,001), respectivamente. Em mulheres, com e sem indica??o de cirurgia bari?trica, o IMC, a porcentagem de gordura corporal e ?rea de gordura visceral foram 42,2 Kg/m? e 34,6 Kg/m? (P<0,001), 50,7 % e 46.7 % (P<0,001), 241,7 cm? e 204,2 cm? (P<0,001), respectivamente. Conclus?o: Este estudo mostrou uma diferen?a significativa na composi??o corporal entre homens e mulheres, entre os obesos com e sem indica??o de cirurgia bari?trica.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/7080 |
| Date | 01 September 2016 |
| Creators | Alves, Let?cia Biscaino |
| Contributors | Padoin, Alexandre Vontobel, Mattiello, Rita |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, Brasil, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 600, 600, 600, -8624664729441623247, -969369452308786627 |
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