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Previous issue date: 2015-03-02 / OBJECTIVE: The aim of our study is to assess the body composition and to associate it with the remission of comorbidities in morbidly obese people who undergone the Rouxen- Y gastric bypass (RYGB) surgery. METHODS: A retrospective cohort study was conducted with patients that underwent Roux-en-Y gastric bypass (RYGB) surgery in 2010 and 2011. Anthropometric, biochemical and body composition data were collected preoperatively and postoperatively at 12 months and 24 months. RESULTS: 49 individuals with an average age of 39.3 ? 13.0 years and were overweight by 51.7 ? 21.0 kg were included in the study. Metabolic syndrome was found in 79.6% of the individuals preoperatively. The group of women presented older age (p = 0.048), lower weight (= 0.48) and higher rates of insulin (p = 0.034) when compared to the group of men. The evaluation of the best cutoff point for the percentage of fat considering the remission of comorbidities at 12 months postoperatively resulted in a value below 34% (95% CI: 53.9% to 85.9%), while at 24 months postoperatively it is a value below 30.5% (95% CI: 42.7% to 85.4%). CONCLUSION: The remission of metabolic syndrome, type 2 diabetes, dyslipidemia, and hyperuricemia was associated with the reduction in the body fat percentage. / OBJETIVO: O objetivo do nosso trabalho ? avaliar a composi??o corporal e associar ? remiss?o de cormobidezes em indiv?duos portadores de obesidade m?rbida submetidos? gastroplastia redutora em Y de Roux (GRYR). M?TODOS:Foi realizado um estudo de coorte hist?rica, com pacientes submetidos a gastroplastia redutora com deriva??o gastrojejunal em Y-de-Roux (GRYR) nos anos de 2010 e 2011. Os dados antropom?tricos, bioqu?micos e de composi??o corporal e foram coletados no per?odo pr? operat?rio, 12 meses e 24 meses p?s operat?rio. RESULTADOS: Foram inclu?dos no estudo 49 indiv?duos com idade m?dia 39,3?13,0 anos, excesso de peso 51,7?21,0 Kg. No pr? operat?rio 79,6%apresentavam s?ndrome metab?lica.O grupo de mulheres apresentou idade superior (p=0,048), menor peso (=0,48) e taxas de insulina mais altas (p=0,034) do que o grupo de homens. A avalia??o do melhor ponto de corte para o percentual de gordura considerando a remiss?o de comorbidezes em 12 meses p?s operat?rio ? um valor abaixo de 34% (IC 95%: 53,9% a 85,9%) e 24 meses p?s operat?rio ? um valor abaixo de 30,5% (IC 95%: 42,7% a 85,4%).CONCLUS?O: A remiss?o da s?ndrome metab?lica, DM2, dislipidemia e hiperuricemia foi associada a redu??o do percentual de gordura corporal.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6062 |
| Date | 02 March 2015 |
| Creators | Rossoni, Carina |
| Contributors | Mottin, Cl?udio Cor? |
| 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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