Comorbidades associadas à obesidade em pacientes candidatos à cirurgia bariátrica
2019
Klauck, Caroline Maliska | Zenatti, Gabriel Angelo Garute | Pappen, Débora Regina Hendges Poletto | Berto, Nanci Rouse Teruel
Introduction: The so-called contemporary western lifestyle, marked by increased food consumption and decreased physical exercise, has led to the rise of a new epidemic: obesity. It is associated with several comorbidities, such as cardiovascular disease, cancer, insulin resistance, among others. Objective: To analyze the prevalence of comorbidities present in obese patients who are candidates for bariatric surgery. Materials and Methods: This is a cross-sectional, retrospective and descriptive study, based on the database provided by the Nutrition Clinic, located on the campus of the Centro Universitário Assis Gurgacz (FAG), served by the Unified Health System (SUS). Results: Among all 230 patients who were candidates for bariatric surgery, most were female (83%), with a mean BMI of patients of 47.6 ± 7.7 kg/m² and mean age of 46.1 ± 10.4 years old. Systemic Arterial Hypertension (SAH) was the most prevalent comorbidity (64.1%), in addition to others, such as Type II Diabetes Mellitus (17.2%) and dyslipidemia (10.2%). Grade II Obesity was the BMI range whose relative number of hypertensive patients was higher (74.1%), although Grade III Obesity had the highest absolute number of hypertensive patients (131). Discussion: In a literature review, they also reported SAH as the most common comorbidity in their study. Conclusion: It was observed that the most prevalent pathology, as in other previous studies, was Systemic Arterial Hypertension. Furthermore, a close relationship between obesity and the appearance of other pathologies was noted.
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