Clinical-nutritional evolution of older women submitted to Roux-en-Y gastric bypass.
The aim of the present study was to describe the clinical- nutritional evolution of older women submitted to Roux-en-Y gastric bypass surgery. A concurrent, retrospective study was conducted involving a sample of 16 older women with morbid obesity submitted to Rouxen- Y gastric bypass surgery between 1997 and 2010. Weight, body mass index (BMI), percentage of weight loss (%WL) and percentage of excess weight loss (%EWL) were evaluated three, six and 12 months after surgery. Preoperative comorbidities, postoperative clinical-nutritional manifestations and peri-operative mortality were also investigated. Mean age was 62.02 ± 2.02 years. A progressive reduction was found in mean body weight (116.04 ± 22.99 to 80.96 ± 21.43 Kg) and BMI (47.13 ± 8.19 to 33.42 ± 9.31 Kg/m²), with a consequent %WL of 28.60 ± 8.59% and %EWL of 64.79 ± 3.99% throughout the one-year follow-up period (p < 0.05). All patients has diseases associated with obesity, the most frequent of which were arterial hypertension (n = 16), arthropathy (n = 11), dyslipidemia (n = 9) and diabetes (n = 7). The following clinical-nutritional symptoms were reported: alopecia (n = 9), nausea/vomiting (n = 7), constipation (n = 5) and food intolerance (n = 4). One patient was diagnosed with malnutrition one year after surgery. No deaths occurred within 30 days after surgery. At the one-year evaluation, surgical success was evidenced by the significant reductions in mean weight and BMI and the more than 50% loss of excess weight.
Nutritionist, Nutrition Residency Program, Federal University of Pernambuco (UFPE), Brazil.. ribeiro_moraes@gmail.com.
Mayanne
M
Ribeiro de Moraes
Specialist in Clinical Nutrition; Master's student, Nutrition Department, UFPE, Brazil.. bruna-luc@hotmail.com.
Bruna
B
Lúcia de Mendonça Soares
PhD, Professor, Nutrition Department, UFPE, Brazil.. maio_reg@gmail.com.
Regiane
R
Maio
PhD, Professor, Nutrition Department, UFPE, Brazil.. burgos_g@hotlink.com.
Maria Goretti
MG
Pessoa de Araújo Burgos
D000368:Aged; D000505:Alopecia / Q000453:epidemiology; D015992:Body Mass Index; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology; D050171:Dyslipidemias / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass; D005767:Gastrointestinal Diseases / Q000453:epidemiology; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D007592:Joint Diseases / Q000453:epidemiology; D008297:Male; D044342:Malnutrition / Q000453:epidemiology / Q000209:etiology; D008875:Middle Aged; D009752:Nutritional Status; D009767:Obesity, Morbid / Q000453:epidemiology* / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011184:Postoperative Period; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D015431:Weight Loss