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- Title
Evaluation of factors that may influence in the insufficient weight loss in patients after two years of Roux-en-Y gastric bypass.
- Authors
Bezerra Furtado, Mariana Câmara Martins; Vermeulen, Karina Marques; Ribeiro Bellot, Paula Emília Nunes; de Almeida Godoy, Cynthia Meira; Coelho, Daniel; de Godoy, Eudes Paiva; de Oliveira, Antonio Manuel Gouveia; Campos, Josemberg Marins; Furtado, Mariana Camara Martins Bezerra; Bellot, Paula Emília Nunes Ribeiro; Godoy, Cynthia Meira de Almeida; Godoy, Eudes Paiva de; Oliveira, Antonio Manuel Gouveia de
- Abstract
<bold>Introduction: </bold>bariatric surgery is a favorable option for the treatment of obesity, resulting in long-term weight loss.<bold>Objectives: </bold>to analyze whether feeding behavior, evaluated by caloric intake, dietary preferences and tolerance, can be considered as a determinant factor for weight loss in obese patients submitted to Roux-en-Y gastric bypass (RYGB).<bold>Methods: </bold>cross-sectional study of 105 patients with at least two years post-RYGB surgery with a preoperative body mass index (BMI) of ≥ 35 kg/m². Caloric intake was evaluated by 24-hour dietary recall and 3-day dietary intake record; dietary habits, by a qualitative dietary frequency questionnaire; and food tolerance, with a validated questionnaire. Multiple logistic regression was used for statistical analysis.<bold>Results: </bold>the majority of the 105 participants were female (84%). The mean age was 43.3 ± 11.4 years in the success group (n = 64) and 43.4 ± 10.7 years in the failure group (n = 41). Preoperative BMI was not associated with the outcome. Mean caloric intake did not show significant differences between groups: 24 hours recall, p = 0.27; 3-day record, p = 0.95. The frequency of weekly consumption of desserts was twice as high in the success group. Only two patients in the success group presented daily vomiting. CONCLUSION: the factors that determine the failure of weight loss have not yet been fully elucidated. Caloric intake was not a determining factor of failure, and insufficient weight loss was more prevalent in patients who ceased to lose weight earlier.
- Subjects
GASTRIC bypass; WEIGHT loss; OBESITY treatment; POSTOPERATIVE period; BODY mass index; CALORIE; INGESTION; SMALL intestine; MORBID obesity; TREATMENT effectiveness; CROSS-sectional method; RETROSPECTIVE studies; SURGICAL anastomosis
- Publication
Nutrición Hospitalaria, 2018, Vol 35, Issue 5, p1100
- ISSN
0212-1611
- Publication type
journal article
- DOI
10.20960/nh.1814