A Retrospective Study about the Differences in Cardiometabolic Risk Indicators and Level of Physical Activity in Bariatric Surgery Patients from Private vs. Public Units

Rebeca Rocha de Almeida, Márcia Ferreira Cândido de Souza, Dihogo Gama de Matos, Larissa Monteiro Costa Pereira, Victor Batista Oliveira, Joselina Luzia Menezes Oliveira, José Augusto Soares Barreto-Filho, Marcos Antonio Almeida-Santos, Raphael Fabrício de Souza, Aristela de Freitas Zanona, Victor Machado Reis, Felipe J. Aidar and Antônio Carlos Sobral Sousa
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Rebeca Rocha de Almeida: Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, Aracaju, Sergipe 49060-108, Brazil
Márcia Ferreira Cândido de Souza: Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, Aracaju, Sergipe 49060-108, Brazil
Dihogo Gama de Matos: Group of Studies and Research in Performance, Sport, Health and Paralympic Sports—GEPEPS, Federal University of Sergipe—UFS, São Cristovão, Sergipe 49100-000, Brazil
Larissa Monteiro Costa Pereira: Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, Aracaju, Sergipe 49060-108, Brazil
Victor Batista Oliveira: Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, Aracaju, Sergipe 49060-108, Brazil
Joselina Luzia Menezes Oliveira: Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, Aracaju, Sergipe 49060-108, Brazil
José Augusto Soares Barreto-Filho: Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, Aracaju, Sergipe 49060-108, Brazil
Marcos Antonio Almeida-Santos: Post Graduate Program in Health and Environment, Tiradentes University, Aracaju, Sergipe 49032-490, Brazil
Raphael Fabrício de Souza: Group of Studies and Research in Performance, Sport, Health and Paralympic Sports—GEPEPS, Federal University of Sergipe—UFS, São Cristovão, Sergipe 49100-000, Brazil
Aristela de Freitas Zanona: Department of Occupational Therapy, Federal University of Sergipe—UFS, Lagarto, Sergipe 49170-000, Brazil
Victor Machado Reis: Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, 5000-801 Vila Real, Portugal
Felipe J. Aidar: Group of Studies and Research in Performance, Sport, Health and Paralympic Sports—GEPEPS, Federal University of Sergipe—UFS, São Cristovão, Sergipe 49100-000, Brazil
Antônio Carlos Sobral Sousa: Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, Aracaju, Sergipe 49060-108, Brazil

IJERPH, 2019, vol. 16, issue 23, 1-14

Abstract: Background : Obesity is a pathology with a growing incidence in developing countries. Objective : To evaluate the evolution of cardiometabolic, anthropometrics, and physical activity parameters in individuals undergoing bariatric surgery (BS) in the public healthcare system (PUS) and private healthcare system (PHS). Methods : A longitudinal, observational, and retrospective study was conducted with 111 bariatric patients on two different health systems, with 60 patients from the PUS and 51 from the PHS. Cardiometabolic risk (CR) was analyzed by the assessment of obesity-related comorbidities (AORC) on admission and 3, 6, and 12 months after BS, and the International Physical Activity Questionnaire (IPAQ) was surveyed before and 12 months after BS. In addition, cardiometabolic risk was also assessed by biochemical (fasting glucose and complete lipidogram) and anthropometric (weight, weight loss, waist circumference, and waist-to-height ratio) parameters. Results : On admission, the parameters of severe obesity, systemic arterial hypertension (SAH), Diabetes mellitus (DM), and waiting time to BS were higher in the PUS. Additionally, in the PUS, AORC was reduced only in the SAH parameter. However, in the post-surgery moment, AORC reduced, and there was no difference between the two groups after BS. Regarding physical activity, the IPAQ showed a higher level of activity in the PHS before and one year after BS. Conclusion : At the PUS, BS is performed in patients with a higher degree of comorbidities, but BS improved the reduction of the CR at a similar level to those observed in the PHS.

Keywords: obesity; bariatric surgery; health; cardiometabolic risk (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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