Metabolic Disorders/Comorbidities Profile of Adults Undergoing Roux-En-Y Gastric-Bypass in a Brazilian Public Hospital and Risk Mortality Assessment using Edmonton Obesity Staging System: A 13-Year Study. Journal of Food and Nutritional Disorders

Catarina Vila-Real, Juliana Cerqueira, Emilia A. M. Moreira*

*Autor correspondente para este trabalho

Resultado de pesquisarevisão de pares

Resumo

Introduction: Obesity is a major contributor to higher mortality and global burden of metabolic disorders (MD)/comorbidities.
Objective: This study aimed to assess the frequency of obesity related MD/comorbidities of severely obese adults undergoingRoux-en-Y gastric bypass (RYGB) in a public Brazilian hospital center for a period of 13 years (1999-2012) and the ability of the Edmonton Obesity Staging System (EOSS) in predicting mortality risk in the studied population.
Methods: Cross-sectional study carried out from April/1999 toAugust/2012 in a Brazilian public hospital.
Results: During the study 600 RYGB surgeries were performed.The mean age and mean body mass index (BMI) were 38.2 ± 10years (19-66) and 48.7 ± 6.3 kg/m 2 (36.1-84.6), respectively. Most76.3% (n=458) of the patients had more than one MD/comorbidities,including hypertension (58.3%), type 2 diabetes mellitus (23.2%) anddyslipidemia (16.2%). Bariatric patients were predominantly (92.7%,n=556) older adults (25-66 years) and female (85%, n=510). In older adult group the mean BMI differed according their gender (p=0.038).Women from both young (87%, n=20) and older adults (85.3%, n=371) groups showed the major percentage of at least one MD/comorbidity.There was a significant association between higher BMI (≥50 kg/m2),and more severe EOSS score, scores 2 and 3 and vice-versa whenconsidering the whole sample (p=0.044).
Conclusion: Our results reinforced other global trends thatgreater BMI values are associated with higher frequency of MD/comorbidities. Furthermore, according to EOSS classification, thisstudy suggests that patients with BMI ≥ 50 kg/m2 present a higherrisk of mortality .
Idioma originalEnglish
Número do artigo10.4172/2324-9323.1000186
RevistaJournal of Food and Nutritional Disorders
Volume4
Número de emissão6
DOIs
Estado da publicaçãoPublicado - 7 dez 2015

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