Analysis of heart rate variability and anthropometric measurements to compare obesity classes II and III in patients undergoing bariatric surgery

Authors

  • Juliana Ribeiro Gouveia Reis a Escola de Artes, Ciências e Humanidades da Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil; b Centro Universitário de Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil;
  • Danielle de Freitas Gonçalves bCentro Universitário de Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil;
  • Maria Georgina Marques Tonello a Escola de Artes, Ciências e Humanidades da Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil;
  • Fernando Henrique Magalhães a Escola de Artes, Ciências e Humanidades da Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil;
  • Marcelo Massa a Escola de Artes, Ciências e Humanidades da Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil;
  • Alan Patricio da Silva cPrograma de Pós graduação em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória - EMESCAM, Vitória, Espírito Santo, Brasil.
  • Dório Binda cPrograma de Pós graduação em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória - EMESCAM, Vitória, Espírito Santo, Brasil
  • Ibis Ariana Peña de Moraes a Escola de Artes, Ciências e Humanidades da Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil;
  • Renata Pimentel dCentro Universitário FMABC, Santo André, Brasil.
  • Juliana Perez Martinez a Escola de Artes, Ciências e Humanidades da Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil;
  • Carlos Bandeira de Mello Monteiro a Escola de Artes, Ciências e Humanidades da Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil;

DOI:

https://doi.org/10.36311/jhgd.v34.16331

Keywords:

Obesity management, Heart rate monitoring, bariatric surgery

Abstract

Introduction: obesity is an important public health problem worldwide. It is believed that obese candidates for bariatric surgery present cardiac autonomic dysfunction and that weight reduction achieved through surgical treatment of obesity may promote improvement in autonomic nervous system activity, minimizing cardiovascular risks. 

Objective: thus, the objective of this study is to assess the impact of surgical bariatric weight reduction on HRV and on anthropometric measurements (BMI, WHtR, and WC) comparing obesity classes II and III. 

Method: the study included 25 obese individuals who underwent a preoperative assessment. Anthropometric measurements and heart rate varability (HRV) were collected preoperatively. The participants were then divided into two groups: obesity class II and obesity class III (class II: BMI from 35 to 39 k/m2, and class III: BMI from > 40 kg/m2). Thirty days after surgery, a postoperative assessment was performed and the data were compared. 

Results: our results confirm that both class II and III obesity groups presented altered HRV preoperatively and that the participants in the obesity II group showed a statistically significant increase in the HRV index when compared to the obesity III group, through the mean RR, PNN50, SNS, and stress index. 

Conclusion: the findings confirmed the important contribution that bariatric surgery makes to improving metabolic health and lowering important obesity indices. The varying alterations in heart rate variability indicate subtle advantages concerning autonomic function, especially for individuals classified as obese II

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2024-07-31

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Vol. 34 No. 2 (2024)

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ORIGINAL ARTICLES

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