Bypass gástrico em Y de Roux reduz parâmetros corporais, mas não altera a qualidade da dieta durante seis meses de acompanhamento

Autores

  • Gabriela Bernabé Braga a Postgraduate Program in Nutrition and Health (PPGNS), Health Sciences Center, Federal University of Espírito Santo, Vitória-ES, Brazil;
  • Amanda Motta de Bortoli a Postgraduate Program in Nutrition and Health (PPGNS), Health Sciences Center, Federal University of Espírito Santo, Vitória-ES, Brazil;
  • Beatriz Bobbio de Brito b Department of Integrated Health Education, Health Sciences Center, Federal University of Espírito Santo, Vitória-ES, Brazil.
  • Luciane Bresciani Salaroli a Postgraduate Program in Nutrition and Health (PPGNS), Health Sciences Center, Federal University of Espírito Santo, Vitória-ES, Brazil; b Department of Integrated Health Education, Health Sciences Center, Federal University of Espírito Santo, Vitória-ES, Brazil.
  • Andressa Bolsoni Lopes a Postgraduate Program in Nutrition and Health (PPGNS), Health Sciences Center, Federal University of Espírito Santo, Vitória-ES, Brazil;
  • Fabiano Kenji Haraguchi a Postgraduate Program in Nutrition and Health (PPGNS), Health Sciences Center, Federal University of Espírito Santo, Vitória-ES, Brazil; b Department of Integrated Health Education, Health Sciences Center, Federal University of Espírito Santo, Vitória-ES, Brazil. https://orcid.org/0000-0002-1019-8888

DOI:

https://doi.org/10.36311/jhgd.v33.14730

Palavras-chave:

Obesidade, cirurgia bariátrica, bypass gástrico, composição corporal, índice de alimentação saudável

Resumo

Introdução: a qualidade da dieta contribui para o sucesso do tratamento da perda de peso após a cirurgia bariátrica.

Objetivo: avaliar a perda de peso, parâmetros corporais e a qualidade da dieta durante seis meses acompanhamento de participantes submetidos ao Bypass Gástrico (BG).

Método: estudo observacional e prospectivo, realizado com pacientes adultos, de ambos os sexos, submetidos ao BG. Peso, IMC, percentual de perda de peso (%PP), circunferência da cintura, massa gorda, massa magra e a qualidade da dieta foram avaliados antes (T0) e aproximadamente no segundo (T1) e sexto (T2) meses após a cirurgia. A qualidade da dieta foi avaliada pelo Indice da Qualidade da dieta. Os dados foram analisados pela ANOVA de medidas repetidas ou teste de Friedman, com nível de significância de 5%.

Resultado: a amostra final foi composta por 18 pacientes (89% mulheres). O %PP foi de 16,2% em T1 e 26,7% em T2. Peso, IMC, circunferência da cintura, massa gorda, massa magra (p<0,001), ingestão calórica diária (p=0,017) e de gordura (p=0,009) reduziram ao longo dos períodos. A dieta foi classificada como de baixa qualidade, principalmente pelo baixo consumo de alimentos dos grupos de cereais, raízes, tubérculos, frutas, vegetais, legumes, carnes, ovos, leite e derivados, não diferindo ao longo dos momentos avaliados (P>0,05).

Conclusão: no presente estudo, apesar da adequada perda de peso e redução dos parâmetros corporais, participantes mostraram uma baixa qualidade da dieta durante o acompanhamento, indicando a manutenção de hábitos alimentares inadequados.

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Publicado

2023-08-14

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ORIGINAL ARTICLES