Análise da variabilidade da frequência cardíaca e medidas antropométricas para comparar obesidade classes II e III em pacientes submetidos à cirurgia bariátrica
DOI:
https://doi.org/10.36311/jhgd.v34.16331Palavras-chave:
Manejo da obesidade, Monitoramento da frequência cardíaca, Cirurgia bariatricaResumo
Introdução: a obesidade é um importante problema de saúde pública em todo o mundo. Acredita-se que obesos candidatos à cirurgia bariátrica apresentem disfunção autonômica cardíaca e que a redução de peso obtida através do tratamento cirúrgico da obesidade possa promover melhora na atividade do sistema nervoso autônomo, minimizando os riscos cardiovasculares.
Objetivo: assim, o objetivo deste estudo é avaliar o impacto da redução de peso cirúrgica bariátrica na VFC e nas medidas antropométricas (IMC, RCEst e CC) comparando obesidade classes II e III.
Método: foram incluídos no estudo 25 indivíduos obesos que foram submetidos à avaliação pré-operatória. Medidas antropométricas e variabilidade da frequência cardíaca (VFC) foram coletadas no pré-operatório. Os participantes foram então divididos em dois grupos: obesidade classe II e obesidade classe III (classe II: IMC de 35 a 39 k/m2 e classe III: IMC de > 40 kg/m2). Trinta dias após a cirurgia foi realizada avaliação pós-operatória e os dados comparados.
Resultados: nossos resultados confirmam que ambos os grupos de obesidade classe II e III apresentaram VFC alterada no pré-operatório e que os participantes do grupo obesidade II apresentaram aumento estatisticamente significativo no índice de VFC quando comparados ao grupo obesidade III através da média RR PNN50 SNS e índice de estresse.
Conclusão: os achados confirmaram a importante contribuição que a cirurgia bariátrica dá para a melhoria da saúde metabólica e redução de importantes índices de obesidade. As diversas alterações na variabilidade da frequência cardíaca indicam vantagens sutis em relação à função autonômica, especialmente para indivíduos classificados como obesos II.
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