Autonomic, metabolic and anthropometric profile of obese patients elective to bariatric surgery

Authors

DOI:

https://doi.org/10.33448/rsd-v9i12.11089

Keywords:

Bariatric surgery; Obesity; Autonomic nervous system; Endocrine system; Biochemistry.

Abstract

Introduction: Obesity is recognized as one of the biggest public health problems in the world and is associated with chronic diseases such as diabetes mellitus, dyslipidemia, and some types of cancer, in addition to sympathetic hyperactivity, which can be an independent risk factor for mortality. Objective: To describe the autonomic, metabolic, and anthropometric profiles of obese patients elective to bariatric surgery. Methods: Cross-sectional study where the autonomic (SDNN, RMSSD, LF, HF, and LF / HF), metabolic (total cholesterol, HDL cholesterol, triglycerides, glucose, insulin, and HOMA - IR), and anthropometric (body mass index) profiles were analyzed, waist circumference, hip circumference, and relative fat) of patients in the preoperative period of bariatric surgery, aged ≥ 21 years, from the Center for Treatment and Obesity Surgery (NTCO) in the city of Salvador-Bahia. Results: The mean age and BMI were 38.1 years and 40.8 kg / m², respectively. The mean abdominal circumference and relative fat were 119 cm and 48.9%, respectively. Regarding the lipid profile, high values of total cholesterol (191 mg / dL) and triglycerides (159.1 mg / dL) were found. In the glycidic profile, the median fasting glucose dosage was 95 mg / dL; insulin: 21.1 mIU / L; HOMA: 5.2. Regarding the autonomic profile, changes were found in the values, in the time domains, with a predominance of SDNN values over RMSSD, and in frequency, a predominance of LH values over HF. Conclusion: Obesity was related to the alteration of the metabolic and autonomic profile of this sample.

References

Bernal R. T. I., Malta D. C., Claro R. M. I. B. (2017). Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (Vigitel): mudança na metodologia de ponderação. Epidemiol e Serviços Saúde, 26(4), 701–712. https://doi.org/doi: 10.5123/s1679-49742017000400003.

Cambri, L. T., Fronchetti, L., Oliveira, F. R., & Gevaerd, M. S. (2008). Variabilidade da frequência cardíaca e controle metabólico.n. Arq Sanny Pesq Saúde, 1(1), 72–82.

Conselho Federal de Medicina, B. (n.d.). Brasil, Conselho Federal de Medicina, Resolução, no 2.131/2015, de 29 jan de 2016; Seção I. p. 287. In Resolução no 2.131/2015 (p. 287).

da Silva, A. A., do Carmo, J., Dubinion, J., & Hall, J. E. (2009). The role of sympathetic nervous system in obesity related hypertension. Curr Hypertens Rep, 11(3), 206–211. https://doi.org/10.1007/s11906-009-0036-3.

Diniz, M de F. H. S, Passos,, V. M. de A., Barreto, S. M, et al. (2008). Perfil de pacientes obesos classe III do Sistema Público de Saúde submetidos à gastroplastia em “Y de Roux”, no Hospital das Clínicas da UFMG : altas prevalências de superobesidade , co-morbidades e mortalidade hospitalar. Rev Médica Minas Gerais, 18(3), 183–190.

Farah, B. Q., Prado, W. L. do, Tenório, T. R. dos S, R.-D. R. (2013). Relação entre variabilidade da frequência cardíaca e indicadores de obesidade central e geral em adolescentes obesos normotensos. Einstein (São Paulo), 11(3), 285–290. https://doi.org/doi: 10.1590/s1679-45082013000300005.

Filho, F. F. R., Mariosa, L. S. F. S. (2006). Gordura Visceral e Síndrome Metabólica: Mais Que Uma Simples Associação. Arq Bras Endocrinol Metab, 50(2), 230–238. https://doi.org/https://doi.org/10.1590/S0004-27302006000200009.

Gatineau, M., Hancock, C., Holman, N., Outhwaite, H., Oldridge, L., Christie, A. E. L. (2014). Adult Obesity and Type 2 Diabetes. Public Heal Engl, 1–39.

Gloy, V. L, Briel, M., Bhatt, D. L. et al. (2013). Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. Bmj, 347(1), f5934–f5934. https://doi.org/doi:10.1136/bmj.f5934.

Hall, J. E., Crook, E. D., Jones, D. W., Wofford, M. R. D. P. (2002). Mechanisms of obesity-associated cardiovascular and renal disease. Am J Med Sci, 324(3), 127–137. https://doi.org/doi: 10.1097/00000441-200209000-00003.

Kelles, S. M. B., Diniz, M. de F. H. S., Machado, C. J. B. S. (2015). Perfil de pacientes submetidos à cirurgia bariátrica, assistidos pelo Sistema Único de Saúde do Brasil: revisão sistemática. Cad Saude Publica, 31(8), 1587–1601. https://doi.org/https://doi.org/10.1590/0102-311X00022714.

Malta, D. C., Andrade, S. C., Claro, R. M., Bernal, R. T. I., & Monteiro, C. A. (2014). Trends in prevalence of overweight and obesity in adults in 26 Brazilian state capitals and the Federal District from 2006 to 2012. Revista Brasileira de Epidemiologia = Brazilian Journal of Epidemiology, 17 Suppl 1, 267–276. https://doi.org/10.1590/1809-4503201400050021.

Melo, V. L. C, Serra, P. J. C. C. de. (2010). Obesidade infantil – impactos psicossociais. Rev Med Minas Gerais, 20(3), 367–370.

Moura, E. C., Morais Neto, O. L., Malta, D. C., et al. (2008). Vigilância de Fatores de Risco para Doenças Crônicas por Inquérito Telefônico nas capitais dos 26 estados brasileiros e no Distrito Federal (2006). Rev Bras Epidemiol, 11(1), 20–37. https://doi.org/doi: 10.1590/S1415-790X2008000500003.

MVDC, M. (2005). Porque o “by-pass” gástrico em y de roux é atualmente a melhor cirurgia para tratamento da obesidade. Rev Bras Videocir, 3(2), 102–104.

Nault, I., Nadreau, E., Paquet, C., et al. (2007). Impact of bariatric surgery-induced weight loss on heart rate variability. Metabolism Clinical and Experimental, 56(10), 1425–1430. https://doi.org/doi: 10.1016/j.metabol.2007.06.006.

Nishida, C., Barba, C., Cavalli-Sforza, T., et al. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363(9403), 157–163. https://doi.org/doi:10.1016/S0140-6736(03)15268-3.

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Recuperado de: https://repositorio.ufsm.br/bitstre am/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.

Poliakova, N., Després, J., Bergeron, J., Alméras, N., Tremblay, A. P. P. (2012). Influence of obesity indices, metabolic parameters and age on cardiac autonomic function in abdominally obese men. Metabolism, 61(9), 1270–1279. https://doi.org/doi: 10.1016/j.metabol.2012.02.006.

Rossi, R. C., Vanderlei, L. C. M., Gonçalves, A. C. C. R., et al. (2015). Impact of obesity on autonomic modulation, heart rate and blood pressure in obese young people. Auton Neurosci Basic Clin, 193, 138–141. https://doi.org/doi: 10.1016/j.autneu.2015.07.424.

Santos, M. G. dos, Pegoraro, M., Sandrini, F., & Macuco, E. C. (2008). Desenvolvimento da aterosclerose na infância-Artigo de Revisão. Arquivos Brasileiros de Cardiologia, 90(4), 301–308. https://doi.org/10.1590/S0066-782X2008000400012.

Sarmento, R., Casagrande, D. S. B. (2014). Cirurgia bariátrica no tratamento da obesidade: impacto sobre o metabolismo ósseo. Rev Hosp Univ Pedro Ernesto, 13(1), 87–93. https://doi.org/doi: 10.12957/rhupe.2014.9811.

Silva, C. D. A. da., Figueira, M. de A., Maciel, M. C., Gonçalves, R. L. F. S. (2017). Perfil clínico de pacientes candidatos à cirurgia bariátrica. Revista Brasileira de Obesidade, Nutrição e Emagrecimento, 11(64), 211–216.

Snitker, S., Macdonald, I., Ravussin, E. A. A. (2000). The sympathetic nervous system and obesity: role in etiology and treatment. Obes Rev, 1(1), 5–15. https://doi.org/10.1046/j.1467-789x.2000.00001.x.

Vanderlei, L. C. M., Pastre, C. M., Hoshi, R. A., Carvalho, T. D. de, G. M. de. (2009). Noções básicas de variabilidade da frequência cardíaca e sua aplicabilidade clínica. Rev Bras Cir Cardiovasc, 24(2), 205–217. https://doi.org/doi: 10.1590/S0102-76382009000200018.

Vieira, P., Francischi, R. P. P. de., Santos, R. C,. et al. (2000). Vieira P, Francischi RPP de, Santos RC, et al. Obesidade: atualização sobre sua etiologia, morbidade e tratamento. Rev Nutr, 13(1), 17–28. https://doi.org/doi: 10.1590/s1415-52732000000100003.

WH, O. (2018). Obesity and overweight [Internet].

Wilson, P. W. F,, D’Agostino, R. B., Sullivan, L., Parise, H. K. W. (2002). Overweight and Obesity as Determinants of Cardiovascular Risk. Arch Intern Med, 162(16), 1867–1872. https://doi.org/doi: 10.1001/archinte.162.16.1867.

Wu, J. S., Lu, F. H., Yang, Y. C., et al. (2008). Epidemiological evidence of altered cardiac autonomic function in overweight but not underweight subjects. Int J Obes, 32(5), 788–794. https://doi.org/doi: 10.1038/sj.ijo.0803791.

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18/12/2020

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OLIVEIRA , A. L. A. de; BOMFIM, E. S.; LINO, R. de S.; SANTOS, F. N. A. dos; ALMEIDA, L. A. B. de; SANTOS, J. S. do N. T. dos; SANTOS, C. P. C. dos. Autonomic, metabolic and anthropometric profile of obese patients elective to bariatric surgery. Research, Society and Development, [S. l.], v. 9, n. 12, p. e17791211089, 2020. DOI: 10.33448/rsd-v9i12.11089. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11089. Acesso em: 27 apr. 2024.

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Vol. 9 No. 12

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Health Sciences

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Copyright (c) 2020 Anna Luiza Albuquerque de Oliveira ; Eric Simas Bomfim; Ramon de Sousa Lino; Felipe Nunes Almeida dos Santos; Luiz Alberto Bastos de Almeida; Jacilene Santiago do Nascimento Trindade dos Santos; Clarcson Plácido Conceição dos Santos

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