Assessment of Cardiometabolic Risk Factors, Physical Activity Levels, and Quality of Life in Stratified Groups up to 10 Years after Bariatric Surgery

Obesity is a highly prevalent chronic metabolic disease, with an increasing incidence, and is currently approaching epidemic proportions in developing countries. Ouraim was to evaluate the activity levels, quality of life (QoL), clinical parameters, laboratory parameters, and cardiometabolic risk fa...

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Published in	International journal of environmental research and public health Vol. 16; no. 11; p. 1975
Main Authors	Costa Pereira, Larissa Monteiro, Aidar, Felipe J., de Matos, Dihogo Gama, de Farias Neto, Jader Pereira, de Souza, Raphael Fabrício, Sobral Sousa, Antônio Carlos, de Almeida, Rebeca Rocha, Prado Nunes, Marco Antonio, Nunes-Silva, Albená, da Silva Júnior, Walderi Monteiro
Format	Journal Article
Language	English
Published	Switzerland MDPI AG 04.06.2019 MDPI
Subjects	Adult Bariatric Surgery - statistics & numerical data Body Mass Index Cardiovascular Diseases - epidemiology Cholesterol Diabetes Diabetes Mellitus - epidemiology Dyslipidemias - epidemiology Exercise Female Gastrointestinal surgery Hospitals Humans Hypertension Hypertension - epidemiology Lifestyles Male Medical records Middle Aged Obesity Obesity - epidemiology Obesity - surgery Physical fitness Postoperative period Quality of Life Questionnaires Risk Factors Studies Weight control Brazil health bariatric surgery quality of life physical activity
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ISSN	1660-4601 1661-7827 1660-4601
DOI	10.3390/ijerph16111975

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Abstract	Obesity is a highly prevalent chronic metabolic disease, with an increasing incidence, and is currently approaching epidemic proportions in developing countries. Ouraim was to evaluate the activity levels, quality of life (QoL), clinical parameters, laboratory parameters, and cardiometabolic risk factors afterbariatric surgery (BS). We classified78 patients who underwentBS into four groups, as follows: Those evaluated 1–2 years after BS (BS2), 2–4 years after BS (BS4), 4–6 years after BS (BS6), and 6–10 years after BS (BS+6). Body weight (BW), body mass index (BMI), comorbidities associated with obesity (ACRO), physical activity level, and QoL were evaluated. Patients exhibited improvements in BW, BMI, cardiometabolic risk, hypertension, dyslipidemia, and diabetes and significant changes in lipid profiles in the first postoperative yearafter BS.The physical activity level inthe BS2, BS4, and BS6 groups was increased, compared with that in the first postoperative year, with a decrease in International Physical Activity Questionnaire scores at 1 year in the BS2 (207.50 ± 30.79), BS4 (210.67 ± 33.69), and BS6 (220.00 ± 42.78) groups. The QoL of patients in theBS2 and BS4 groups was excellent and that of patients in the BS4 and BS+6 groupswas very good. These findings suggest that BS promoted improved physical activity levels and QoL and reduced comorbidities in patients with morbid obesity.
AbstractList	Obesity is a highly prevalent chronic metabolic disease, with an increasing incidence, and is currently approaching epidemic proportions in developing countries. Ouraim was to evaluate the activity levels, quality of life (QoL), clinical parameters, laboratory parameters, and cardiometabolic risk factors afterbariatric surgery (BS). We classified78 patients who underwentBS into four groups, as follows: Those evaluated 1–2 years after BS (BS2), 2–4 years after BS (BS4), 4–6 years after BS (BS6), and 6–10 years after BS (BS+6). Body weight (BW), body mass index (BMI), comorbidities associated with obesity (ACRO), physical activity level, and QoL were evaluated. Patients exhibited improvements in BW, BMI, cardiometabolic risk, hypertension, dyslipidemia, and diabetes and significant changes in lipid profiles in the first postoperative yearafter BS.The physical activity level inthe BS2, BS4, and BS6 groups was increased, compared with that in the first postoperative year, with a decrease in International Physical Activity Questionnaire scores at 1 year in the BS2 (207.50 ± 30.79), BS4 (210.67 ± 33.69), and BS6 (220.00 ± 42.78) groups. The QoL of patients in theBS2 and BS4 groups was excellent and that of patients in the BS4 and BS+6 groupswas very good. These findings suggest that BS promoted improved physical activity levels and QoL and reduced comorbidities in patients with morbid obesity. Obesity is a highly prevalent chronic metabolic disease, with an increasing incidence, and is currently approaching epidemic proportions in developing countries. Ouraim was to evaluate the activity levels, quality of life (QoL), clinical parameters, laboratory parameters, and cardiometabolic risk factors afterbariatric surgery (BS). We classified78 patients who underwentBS into four groups, as follows: Those evaluated 1-2 years after BS (BS2), 2-4 years after BS (BS4), 4-6 years after BS (BS6), and 6-10 years after BS (BS+6). Body weight (BW), body mass index (BMI), comorbidities associated with obesity (ACRO), physical activity level, and QoL were evaluated. Patients exhibited improvements in BW, BMI, cardiometabolic risk, hypertension, dyslipidemia, and diabetes and significant changes in lipid profiles in the first postoperative yearafter BS.The physical activity level inthe BS2, BS4, and BS6 groups was increased, compared with that in the first postoperative year, with a decrease in International Physical Activity Questionnaire scores at 1 year in the BS2 (207.50 ± 30.79), BS4 (210.67 ± 33.69), and BS6 (220.00 ± 42.78) groups. The QoL of patients in theBS2 and BS4 groups was excellent and that of patients in the BS4 and BS+6 groupswas very good. These findings suggest that BS promoted improved physical activity levels and QoL and reduced comorbidities in patients with morbid obesity.Obesity is a highly prevalent chronic metabolic disease, with an increasing incidence, and is currently approaching epidemic proportions in developing countries. Ouraim was to evaluate the activity levels, quality of life (QoL), clinical parameters, laboratory parameters, and cardiometabolic risk factors afterbariatric surgery (BS). We classified78 patients who underwentBS into four groups, as follows: Those evaluated 1-2 years after BS (BS2), 2-4 years after BS (BS4), 4-6 years after BS (BS6), and 6-10 years after BS (BS+6). Body weight (BW), body mass index (BMI), comorbidities associated with obesity (ACRO), physical activity level, and QoL were evaluated. Patients exhibited improvements in BW, BMI, cardiometabolic risk, hypertension, dyslipidemia, and diabetes and significant changes in lipid profiles in the first postoperative yearafter BS.The physical activity level inthe BS2, BS4, and BS6 groups was increased, compared with that in the first postoperative year, with a decrease in International Physical Activity Questionnaire scores at 1 year in the BS2 (207.50 ± 30.79), BS4 (210.67 ± 33.69), and BS6 (220.00 ± 42.78) groups. The QoL of patients in theBS2 and BS4 groups was excellent and that of patients in the BS4 and BS+6 groupswas very good. These findings suggest that BS promoted improved physical activity levels and QoL and reduced comorbidities in patients with morbid obesity. Excess body weight may be associated with the development of systemic arterial hypertension (SAH), type 2 diabetes mellitus (DM), and dyslipidemia, all of which are considered to be cardiometabolic risk factors [2]. Physical activity improves glucose metabolism, body composition, and quality of life (QoL) [17,18]. Psychological and behavioral factors associated with BS continue to receive little attention [29]. [...]the primary objective of the present study was to evaluate the changes in the individuals’ activity level, QoL, clinical parameters, laboratory parameters, and cardiometabolic risk factors in groups stratified by the length of time since BS, from 1 to 10 years. 2. Data Collection (Anthropometric Data) Weight (admission, preoperative, postoperative, minimum, and current), height, and BMI (calculated as weight (kg) by height squared (m2)) were classified according to cutoff points proposed by the World Health Organization [30] for nutrition service records.
Author	de Souza, Raphael Fabrício Nunes-Silva, Albená Sobral Sousa, Antônio Carlos Costa Pereira, Larissa Monteiro de Matos, Dihogo Gama da Silva Júnior, Walderi Monteiro de Farias Neto, Jader Pereira Prado Nunes, Marco Antonio de Almeida, Rebeca Rocha Aidar, Felipe J.
AuthorAffiliation	8 Exercise’s Inflammation and Immunology Laboratory, Sports Center, Federal University of Ouro Preto, Ouro Preto, MG 35400-000, Brazil; albenanunes@hotmail.com 2 Department of Physical Education, Federal University of Sergipe, São Cristovão, SE 49100-000, Brazil; raphaelctba20@hotmail.com 1 Post Graduate Program in Physical Education, Federal University of Sergipe, São Cristovão, SE 49100-000, Brazil; larissa_monteiroo@hotmail.com (L.M.C.P.); fjaidar@gmail.com (F.J.A.); walderim@yahoo.com.br (W.M.S.J.) 6 Department of Physical Therapy, UniversityHospital, Federal University of Sergipe, Aracaju, SE 49100-000, Brazil 4 Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, São Cristovão, SE 49100-000, Brazil; jadernetofisio@hotmail.com (J.P.d.F.N.); rebeca_nut@hotmail.com (R.R.d.A.); nunes.ma@outlook.com (M.A.P.N.) 5 Post Graduate Program in Physiological Sciences, Federal University of Sergipe, São Cristovão, SE 49100-000, Brazil 7 Department of Medicine, Federal Univers
AuthorAffiliation_xml	– name: 7 Department of Medicine, Federal University of Sergipe, São Cristovão, SE 49100-000, Brazil; acssousa@terra.com.br – name: 8 Exercise’s Inflammation and Immunology Laboratory, Sports Center, Federal University of Ouro Preto, Ouro Preto, MG 35400-000, Brazil; albenanunes@hotmail.com – name: 5 Post Graduate Program in Physiological Sciences, Federal University of Sergipe, São Cristovão, SE 49100-000, Brazil – name: 1 Post Graduate Program in Physical Education, Federal University of Sergipe, São Cristovão, SE 49100-000, Brazil; larissa_monteiroo@hotmail.com (L.M.C.P.); fjaidar@gmail.com (F.J.A.); walderim@yahoo.com.br (W.M.S.J.) – name: 2 Department of Physical Education, Federal University of Sergipe, São Cristovão, SE 49100-000, Brazil; raphaelctba20@hotmail.com – name: 4 Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, São Cristovão, SE 49100-000, Brazil; jadernetofisio@hotmail.com (J.P.d.F.N.); rebeca_nut@hotmail.com (R.R.d.A.); nunes.ma@outlook.com (M.A.P.N.) – name: 3 Group of Studies and Research of Performance, Sport, Health and Paralympic Sports—GEPEPS, Federal University of Sergipe, São Cristovão, SE 49100-000, Brazil – name: 6 Department of Physical Therapy, UniversityHospital, Federal University of Sergipe, Aracaju, SE 49100-000, Brazil
Author_xml	– sequence: 1 givenname: Larissa Monteiro surname: Costa Pereira fullname: Costa Pereira, Larissa Monteiro – sequence: 2 givenname: Felipe J. orcidid: 0000-0001-7378-4529 surname: Aidar fullname: Aidar, Felipe J. – sequence: 3 givenname: Dihogo Gama orcidid: 0000-0002-7394-8527 surname: de Matos fullname: de Matos, Dihogo Gama – sequence: 4 givenname: Jader Pereira surname: de Farias Neto fullname: de Farias Neto, Jader Pereira – sequence: 5 givenname: Raphael Fabrício orcidid: 0000-0002-3899-6849 surname: de Souza fullname: de Souza, Raphael Fabrício – sequence: 6 givenname: Antônio Carlos orcidid: 0000-0002-4158-9726 surname: Sobral Sousa fullname: Sobral Sousa, Antônio Carlos – sequence: 7 givenname: Rebeca Rocha orcidid: 0000-0002-6229-8549 surname: de Almeida fullname: de Almeida, Rebeca Rocha – sequence: 8 givenname: Marco Antonio surname: Prado Nunes fullname: Prado Nunes, Marco Antonio – sequence: 9 givenname: Albená surname: Nunes-Silva fullname: Nunes-Silva, Albená – sequence: 10 givenname: Walderi Monteiro surname: da Silva Júnior fullname: da Silva Júnior, Walderi Monteiro
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/31167365$$D View this record in MEDLINE/PubMed
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CitedBy_id	crossref_primary_10_1016_j_soard_2020_12_013 crossref_primary_10_3390_medicina57090995 crossref_primary_10_4103_sjo_sjo_8_22 crossref_primary_10_3390_ijerph17061986 crossref_primary_10_3390_jcm9061788 crossref_primary_10_3390_ijerph19148328 crossref_primary_10_3390_life12081103 crossref_primary_10_3390_ijerph16234751
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SubjectTerms	Adult Bariatric Surgery - statistics & numerical data Body Mass Index Cardiovascular Diseases - epidemiology Cholesterol Diabetes Diabetes Mellitus - epidemiology Dyslipidemias - epidemiology Exercise Female Gastrointestinal surgery Hospitals Humans Hypertension Hypertension - epidemiology Lifestyles Male Medical records Middle Aged Obesity Obesity - epidemiology Obesity - surgery Physical fitness Postoperative period Quality of Life Questionnaires Risk Factors Studies Weight control
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Title	Assessment of Cardiometabolic Risk Factors, Physical Activity Levels, and Quality of Life in Stratified Groups up to 10 Years after Bariatric Surgery
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