Obesidade grave:perfil de pacientes e avaliação da efetividade de um protocolo de tratamento nutricional

• Ano de defesa: 2011
• Autor(a) principal: RODRIGUES, Ana Paula dos Santos
• Orientador(a): SILVEIRA, Erika Aparecida da
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Mestrado em Nutricao e Saude
• Departamento: Ciencias da Saude
• País: BR
• Palavras-chave em Português: Obesidade mórbida; Cirurgia bariátrica; Perfil de saúde; Manejo nutricional; Protocolos clínicos; Perda de peso; 1. Obesidade mórbida; 2. Cirurgia bariátrica; 3. Perfil de saúde; 4. Manejo nutricional
• Palavras-chave em Inglês: Morbid obesity; Bariatric surgery; Health profile; Diet therapy; Clinical protocols; Weight loss
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::NUTRICAO
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tde/1460

Objective: To evaluate the profile of patients with severe obesity and effectiveness of a treatment protocol developed for nutritional care of these patients in referral hospital in Goiânia-GO. Methods: Data were collected from 79 patients treated between October 2007 and October 2009. Were excluded 26 patients in the nutritional intervention, the other 53 obese grade II and III were divided into intervention group A (IA) (n = 26), without use of anti-obesity drug, and intervention group B (IB) (n = 27), using anti-obesity drup, and followed by nine consultations. Results: Average body mass index was 48,3 ± 6,9 kg/m2. Prevailed women (91,1%), age group of 30 to 49 years (60,7%), 49.3% studied over nine years, over 75,0% had family income lower than one minimum wage. Most prevalent comorbidities were hypertension (58,2%) and dyslipidemias (55,7%), 70,9% were sedentary, 50.0% had binge eating disorder (BED). We found a low consumption of dairy products, fruits and vegetable B and high consumption of sugar and soft drinks. Age and hypertension were associated with higher education (≥ 9 years). Family income per capita (3rd and 4th quartiles) was associated with the onset of weight gain, daily consumption of vegetable A and daily consumption of sweets, while prior use of anti-obesity drugs was associated with low family incomes (1st and 2nd quartiles). The nutritional intervention resulted in significant reduction in weight and BMI for both groups. Comparing the average weight for each consultation, IA values were lower than IB in the last three visits. There was a qualitative improvement in food consumption. IB group showed adherence to physical activity. Conclusions: It was noted worrying and inadequate health and nutritional conditions and inadequate, with income and education associated with some of these conditions in severe obesity. The nutritional treatment protocol was effective in reducing weight and BMI, promoted improvement in the dietary pattern of patients and improved practice of physical activity for IB.