ABSTRACT
A obesidade é atualmente problema de saúde pública e tem como seu principal marcador o IMC. Existem evidências consistentes de que o tratamento cirúrgico possui resultados mais favoráveis em relação a perda de peso e redução de comorbidades em comparação com intervenções comportamentais. Os objetivos deste estudo foram avaliar os impactos da cirurgia bariátrica nos parâmetros antropométricos, metabólicos e bioquímicos na obesidade. É estudo coorte retrospectivo com amostragem não probabilística por conveniência dos submetidos à cirurgia bariátrica a partir de dados de prontuários pré- e pós-operatórios. Foram analisados 75 pacientes no pré, pós-operatório de 3 meses e pós- operatório de 6 meses. Em conclusão, o colesterol total LDL e triglicerídeos tiveram decréscimo significativo no pós-operatório; o mesmo ocorreu com a glicemia em jejum, hemoglobina glicada e insulina. Assim, a cirurgia bariátrica mostrou-se eficaz na redução dos parâmetros antropométricos e metabólicos dos obesos operados.
Obesity is currently a public health problem and its main marker is BMI. There is consistent evidence that surgical treatment has more favorable results in terms of weight loss and reduction of comorbidities compared to behavioral interventions. The objectives of this study were to evaluate the impacts of bariatric surgery on anthropometric, metabolic and biochemical parameters in obesity. This is a retrospective cohort study with non-probabilistic convenience sampling of those undergoing bariatric surgery based on data from pre- and postoperative medical records. A total of 75 patients were analyzed preoperatively, in 3 and 6 months postoperatively. In conclusion, total LDL cholesterol and triglycerides had a significant decrease postoperatively; the same occurred with fasting glucose, glycated hemoglobin and insulin. Thus, bariatric surgery proved to be effective in reducing the anthropometric and metabolic parameters of obese patients undergoing surgery.
Subject(s)
Humans , Blood Glucose , Body Mass Index , Bariatric Surgery , ObesityABSTRACT
La presente revisión bibliográfica surge de la necesidad de revisar la evidencia sobre el efecto del entrena-miento resistido en el perfil glicémico. La búsqueda de información se realiza en las bases de datos Ebsco, PubMed, Google Académico y Researchgate, restringida a publicaciones de los años 2011 a 2016. Se utiliza-ron las siguientes palabras clave: Entrenamiento de Resistencia y de control de la diabetes, el Entrenamiento de Resistencia y el control de glucémico, el Entrenamiento de Resistencia y Control de la Salud. Fueron encontrados 841 artículos, a continuación, se excluyeron los artículos que no cumplían con los criterios de inclusión del estudio, de estos 75 fueron excluidos porque no manifestaran el efecto del entrenamiento de resistencia en la glucosa. Finalmente solo 6 estudios fueron seleccionados y analizados para la presente investigación. Los resultados de esta revisión muestran que los métodos de ER, se consideran importantes componentes cuando el objetivo principal es preservar el buen estado de salud, interviniendo positivamente en el perfil glucémico y minimizando los factores de riesgo inherentes a una dieta pobre y estilo de vida sedentario, demostrando que no es sólo el entrenamiento aeróbico el que puede mantener el buen estado de salud.
The present literature review arises from the need to review the evidence on the effect of resistance training on the glycemic profile. The search for information is carried out in the Ebsco, PubMed, Google Scholar and Researchgate databases, restricted to publications from the years 2011 to 2016. The following keywords were used: Resistance training and diabetes control, Resistance and glycemic control, Resistance Training and Health Control. 841 articles were found. Then, articles that did not meet the inclusion criteria of the research were excluded, and from those, 75 more were excluded because they did not manifest the effect of resistance training on glucose. Finally, only 6 research studies were selected and analyzed for this investiga-tion. The results of this review show that RT methods are considered important components when the main objective is to maintain good health by positively intervening on the glycemic profile and by minimizing risk factors inherent to a poor diet and a sedentary lifestyle, and therefore demonstrating that it is not just aerobic training that can maintain good health.