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Am J Surg ; 233: 136-141, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38494359

RESUMO

INTRODUCTION: The aim of this study was to evaluate cardiovascular disease (CVD) risk modification in patients with optimal weight loss (OWL) versus suboptimal weight loss SWL following MBS. METHODS: This was a retrospective analysis. The 10-year risk CVD was estimated before and after one year of surgery using the "Framingham Score". RESULTS: 191 patients were included in our study. Mean baseline Framingham score was 7.2 â€‹± â€‹6.9%. According to the score, 54% of patients were classified as low risk (n â€‹= â€‹104), 23% as moderate (n â€‹= â€‹43), 20% moderately high (n â€‹= â€‹39) and 3% as high risk (n â€‹= â€‹5). One year after surgery, 91% of the patients showed reduction of their Framingham score. Mean CVD risk score decreased significantly to 4.1 â€‹± â€‹3.7% when compared to baseline (p-value is â€‹< â€‹0.001); 80% of patients classified as low risk (n â€‹= â€‹153), 13% as moderate (n â€‹= â€‹25), 7% moderately high (n â€‹= â€‹13) and 0% as high risk (n â€‹= â€‹0). CONCLUSION: Weight loss after bariatric surgery reduces CVD risk scores and the magnitude of effect correlates with the degree of weight loss.


Assuntos
Cirurgia Bariátrica , Doenças Cardiovasculares , Redução de Peso , Humanos , Estudos Retrospectivos , Feminino , Masculino , Doenças Cardiovasculares/prevenção & controle , Doenças Cardiovasculares/etiologia , Pessoa de Meia-Idade , Adulto , Medição de Risco , Obesidade Mórbida/cirurgia , Obesidade Mórbida/complicações , Fatores de Risco de Doenças Cardíacas
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