0423/2013 - Estudo comparativo da evolução nutricional de pacientes candidatos à cirurgia bariátrica assistidos pelo Sistema Único de Saúde e pela Rede Suplementar de Saúde Comparative study of the evolution of nutrition patients candidates for bariatric surgery serviced by single system for health and supplemental health network
• Helisregina do Nascimento Santos - Santos, H.N - Aracaju, SE - Hospital Universitário da Universidade Federal de Sergipe - <helis1935@hotmail.com>
Coautor(es):
• Juliana Menêses Santos Lima - Lima, J.M.S - Hospital Universitário da Universidade Federal de Sergipe - <jmsl.nutri@yahoo.com.br>
• Márcia Ferreira Cândido de Souza - Souza, M.F.C - Hospital Universitário da Universidade Federal de Sergipe - <marciafcandido@bol.com.br>
Área Temática:
Alimentação, Nutrição e Saúde
Resumo:
Foi realizado um estudo transversal comparativo sobre a evolução nutricional de pacientes obesos graves candidatos à cirurgia bariátrica assistidos pelo Sistema Único de Saúde (SUS) e a Rede Suplementar de Saúde (RS). O tempo médio de acompanhamento pré-operatório foi 14,3 ± 7,7meses no SUS e 2,4 ± 1,7meses na RS. Houve predominância feminina entre os pacientes assistidos pelo SUS (80,6%) e pela RS (75,7%). Foi observada uma redução significativa do peso, do IMC e na Circunferência da Cintura (CC) e nos valores de Colesterol Total dos pacientes de ambas as redes de saúde. Os pacientes assistidos pelo SUS não apresentaram diminuição significativa nos valores de LDL, Triglicérides e Glicemia de Jejum, enquanto que os pacientes assistidos pela RS apresentaram uma redução significativa desses valores. A maior perda ponderal entre os pacientes do SUS explica-se pelos mesmos terem sido acompanhados por um tempo mais longo. A redução insignificante da maioria dos indicadores bioquímicos dos pacientes do SUS pode ser justificada pelos mesmos apresentarem um grau mais avançado da obesidade.
Palavras-chave:
obesidade
cirurgia bariátrica
estado nutricional
Abstract:
We conducted a cross-sectional comparative study on the nutritional outcome of severely obese patients are candidates for bariatric surgery assisted by the Unified Health System (SUS) and Supplemental Health Network (RS). The mean follow-up preoperatively was 14.3 ± 7.7 months in the SUS and 2.4 ± 1.7 months in the RS. There was a female predominance among patients attended by SUS (80.6%) and RS (75.7%). We observed a significant reduction in weight, BMI and waist circumference (WC) and total cholesterol values of patients of both health networks. Patients attended by SUS showed no significant decrease in LDL, Triglycerides and Fasting glycemia, while patients assisted by RS showed a significant reduction of these values. The greater weight loss among patients SUS is explained by them have been followed for a longer time. The slight reduction of most biochemical indicators of public patients can be justified by the same presenting a more advanced degree of obesity.
Comparative study of the evolution of nutrition patients candidates for bariatric surgery serviced by single system for health and supplemental health network
Resumo (abstract):
We conducted a cross-sectional comparative study on the nutritional outcome of severely obese patients are candidates for bariatric surgery assisted by the Unified Health System (SUS) and Supplemental Health Network (RS). The mean follow-up preoperatively was 14.3 ± 7.7 months in the SUS and 2.4 ± 1.7 months in the RS. There was a female predominance among patients attended by SUS (80.6%) and RS (75.7%). We observed a significant reduction in weight, BMI and waist circumference (WC) and total cholesterol values of patients of both health networks. Patients attended by SUS showed no significant decrease in LDL, Triglycerides and Fasting glycemia, while patients assisted by RS showed a significant reduction of these values. The greater weight loss among patients SUS is explained by them have been followed for a longer time. The slight reduction of most biochemical indicators of public patients can be justified by the same presenting a more advanced degree of obesity.
Santos, H.N, Lima, J.M.S, Souza, M.F.C. Estudo comparativo da evolução nutricional de pacientes candidatos à cirurgia bariátrica assistidos pelo Sistema Único de Saúde e pela Rede Suplementar de Saúde. Cien Saude Colet [periódico na internet] (2013/abr). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/estudo-comparativo-da-evolucao-nutricional-de-pacientes-candidatos-a-cirurgia-bariatrica-assistidos-pelo-sistema-unico-de-saude-e-pela-rede-suplementar-de-saude/12596?id=12596
