Global Journal of Medical Research, I: Surgeries and Cardiovascular System, Volume 22 Issue 2

Table 2: Physical Activity Practice presented by patients seen according to success and failure of bariatric surgery (PEP >50% and PEP <50%). ISCMSP, 2020. Physical activitypractice Success Failure Total N % N % N % Sim 18 58.1 8 57.1 26 57.8 Não 13 41.9 6 42.9 19 42.2 Total 31 68.9 14 31.1 45 100.0 X 2 = 0.003 p= 0.7887 (N.S.) Reference: Bariatric Nutrition Specialty Clinic, Hospital da Irmandade da Santa Casa de Misericórdia of São Paulo (ISCMSP) V. D iscussion When assessing the age of the patients in this study, a mean age was found to be 48.3 years for the successful group (PEP >50%) and 48.5 years for the failure group (PEP <50%). It was observed that there was no statistically significant difference in age for the success or failure of overweight loss (PEP >50% and PEP <50%) in this study group. It was also observed that there was no statistically significant difference regarding the surgical time for the success or failure of excess weight loss (PEP >50% and PEP <50%). According to ABESO (2009/2010) 15 , it is necessary to maintain weight loss for 5 years, a period in which failure to control weight maintenance can occur. As for the analysis of qualitative food consumption of patients with failure for PEP <50%, there was statistical significance for the frequent consumption of foods from the group of butter, white bread, soda and coffee with sugar. Patients with success for PEP>50%, there was a statistical significance for the frequent consumption of foods from the farinaceous sweet group (Table 1). According to a study by Soares (2017), there is a tendency in this group of patients to return to inadequate eating habits after 2 years of the procedure, with increased consumption of foods rich in carbohydrates and lipids. 16,17,18 For the other food groups, consumption there was no statistically significant difference, that is, consumption is the same in both groups. There was no significant difference between the two groups according to PEP >50% and PEP <50% in relation to the analysis of physical activity practice (Table 2). It is important to mention that of the patients with a success rate for surgery (PEP>50%) and who did not practice physical activity, 46% had 4 years of surgery. Scientific studies report that after 5 to 10 years the risks of weight regain are greater. 19 Another analysis to bepointed out is that for the 57.1% of patients with an unsuccessful rate for surgery (PEP<50%) and who practiced physical activity, 37.5% had 5 years of surgery, which may represent a relationship between surgical time and the practice of physical activity and the quality of thisactivity. According to Alexandrino (2019) of the patients who underwent surgical procedures for weight loss with an average follow-up of 7 years, 74% who were successful in the treatment had regular physical exercise practice 20 . VI. C onclusion Factors such as age and surgical time were not determinant for success or failure parameters. The consumption of high-calorie food groups more frequently can lead to failure to lose excess weight and promote short-term recovery. The practice of physical activity and surgical time may be related to the successful loss of excess weight. To guarantee an effective treatment, capable of ensuring postoperative success, monitoring by a professional nutritionist, associated with a multidisciplinary team, is essential to promote changes in eating habits due to the new physiological condition. Behavioral changes with healthy eating and the practice of daily physical activity are essential for maintaining the loss of excess weight in post-bariatric patients R eferences R éférences R eferencias 1. Dias PC, Henriques P, dos Anjos LA, Burlandy L. Obesidade e políticas públicas: concepções e estratégias adotadas pelo Governo Brasileiro. Cad. Saúde Pública 2017; 33(7). 2. Carvalho AC, Rosa RS. Cirurgias bariátricas realizadas pelo Sistema Único de Saúde em Residentes da Região Metropolitana de Porto Alegre, Rio Grande do Sul, 2010- 2016* Epidemiol. Serv. Saude, Brasília, 27(2): e2017010, 2018. 3. Campos JMA. Sociedade Brasileira de Cirurgia Bariátrica e Metabólica – SBCBM – prioriza o incentivo à produção científica. ABCD Arq Bras Cir Dig Editorial 2015; 28(Supl.1): 1 DOI: /10.1590/ S0102-6720201500S10001. 4. Bastos ECL, Barbosa EMWG, Soriano GMS, Santos EA, Vasconcelos SML. Fatores determinantes do reganho ponderal no pós-operatório de cirurgia bariátrica. ABCD, arq. bras. cir. dig. vol.26. supl.1 São Paulo 2013. 5. De Siqueira AC, Zanotti SV. Weight regain: case study of a bariatric surgery program. PSICOLOGIA,SAÚDE & DOENÇAS, 2017, 18(1), 157-169 ISSN - 2182-8407 Sociedade Portuguesa de Psicologia da Saúde - SPPS - www.sp-ps.com DOI: http://dx.doi.org/10.15309/17psd1801. 6. Conceição E, Teixeira F, Rodrigues T, Lourdes M, Bastos AP, VAZ A , Ramalho S. Comportamentos 31 Year 2022 Global Journal of Medical Research Volume XXII Issue II Version I ( D ) I © 2022 Global Journals Determinant Factors and Possible Causes Associated with the Success or Failure of Loss of Excess Weight (%Pep) in Patients Submitted to Bariatric Surgery