Evolução de variáveis nutricionais, hematológicas e bioquímicas de mulheres obesas durante oito semanas após cirurgia de Bypass gástrico em Y de Roux

Abstract

Obesity is a chronic disease of multifactorial origin and currently is a serious public health problem. The treatment of morbid obesity can be effectively done by bariatric sur-gery. The present study aimed to evaluate the influence of changes in food intake on body composition and some hematologic and biochemical variables in the period of eight weeks after Roux-en-Y gastric bypass (RYGB). The study included 22 women submitted to RYGB. We evaluated anthropometric, nutritional, hematologic and biochemical variables before and 14, 28, 42 and 56 days after surgery. The patients showed a decrease in caloric intake and hence macro- and micronutrients, with significant loss of weight and decrease in body mass index (BMI). Decreases in body weight and BMI were associated with reduced blood levels of total cholesterol, VLDL-C, LDL-C, triglycerides and glucose with time after surgery. The de-crease in caloric intake was also associated with decreased intake of protein, iron and calci-um, with a decline in hemoglobin, hematocrit and red blood count, and RDW increased after surgery.