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Open AccessArticle

A Retrospective Study about the Differences in Cardiometabolic Risk Indicators and Level of Physical Activity in Bariatric Surgery Patients from Private vs. Public Units

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Post Graduate Program in Health Sciences, Federal University of Sergipe—UFS, Aracaju, Sergipe 49060-108, Brazil
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Estácio Sergipe University Center, Aracaju, Sergipe 49020-490, Brazil
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Group of Studies and Research in Performance, Sport, Health and Paralympic Sports—GEPEPS, Federal University of Sergipe—UFS, São Cristovão, Sergipe 49100-000, Brazil
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Institute of Parasitology, McGill University, Montreal, QC H3A 0E6, Canada
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Department of Medicine, Federal University of Sergipe, Aracaju, Sergipe 49060-108, Brazil
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Cardiovascular System Unit Federal University of Sergipe, Aracaju, Sergipe 49060-108, Brazil
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Clinic and Hospital São Lucas—Rede D’Or São Luiz, Aracaju, Sergipe 49015-400, Brazil
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Post Graduate Program in Health and Environment, Tiradentes University, Aracaju, Sergipe 49032-490, Brazil
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Department of Occupational Therapy, Federal University of Sergipe—UFS, Lagarto, Sergipe 49170-000, Brazil
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Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, 5000-801 Vila Real, Portugal
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Department of Physical Education, Federal University of Sergipe—UFS, São Cristovão, Sergipe 49060-108, Brazil
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Graduate Program in Physiological Sciences, Federal University of Sergipe—UFS, São Cristovão, Sergipe 49100-000, Brazil
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(23), 4751; https://doi.org/10.3390/ijerph16234751
Received: 28 September 2019 / Revised: 22 November 2019 / Accepted: 22 November 2019 / Published: 27 November 2019
(This article belongs to the Special Issue Effects of Exercise on Health-related Markers and Bioenergetics)
Background: Obesity is a pathology with a growing incidence in developing countries. Objective: To evaluate the evolution of cardiometabolic, anthropometrics, and physical activity parameters in individuals undergoing bariatric surgery (BS) in the public healthcare system (PUS) and private healthcare system (PHS). Methods: A longitudinal, observational, and retrospective study was conducted with 111 bariatric patients on two different health systems, with 60 patients from the PUS and 51 from the PHS. Cardiometabolic risk (CR) was analyzed by the assessment of obesity-related comorbidities (AORC) on admission and 3, 6, and 12 months after BS, and the International Physical Activity Questionnaire (IPAQ) was surveyed before and 12 months after BS. In addition, cardiometabolic risk was also assessed by biochemical (fasting glucose and complete lipidogram) and anthropometric (weight, weight loss, waist circumference, and waist-to-height ratio) parameters. Results: On admission, the parameters of severe obesity, systemic arterial hypertension (SAH), Diabetes mellitus (DM), and waiting time to BS were higher in the PUS. Additionally, in the PUS, AORC was reduced only in the SAH parameter. However, in the post-surgery moment, AORC reduced, and there was no difference between the two groups after BS. Regarding physical activity, the IPAQ showed a higher level of activity in the PHS before and one year after BS. Conclusion: At the PUS, BS is performed in patients with a higher degree of comorbidities, but BS improved the reduction of the CR at a similar level to those observed in the PHS. View Full-Text
Keywords: obesity; bariatric surgery; health; cardiometabolic risk obesity; bariatric surgery; health; cardiometabolic risk
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Rocha de Almeida, R.; Cândido de Souza, M.F.; Gama de Matos, D.; Monteiro Costa Pereira, L.; Batista Oliveira, V.; Menezes Oliveira, J.L.; Soares Barreto-Filho, J.A.; Almeida-Santos, M.A.; de Souza, R.F.; de Freitas Zanona, A.; Machado Reis, V.; Aidar, F.J.; Sobral Sousa, A.C. A Retrospective Study about the Differences in Cardiometabolic Risk Indicators and Level of Physical Activity in Bariatric Surgery Patients from Private vs. Public Units. Int. J. Environ. Res. Public Health 2019, 16, 4751.

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