Jastrzębska-Mierzyńska Marta, Ostrowska Lucyna, Hady Hady Razak, Dadan Jacek, Konarzewska-Duchnowska Emilia
Department of Dietetics and Clinical Nutrition, Medical University of Bialystok, Bialystok, Poland.
1 Clinical Department of General and Endocrine Surgery, Medical University of Bialystok, Bialystok, Poland.
Wideochir Inne Tech Maloinwazyjne. 2015 Apr;10(1):115-24. doi: 10.5114/wiitm.2014.47764. Epub 2015 Jan 14.
Currently, surgical treatment is considered to be the most efficient method of dealing with morbid obesity.
To evaluate changes in nutritional status after surgical treatment of obesity in the early postoperative period.
The study included 50 patients (30 women and 20 men) treated surgically due to morbid obesity. During the preliminary visit and during control visits measurements of body mass, height, and waist and hip circumference were conducted. Also, analysis of body content was performed and blood was taken for biochemical analysis. Statistical analysis was conducted using the program Statistica 10.
Six months after the surgery, in the group of women, significant reduction of average body mass, average waist circumference, average hip circumference and average body mass index (BMI) was observed. Also, significant reduction of the percentage of body fat and an increase in the percentage of fat-free body mass were observed. A significant decrease in muscle mass was also noted. Both in women and in men, 6 months after the surgery, a significant decrease in fasting glucose concentration, fasting insulin and triglycerides in blood serum was observed.
Bariatric procedures lead to significant body mass, BMI, waist and hip circumference reduction. Loss of body mass is caused mainly by the reduction of fat tissue. Application of surgical procedures in morbid obesity treatment also allowed us to achieve improvement in insulin, glucose and lipid metabolism.
目前，手术治疗被认为是治疗病态肥胖最有效的方法。
评估肥胖症手术治疗后早期营养状况的变化。
该研究纳入了50例因病态肥胖接受手术治疗的患者（30名女性和20名男性）。在初诊和复诊时测量体重、身高、腰围和臀围。此外，进行身体成分分析并采集血液进行生化分析。使用Statistica 10程序进行统计分析。
术后6个月，女性组平均体重、平均腰围、平均臀围和平均体重指数（BMI）显著降低。此外，体脂百分比显著降低，无脂肪体重百分比增加。肌肉量也显著减少。术后6个月，女性和男性的空腹血糖浓度、空腹胰岛素和血清甘油三酯均显著降低。
减肥手术可显著降低体重、BMI、腰围和臀围。体重减轻主要是由于脂肪组织减少。手术治疗病态肥胖也使我们在胰岛素、葡萄糖和脂质代谢方面取得了改善。
