Carvajal Claudia, Savino Patricia, Ramirez Andrea, Grajales Martha, Nassar Ricardo, Zundel Natan
Metabolic and Bariatric Surgery Group, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia.
National Academy of Medicine, Bogotá, Colombia.
Obes Surg. 2017 Jun;27(6):1612-1621. doi: 10.1007/s11695-016-2521-5.
Obesity and its consequences have now reached worldwide pandemic proportions. Among treatments, bariatric interventions are the most effective for weight reduction. Here, we describe the change in anthropometric measurements (AMs) of 615 adult bariatric procedure patients seen in the private practice of a registered dietitian (RD) in Bogotá, Colombia.
Observational retrospective study of AMs recorded between 1996 and 2013 for patients who had laparoscopic sleeve gastrectomy (LSG, n = 290), laparoscopic adjustable gastric banding (LAGB, n = 207), and laparoscopic Roux-EN-Y gastric bypass (LRYGB, n = 36) or the non-surgical gastric balloon (GB, n = 82) procedure. Patients had three bimonthly follow-up visits. Paired t tests compared baseline (first) and 6-month (fourth) follow-up visit values.
Differences in AMs between the baseline and fourth visits were statistically significant for the surgical interventions. A mean weight loss of 22 kg, equivalent to a 22% total body weight loss, together with significant reduction of the waist-to-height-ratio (WHtR)(p < 0.001) and body mass index (BMI)(p < 0.001), was observed across all procedures.
The use of multiple AMs enables a comprehensive assessment of body composition in patients who undergo bariatric procedures. Our study is a useful resource for international future reference and highlights the impact that the RD can have on understanding and influencing the effectiveness of bariatric procedures.
肥胖及其后果现已达到全球流行程度。在各种治疗方法中，减肥手术是减轻体重最有效的方法。在此，我们描述了在哥伦比亚波哥大一位注册营养师（RD）私人诊所就诊的615例成年减肥手术患者人体测量学指标（AMs）的变化情况。
对1996年至2013年期间接受腹腔镜袖状胃切除术（LSG，n = 290）、腹腔镜可调节胃束带术（LAGB，n = 207）、腹腔镜Roux-en-Y胃旁路术（LRYGB，n = 36）或非手术胃内气球术（GB，n = 82）的患者记录的AMs进行观察性回顾研究。患者每两个月进行一次随访，共三次。采用配对t检验比较基线（第一次）和6个月（第四次）随访的值。
手术干预组基线和第四次随访之间的AMs差异具有统计学意义。所有手术均观察到平均体重减轻22 kg，相当于总体重减轻22%，同时腰高比（WHtR）（p < 0.001）和体重指数（BMI）（p < 0.001）显著降低。
使用多种AMs能够全面评估接受减肥手术患者的身体成分。我们的研究是未来国际参考的有用资源，并突出了RD在理解和影响减肥手术效果方面所能发挥的作用。
