Bariatric Surgery: Late Outcomes in Patients Who Reduced Comorbidities at Early Follow-Up.

Backgroundand Objectives: In severe obesity, a relevant weight loss can promote the reduction of comorbidities, such as systemic arterial hypertension (SAH), dyslipidemia, and diabetes mellitus (DM2). Bariatric surgery (BS) has been an essential resource in the therapy of this disease with a short-term reduction of cardiometabolic risk (CR). This study aimed to evaluate the reduction of factors associated with the CR in patients undergoing BS at a 5-year follow-up. Materials and Methods: This is a longitudinal, retrospective study carried out with patients undergoing BS by the Brazilian Public Healthcare System (PHS). Anthropometric and clinical parameters related to the CR (DM2, dyslipidemia, and SAH), quantified by the Assessment of Obesity-Related Comorbidities (AORC) score, were evaluated at the following moments: admission and preoperative and postoperative returns (3 months, 6 months, 1 to 5 years). Results: The sample had a mean age of 44.69 ± 9.49 years and were predominantly in the age group 20-29 years (34.80%) and women (72.46%). At admission to the service, 42.3% had DM2, 50.7% dyslipidemia, and 78.9% SAH. Regarding BS, the gastric bypass technique was used in 92.86% of the sample, and the waiting time for the procedure was 28.3 ± 24.4 months. In the pre- and postoperative period of 3 months, there was a significant reduction in the frequency of DM2 (p < 0.003), dyslipidemia (p < 0.000), and SAH (p < 0.000). However, at postoperative follow-up from 6 months to 5 years, there was no significant reduction in the comorbidities studied. After five years, 35.7% had total remission of DM2 and 2.9% partial remission of DM2, 44.2% had control and remission of dyslipidemia, and 19.6% of SAH (AORC score ≤ 2 for the comorbidities). Conclusion: BS promoted a reduction of the CR in the first three months after BS in severely obese PHS users.

Wrist Circumference Cutoff Points for Determining Excess Weight Levels and Predicting Cardiometabolic Risk in Adults.

(1) Background: An elevated wrist circumference may indicate excess weight and cardiometabolic risk. The present study aims to identify wrist circumference cutoff points (WrC) to determine excess weight levels and predict cardiometabolic risk in adults. (2) Methods: A cross-sectional study was conducted with adults aged 20 to 59 years old, attending the outpatient clinic at University Hospital/Federal University of Sergipe HU/UFS-EBSERH. Demographic, anthropometric, biochemical, and blood pressure (BP) data were collected. Cardiometabolic risk was assessed, according to the global risk score (ERG) and Framingham score criteria. The descriptive analysis included calculating medians and frequencies of anthropometric, demographic, biochemical, and blood pressure variables. The gender and age of adult groups were compared using the Mann-Whitney test. Spearman's correlation coefficient and multiple regression analysis were used to assess the association between wrist circumference (WrC) and the variables mentioned above. The predictive validity of WrC in identifying excess weight levels and cardiometabolic risk was analyzed using the ROC curve. The sample consisted of 1487 adults aged 20 to 59 years, 55.7% of whom were female; (3) Results: WrC correlated positively with other adiposity indicators such as waist circumference and Body Mass Index. WrC was the anthropometric indicator most significantly associated with cardiometabolic risk factors. WrC cutoff points identified by the study for determining excess weight were categorized by gender and age group. For males aged 20 to 40 years and >40 years, respectively, the cutoff points for overweight were 17.1 cm and 17.3 cm, and for obesity, 17.9 cm and 17.5 cm. For females aged 20 to 40 years and >40 years, respectively, the cutoff points for overweight were 15.6 cm and 15.4 cm, and for obesity, 16.1 cm and 16 cm (4). Conclusions: Wrist circumference showed a significant correlation with other adiposity indicators and can be used to identify adults with excess weight and predict cardiometabolic risk.

BALANCE Dietary Index in Patients with Heart Failure, and Its Adherence in Sergipe, Brazil.

BACKGROUND: "The effective treatment of Heart Failure (HF) involves care with food intake. Recently, the Ministry of Health created the Brazilian Cardioprotective Diet and its dietary index, BALANCE, which assesses adherence to the standard's recommendations". METHODS: This observational prospective study is part of the Congestive Heart Failure Registry (VICTIM-CHF) of Aracaju/SE. Observations and data collection took place from April 2018 to February 2021. Sociodemographic and clinical aspects and food consumption were evaluated. Food intake was determined using the food frequency questionnaire. Foods were categorized using the BALANCE dietary index into green, yellow, blue and red food groups. The BALANCE dietary index was obtained using median and interquartile ranges, scores of the Mann-Whitney U test, and associations between clinical variables and the index, through linear regression. RESULTS: Participants included 240 patients with HF (61.12 ± 1.06 years), who were assisted by the Unified Health System (67.5%). Individuals with a partner showed greater adherence to the green food group recommendations (0.09; 0.00-0.17). The lowest adherence to recommendations regarding the blue food group was observed in individuals with excess weight, who had a higher consumption of foods rich in animal protein (0.54; 0.38-0.78). As for the red food group (ultra-processed foods) the highest adherence was observed by patients with diabetes mellitus (0.41; 0.05-0.77). The greatest adherence to the yellow food group, and a higher score, was observed in patients with the smallest left ventricular systolic diameter (LVSD). CONCLUSIONS: Being married was directly associated with the consumption of foods in the green group, while being overweight and having diabetes were inversely associated with adherence to the blue and red food groups, respectively. Greater adherence to the yellow food group recommendations was inversely associated with less change in the DSFVE.

Assessment of Malnutrition in Heart Failure and Its Relationship with Clinical Problems in Brazilian Health Services.

Malnutrition in heart failure (HF) is frequent and associated with a worse prognosis. Due to differences in investment and the profile of those assisted, the objective of this study was to evaluate the frequency of malnutrition in hospitalized patients with HF and its association with clinical outcomes in the public and private health systems. Methodology: A cross-sectional study, with 247 volunteers hospitalized with HF in three public hospitals and one private hospital in Aracaju, SE, Brazil. A subjective global nutritional assessment (SGA) and mini nutritional assessment (MNA) were performed. Results: Sample with 72.5% users of the public health system and 75.3% with malnutrition (public = 74.9%; private = 76.5%; p = 0.793). Regardless of the healthcare system, hospital stay (>14 days) was longer (p = 0.020) among those with malnutrition (48.4%) than well-nourished patients (29.5%). Malnutrition in the public system had higher mortality (7.5%; 5.8%; p < 0.001) and hospital transfer rate (21.1%; 0.0%; p < 0.001) than those in the private system. Death after discharge was observed only in the public system (p = 0.039). Conclusion: Malnutrition was frequent in both systems and was associated with longer hospital stays and, in the public hospital, in-hospital death and transfers.

Identification of neck circumference cut-off points for insulin resistance as a marker in adolescents / Identificação de pontos de corte da circunferência do pescoço como marcador da resistência à insulina em adolescentes

ABSTRACT Objective To identify cut-off points of neck circumference measurement to predict insulin resistance in adolescents. Methods Cross-sectional analysis with data derived from the Study of Cardiovascular Risks in Adolescents, nationwide, multicenter, school-based survey. We evaluated 901 adolescents, aged 12 to 17, from public and private schools in two cities of Sergipe state in Brazil. We measured demographic, anthropometric, and biochemical data, and insulin resistance using Homeostasis Model Assessment-Insulin Resistance. We used multiple linear regression and logistic analysis to evaluate the association between dependent variables (biochemical) and independent variables (anthropometric) controlled by body mass index, age, gender, and Tanner's stage. We used the Receiver operating characteristic curve to determine cut-off points of neck circumference that can identify insulin resistance. Results The multiple linear regression analysis showed a positive association between neck circumference measurement with fasting glycemia and glycated hemoglobin (p<0.001) and a negative association with insulin (p<0.024). Furthermore, in logistic regression, the measurement of neck circumference was the only anthropometric indicator positively correlated with homeostasis model assessment-insulin resistance. The cut-off points of neck circumference for predicting insulin resistance were: 30.55cm for female pubertal and 32.10cm for post-pubertal adolescents; 35.90cm for male pubertal adolescents and 36.65cm for post-pubertal adolescents. Conclusions The measurement of neck circumference is a simple, practical anthropometric indicator and can be used as a screening tool to identify insulin resistance in adolescents.

RESUMO Objetivo Identificar pontos de corte da medida da circunferência do pescoço que possam predizer a resistência à insulina em adolescentes. Métodos Estudo transversal com uma subamostra do Estudo de Riscos Cardiovasculares em Adolescentes, um estudo multicêntrico nacional. Avaliaram-se 901 adolescentes de 12 a 17 anos de duas cidades do estado de Sergipe, Brasil. Fatores demográficos, antropométricos e bioquímicos e a resistência à insulina pelo homeostasis model assessment-insulin resistance foram mensurados. A associação entre as variáveis dependentes (bioquímicas) e independentes (antropométricas), controladas pelo índice de massa corporal, idade, sexo e estadiamento de Tanner, foi avaliada pela análise de regressão linear múltipla e logística, e a curva característica de operação do receptor foi utilizada para determinar os pontos de corte da circunferência do pescoço na predição da resistência à insulina. Resultados A análise de regressão linear múltipla mostrou uma associação positiva entre a medida da circunferência do pescoço com a glicemia de jejum e a hemoglobina glicada (p<0,001) e negativa com a insulina (p<0,024). Na regressão logística, a medida da circunferência do pescoço foi o único indicador antropométrico que se correlacionou positivamente com o Homeostasis Model Assessment-Insulin Resistance. Os pontos de corte da circunferência do pescoço para predição da resistência à insulina em adolescentes foram: 30,55cm feminino púberes e 32,10cm feminino pós-púberes; 35,90cm masculino púberes e 36,65cm masculino pós-púberes. Conclusão A medida da circunferência do pescoço é um indicador antropométrico simples e prático e pode ser utilizada como instrumento de triagem para identificar a resistência à insulina em adolescentes.

Bariatric surgery reverses metabolic risk in patients treated in outpatient level.

BACKGROUND: The conventional treatment of obesity presents unsatisfactory results on weight loss and its long-term sustainability, therefore bariatric surgery has been suggested as an effective therapy, determining sustainable long-term weight loss, reversal of components of cardiometabolic risk and improved quality and life expectancy. AIM: To investigate the clinical component of the cardiometabolic risk in patients undergoing bariatric surgery assisted on outpatient basis. Methods : The sample consisted of 47 patients with ages between 18 and 60 years, 72% females. Diabetes mellitus, hypertension, and dyslipidemia were prospectively evaluated by using the Assessment of Obesity-Related Co-morbidities scale. RESULTS: Occurred improvement in these co-morbidities within 12 months after surgery. Co-morbidities resolved were greater than those improved. CONCLUSION: The study revealed that the Assessment of Obesity-Related Co-morbidities is a system that can be effectively used to quantify the degree of reduction of the severity of the cardiometabolic risk in response to bariatric surgery.

Autocuidado de pacientes com Diabetes Mellitus tipo 2 / Self-care of patients with Diabetes Mellitus type 2

Objetivo: Classificar o autocuidado dos pacientes com diabetes mellitus tipo 2 atendidos em um centro ambulatorial de Aracaju/SE. Método: Estudo transversal e descritivo com abordagem quantitativa. Foi aplicado um instrumento de avaliação do autocuidado dos pacientes com diabetes mellitus tipo 2 (INAAP-DM2), que contempla seis domínios, o quais avaliam diversos aspectos da doença e seu autocuidado, sendo calculado um escore geral por domínio, com as seguintes classificações: Totalmente Compensatório (escore 1 ou 2) ­ paciente é incapaz de engajar-se nas ações de autocuidado terapêutico; Parcialmente Compensatório (escore 3) - paciente é capaz de aprender, porém necessita do profissional e/ou familiar para desempenhar as ações de autocuidado e Apoio-Educação (escore 4 ou 5) - paciente é capaz de aprender e desempenhar sozinho as ações de autocuidado terapêutico. O teste t-Student foi aplicado para comparação entre médias de amostras independentes das variáveis sociodemográficas, com nível de significância de 5%. Resultados: Dos 73 entrevistados, 5 (6,8%) foram classificados como totalmente compensatórios, 66 (90,4%) como parcialmente compensatórios, e 2 (2,8%) como apoioeducação. Não houve diferença estatística significativa na correlação dos parâmetros sociodemográficos analisados. Conclusão: Os resultados reforçam a necessidade de melhoria nas ações de educação em saúde por parte dos profissionais de saúde, além de, melhorar a compreensão dos sentimentos e comportamentos da pessoa diabética, afim de promover a aceitação de sua condição crônica de saúde e, consequentemente, a adoção de hábitos saudáveis(AU)

Objective: To classify the self-care of patients with Type 2 Diabetes Mellitus treated at an outpatient clinic in Aracaju / SE. Method: Cross - sectional and descriptive study with quantitative approach. A self-care assessment instrument was applied to patients with Type 2 Diabetes Mellitus (INAAPDM2), which included six domains, which evaluate several aspects of the disease and its self-care, with a general score by domain, with the following classifications: Totally Compensatory (score 1 or 2) - patient is unable to engage in therapeutic self-care actions; Partially Compensatory (score 3) - patient is able to learn, but needs the professional and / or family to perform the actions of self-care and Support-Education (score 4 or 5) - patient is able to learn and perform the actions of therapeutic selfcare alone. The test t-student was applied in comparison between average of samples independent of the socio-demographic variables, with a significance level of 5%. Results: Of the 73 interviewees, 5 (6.8%) were classified as fully compensatory, 66 (90.4%) as partially compensatory, and 2 (2.8%) as supporteducation. There was no statistically significant difference in the correlation of the sociodemographic parameters analyzed. Conclusion: The results reinforce the need for improvement in health educationactions by health professionals, in addition to improving the understanding of the feelings and behaviors of the diabetic person, in order to promote the acceptance of their chronic health condition and, consequently, the adoption of healthy habits(AU)

Avaliação nutricional de pacientes com doença hepática crônica: comparação entre diferentes métodos / Nutritional evaluation of patients with chronic hepatic disease: comparison between different methods

Objetivo: Comparar diferentes métodos de avaliação nutricional em portadores de doença hepática crônica. Método: Trata-se de um estudo transversal realizado em pacientes portadores de doença hepática crônica, atendidos no Ambulatório de Nutrição e de Hepatologia do Hospital Universitário de Sergipe. Os métodos empregados para a avaliação nutricional foram o índice de massa corporal, a prega cutânea triciptal, a circunferência muscular do braço, a avaliação subjetiva global e a avaliação global do Royal Free Hospital. Resultados: Foram incluídos no estudo 49 pacientes, com média de idade de 56±13,08 anos. O método de avaliação nutricional que mais identificou (p<0,001) desnutridos foi a avaliação global do Royal Free Hospital (77,6%), seguida pela prega cutânea triciptal (49%), avaliação subjetiva global (32,7%), circunferência muscular do braço (28,6%) e índice de massa corporal (12,2%). Ao avaliar o desempenho dos métodos de avaliação comparado com grupo de pacientes cirróticos e não cirróticos, somente a prega cutânea triciptal apresentou desempenho significativo ao diagnosticar mais desnutridos no grupo de não cirróticos (p=0,05). Conclusão: Observou-se uma grande variação da prevalência de desnutrição entre os diferentes métodos. A avaliação global do Royal Free Hospital foi o método de avaliação nutricional que mais identificou desnutridos comparado aos demais.

Precisão das equações preditivas de peso corporal e altura: proposta de um percentual de ajuste / Precision of the body weight and stature predictive equations: proposition of an adjustment percentage

Introdução: As equações preditivas de peso corporal e altura foram criadas tendo como referência indivíduos norte-americanos, portanto, diante da distinção de populações, torna-se necessário que sejam analisadas.Dessa forma, o objetivo do estudo foi analisar as equações preditivas de peso e altura, propondo um percentual de ajuste para adequação das mesmas. Método: Estudo transversal realizado em um hospital universitário do Nordeste brasileiro. Foram selecionados pacientes com idade entre 19 e 80 anos, internados nas clínicas médica e cirúrgica do referido hospital. Os dados antropométricos aferidos foram peso atual, altura, circunferência do braço e altura do joelho. Para comparação entre medidas estimadas e aferidas, foi utilizado o teste t pareado de Student e, para as variáveis categóricas, o teste do Qui-quadrado de Pearson. Adotou-se como nível de significância estatística o valor de p<0,05. Resultados: Ao comparar os resultados das medidas aferidas com os das equações preditivas, foi observada uma subestimação nas medidas estimadas de peso (-3,3%), altura, (-4,5%), levando à subestimação na taxa metabólica basal (-6%) e necessidades energéticas (-6%) e uma superestimação nos valores de Índice de Massa Corporal (+5%) em relação às medidas aferidas, resultando numa subestimação no total de pacientes com baixo peso e eutróficos e superestimação daqueles com sobrepeso e obesidade. Conclusão: A análise da precisão das equações preditivas nos pacientes do estudo demonstrou que houve subestimação no total de indivíduos com baixo peso e eutróficos e superestimação daqueles com sobrepeso e obesidade. Baseado nos percentuais de subestimação encontrados ao comparar as medidas estimadas com as aferidas nos pacientes da amostra, sugere-se um ajuste de 3,3% no peso e 4,5% na altura para correção das equações preditivas.(AU)

Introduction: The predictive equations of body weight and stature were created with reference to American individuals, therefore, before the distinction of populations, it becomes necessary to be analyzed. Thus, the objective of the study was to analyze the predictive equations of weight and stature, proposing a percentage of adjustment to fit them. Methods: Cross-sectional study carried out in a university hospital in Brazilian northeastern. Patients aged between 19 and 80 years old admitted to the medical and surgical clinics of the referred hospital were selected. The anthropometric data measured were current weight, stature, arm circumference, calf circumference and knee height. The paired t-test of Student was used to compare the estimated and measured measurements. For the categorical variables, the Pearson Chi-square test was used. The level of statistical significance was set at p<0,05. Results: When comparing the results of the measures measured with those of the predictive equations, there was an underestimation in the estimated measures of weight (-3.3%), stature (-4.5%), leading to a underestimation of basal metabolic rate (-6%) and estimated energy requirements (-6%) and an overestimation in the values of Body Mass Index (+5%) in relation to the measures measured, resulting in an underestimation in the total of patients with low weight and eutrophic, and overestimation of those with overweight/ obesity. Conclusion: The analysis of the precision of the predictive equations in the study patients showed that there was an underestimation in the total of individuals with low weight and eutrophic and overestimation of those with overweight and obesity. Based on the underestimation percentages found when comparing the estimated measures with those measured in the patients in the sample, an adjustment of 3.3% in weight and 4.5% in stature for correcting the predictive equations is suggested.(AU)

Neck circumference as screening measure for identifying adolescents with overweight and obesity

OBJECTIVE: To study the neck circumference (NC) cut-off points for identifying excess body weight levels in adolescents from age between 12-17 years METHODS: Cross-sectional study was conducted using the data from a Brazilian multicentric project called Study of Cardiovascular Risks in Adolescents - ERICA, which included adolescents with age between 12-17 years' residents in two Brazilian cities from the Northeast part of Brazil. Anthropometric measurements and blood pressure data were collected from the adolescent's sample. The mean average in between the adolescents' groups was compared using the Mann-Whitney. The correlation was estimated by Spearman correlation coefficient to evaluate the association between the NC and other anthropometric variables like age, waist circumference (WC), body mass index (BMI) and blood pressure. The ROC curve was used to analyze the predictive validation of NC as well as to determine the cut-off point of overweight and obesity identification among the adolescents RESULTS: This study comprised 1474 adolescents with a mean age of 14.59 ± 1.57 years, in which 55.3% were female. It was found a positive correlation between NC and WC; NC and BMI. The cutoff point for overweight according to the NC for male adolescents aged 12 to 14 years was equivalent to 34.1 cm and for females 32.05 cm. The adolescent male aged 15 to 17 years group the cutoff point was 36.85 cm and for women 32,95 cm. The cutoffs points for obesity according to the NC for male adolescents aged 12 to 14 years was 34.9 cm and for females 33.85 cm. In the age group 15-17 years, the cutoff point for obesity for males was 38.4 cm and for females 35.85 cm CONCLUSIONS: The neck circumference represented significant correlation among waist circumference and body mass index well stablished indicators of adiposity and can identify adolescents with high body mass index.

OBJETIVO: Identificar pontos de corte de acordo com a circunferência do pescoço (CP) para determinação dos níveis de excesso de peso em adolescentes MÉTODO: Estudo transversal com adolescentes entre 12 e 17 anos, residentes em dois municípios do nordeste brasileiro. Foram coletados dados antropométricos e Pressão Arterial (PA). Foi realizado o teste de Mann-Whitney para comparação dos dados e o Coeficiente de Correlação de Spearman para associação entre a CP e outras variáveis antropométricas como a idade, circunferência da cintura (CC), Índice de Massa Corporal (IMC) e a PA. Foi analisada a validade preditiva da CP na determinação de pontos de corte para identificação do excesso de peso nos adolescentes. RESULTADOS: A amostra foi composta por 1474 adolescentes com idade média de 14,59 ± £,££ anos, sendo 55,3 % do gênero feminino. Foi encontrada uma correlação positiva entre CP e CC e CP e IMC. De acordo com a CP, os pontos de corte para identificação de sobrepeso na faixa etária entre 12 e 14 anos foi equivalente a 34,1 cm para meninos e 32,05 cm para meninas. Na faixa etária entre 15 e17 anos foi 36,85 cm para meninos e 32,95 cm para meninas. Os pontos de corte para obesidade na faixa etária entre 12 e 14 anos foi 34,9 cm para meninos e 33,85 cm para meninas. Na faixa etária entre 15-17 anos, o ponto de corte para a obesidade foi 38,4 cm para meninos e 35,85 cm para meninas. CONCLUSÕES: A Circunferência do Pescoço apresentou correlação significativa com a CC e o IMC, indicadores bem estabelecidos de adiposidade, podendo identificar adolescentes com sobrepeso e obesidade.

Estudo comparativo da evolução nutricional de pacientes candidatos à cirurgia bariátrica assistidos pelo Sistema Único de Saúde e pela Rede Suplementar de Saúde / Comparative study of the nutritional evolution of patients/candidates for bariatric surgery attended by the Unified Health System and the Supplemental Health Network

Foi realizado um estudo transversal comparativo sobre a evolução nutricional de pacientes obesos graves candidatos à cirurgia bariátrica assistidos pelo Sistema Único de Saúde (SUS) e a Rede Suplementar de Saúde (RS). O tempo médio de acompanhamento pré-operatório foi 14,3 ± 7,7meses no SUS e 2,4 ± 1,7meses na RS. Houve predominância feminina entre os pacientes assistidos pelo SUS (80,6%) e pela RS (75,7%). Foi observada uma redução significativa do peso, do IMC e na Circunferência da Cintura (CC) e nos valores de Colesterol Total dos pacientes de ambas as redes de saúde. Os pacientes assistidos pelo SUS não apresentaram diminuição significativa nos valores de LDL, Triglicérides e Glicemia de Jejum, enquanto que os pacientes assistidos pela RS apresentaram uma redução significativa desses valores. A maior perda ponderal entre os pacientes do SUS explica-se pelos mesmos terem sido acompanhados por um tempo mais longo. A redução insignificante da maioria dos indicadores bioquímicos dos pacientes do SUS pode ser justificada pelos mesmos apresentarem um grau mais avançado da obesidade.

A cross-sectional comparative study was conducted on the nutritional evolution of severely obese patients who are candidates for bariatric surgery attended by the Unified Health System (SUS) and the Supplemental Health Network (RS). The average preoperative follow-up period was 14.3 ± 7.7 months in the SUS and 2.4 ± 1.7 months in the RS. There was a predominance of females among patients attended by the SUS (80.6%) and by the RS (75.7%). A significant reduction in weight, BMI and waist circumference (WC) and total cholesterol values of patients of both health networks was observed. Patients attended by the SUS showed no significant decrease in LDL, Triglycerides and Fasting Glycemia, while patients assisted by the RS showed a significant reduction of these values. The greater weight loss among SUS patients is explained by the fact that they had been monitored for a longer period. The insignificant reduction of most biochemical indicators of SUS patients can be justified by the fact that they had a more advanced degree of obesity.

Bariatric surgery reverses metabolic risk in patients treated in outpatient level / Cirurgia bariatrica reverte risco metabolico em pacientes assistidos em nivel ambulatorial

Background : The conventional treatment of obesity presents unsatisfactory results on weight loss and its long-term sustainability, therefore bariatric surgery has been suggested as an effective therapy, determining sustainable long-term weight loss, reversal of components of cardiometabolic risk and improved quality and life expectancy. Aim : To investigate the clinical component of the cardiometabolic risk in patients undergoing bariatric surgery assisted on outpatient basis. Methods : The sample consisted of 47 patients with ages between 18 and 60 years, 72% females. Diabetes mellitus, hypertension, and dyslipidemia were prospectively evaluated by using the Assessment of Obesity-Related Co-morbidities scale. Results : Occurred improvement in these co-morbidities within 12 months after surgery. Co-morbidities resolved were greater than those improved. Conclusion : The study revealed that the Assessment of Obesity-Related Co-morbidities is a system that can be effectively used to quantify the degree of reduction of the severity of the cardiometabolic risk in response to bariatric surgery. .

Racional : Diante dos resultados insatisfatórios do tratamento convencional da obesidade na perda ponderal e na sua sustentabilidade em longo prazo, a cirurgia bariátrica vem sendo apontada como terapêutica eficaz, determinando perda ponderal sustentável em longo prazo, reversão de componentes do risco cardiometabólico e melhora da qualidade e expectativa de vida. Objetivo : Acompanhar a evolução clínica dos componentes do risco cardiometabólico em pacientes submetidos à cirurgia bariátrica. Métodos : A amostra constituiu-se de 47 pacientes de 18 a 60 anos de idade, 72% do sexo feminino. A evolução clínica das comorbidades diabete melito, dislipidemia e hipertensão arterial, foi quantificada, procedendo-se ao cálculo de escores relativos à Avaliação das Comorbidades Relacionadas à Obesidade. Resultados : Houve redução significativa do escore médio de todas as comorbidades relacionadas à obesidade, desde a admissão até os 12 meses seguintes. Independente do momento de assistência nutricional, o contingente de pacientes que as tiveram revertidas superou aqueles apenas melhoradas. Conclusão : O estudo revelou que a Avaliação das Comorbidades Relacionadas à Obesidade é sistema efetivo para quantificar o grau de redução da gravidade do risco cardiometabólico em resposta à cirurgia bariátrica. .