Body composition assessed by dual-energy x-ray absorptiometry on metabolic profile and cardiovascular risk in obese patients prior to bariatric surgery.
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2023
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BACKGROUND: Fat, muscle, and bone are endocrine organs capable of affecting
the metabolic profile and cardiovascular risk. Relating these components is important to the
establishment of early intervention strategies for overweight patients. AIMS: This study aimed to
evaluate the influence of body mass components on the metabolic profile and cardiovascular risk in
the preoperative period of bariatric surgery. METHODS: A cross-sectional study was conducted with
patients admitted for bariatric surgery at a university hospital in the city of Recife, Brazil, between 2018
and 2019. Body composition was determined using dual-energy x-ray absorptiometry. Cardiovascular
risk was assessed using the Framingham risk score. Data were collected on anthropometric, clinical,
and lifestyle characteristics. The lipid profile (total cholesterol, high-density lipoprotein cholesterol,
low-density lipoprotein cholesterol, and triglycerides), blood glucose, and vitamin D were determined
using the standard methods of the hospital laboratory. RESULTS: A total of 60 patients were analyzed,
86.7% of whom had comorbidities, 33.3% had moderate/high cardiovascular risk, and 71.4% had
vitamin D insufficiency/deficiency. Lower lean body mass (adjusted PR 3.24; 95%CI 1.19–5.77) was
independently associated with the severity of obesity. The body mass index and waist circumference
were negatively correlated with lean body mass (r=-0.52; p<0.01)/r=-0.36; p<0.01). Lean body mass
was negatively correlated with fat mass (r=-0.26; p<0.05), trunk fat (r=-0.29; p<0.05), fasting glucose
(r=-0.26; p<0.05), and bone mineral density (r=-0.26; p<0.05). A total of 84.2% of individuals with less
trunk fat tended to have low cardiovascular risk (p=0.05). However, physical inactivity (adjusted PR
2.14; 95%CI 1.19–5.54) and the risk of alcohol dependence (adjusted PR 2.41; 95%CI 1.76–4.15) were
the only variables independently associated with cardiovascular risk. CONCLUSION: Obese patients
in the preoperative period of bariatric surgery with less trunk fat tended to have low cardiovascular
risk. However, the other components of body mass were also not associated with cardiovascular risk.
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Obesity, Bariatric surgery, Composição corporal, Fatores de risco de doenças cardíacas
Citação
SÁ, C. M. A. T. de et al. Body composition assessed by dual-energy x-ray absorptiometry on metabolic profile and cardiovascular risk in obese patients prior to bariatric surgery. ABCD Arquivos Brasileiros de Cirurgia Digestiva, v. 36, artigo e1734, 2023. Disponível em: <https://www.scielo.br/j/abcd/a/LFDNFYNsYRKLQzKwQMpv8bv/>. Acesso em: 01 ago. 2023.