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Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss

Lifestyle and health-related quality of life (HRQoL) are good markers of surgical obesity treatment. This study aimed to investigate the lifestyle and HRQoL of patients at least five years after Roux-en-Y gastric bypass in public (SUS) and private (PVT) Brazilian healthcare systems. In this cross-se...

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Autores principales: Melendez-Araújo, Mariana S., do Carmo, Ariene Silva, Vieira, Flávio Teixeira, Lamarca, Fernando, Nakano, Eduardo Yoshio, Lima, Ricardo M., Dutra, Eliane Said, de Carvalho, Kênia Mara Baiocchi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419078/
https://www.ncbi.nlm.nih.gov/pubmed/37569034
http://dx.doi.org/10.3390/ijerph20156494
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author Melendez-Araújo, Mariana S.
do Carmo, Ariene Silva
Vieira, Flávio Teixeira
Lamarca, Fernando
Nakano, Eduardo Yoshio
Lima, Ricardo M.
Dutra, Eliane Said
de Carvalho, Kênia Mara Baiocchi
author_facet Melendez-Araújo, Mariana S.
do Carmo, Ariene Silva
Vieira, Flávio Teixeira
Lamarca, Fernando
Nakano, Eduardo Yoshio
Lima, Ricardo M.
Dutra, Eliane Said
de Carvalho, Kênia Mara Baiocchi
author_sort Melendez-Araújo, Mariana S.
collection PubMed
description Lifestyle and health-related quality of life (HRQoL) are good markers of surgical obesity treatment. This study aimed to investigate the lifestyle and HRQoL of patients at least five years after Roux-en-Y gastric bypass in public (SUS) and private (PVT) Brazilian healthcare systems. In this cross-sectional study, weight loss (WL), % of excess WL (%EWL), diet quality, physical activity, alcohol consumption, and HRQoL were evaluated. Analysis of covariance, binary and multinomial logistic regression, adjusted for confounders, were performed. The SUS group had more vulnerable socioeconomic statuses than the PVT group. Total %WL and % EWL were 24.64 ± 0.99% and 60.46 ± 2.41%, respectively, without difference between groups. In the Pain/Discomfort and Anxiety/Depression domains of HRQoL, more than 50% reported moderate problems without differences between groups. Processed food ingestion was higher in the PVT (132.10 ± 60.15 g/1000 kcal) than in the SUS (103.43 ± 41.72 g/1000 kcal), however, without statistical significance (p = 0.093). The PVT group showed lower physical activity (OR: 0.23; 95%CI: 0.87–0.63; p = 0.004) and a higher risk of alcohol-related problems (OR: 3.23; 95%CI; 1.03–10.10; p = 0.044) compared to SUS group. Participants generally achieved satisfactory WL, regardless of healthcare systems. However, PVT participants had unfavorable lifestyle characteristics, highlighting the need for studies investigating environmental issues post-bariatric surgery.
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spelling pubmed-104190782023-08-12 Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss Melendez-Araújo, Mariana S. do Carmo, Ariene Silva Vieira, Flávio Teixeira Lamarca, Fernando Nakano, Eduardo Yoshio Lima, Ricardo M. Dutra, Eliane Said de Carvalho, Kênia Mara Baiocchi Int J Environ Res Public Health Article Lifestyle and health-related quality of life (HRQoL) are good markers of surgical obesity treatment. This study aimed to investigate the lifestyle and HRQoL of patients at least five years after Roux-en-Y gastric bypass in public (SUS) and private (PVT) Brazilian healthcare systems. In this cross-sectional study, weight loss (WL), % of excess WL (%EWL), diet quality, physical activity, alcohol consumption, and HRQoL were evaluated. Analysis of covariance, binary and multinomial logistic regression, adjusted for confounders, were performed. The SUS group had more vulnerable socioeconomic statuses than the PVT group. Total %WL and % EWL were 24.64 ± 0.99% and 60.46 ± 2.41%, respectively, without difference between groups. In the Pain/Discomfort and Anxiety/Depression domains of HRQoL, more than 50% reported moderate problems without differences between groups. Processed food ingestion was higher in the PVT (132.10 ± 60.15 g/1000 kcal) than in the SUS (103.43 ± 41.72 g/1000 kcal), however, without statistical significance (p = 0.093). The PVT group showed lower physical activity (OR: 0.23; 95%CI: 0.87–0.63; p = 0.004) and a higher risk of alcohol-related problems (OR: 3.23; 95%CI; 1.03–10.10; p = 0.044) compared to SUS group. Participants generally achieved satisfactory WL, regardless of healthcare systems. However, PVT participants had unfavorable lifestyle characteristics, highlighting the need for studies investigating environmental issues post-bariatric surgery. MDPI 2023-08-01 /pmc/articles/PMC10419078/ /pubmed/37569034 http://dx.doi.org/10.3390/ijerph20156494 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Melendez-Araújo, Mariana S.
do Carmo, Ariene Silva
Vieira, Flávio Teixeira
Lamarca, Fernando
Nakano, Eduardo Yoshio
Lima, Ricardo M.
Dutra, Eliane Said
de Carvalho, Kênia Mara Baiocchi
Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss
title Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss
title_full Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss
title_fullStr Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss
title_full_unstemmed Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss
title_short Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss
title_sort long-term lifestyle habits and quality of life after roux-in-y gastric bypass in brazilian public versus private healthcare systems: beyond weight loss
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419078/
https://www.ncbi.nlm.nih.gov/pubmed/37569034
http://dx.doi.org/10.3390/ijerph20156494
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