Abstract:
INTRODUCTION:Obesity is held as the 21(st) Century epidemics. Multidisciplinary medical management has been insufficient and surgical techniques are more frequently used. Gastric bypass is considered the gold standard in bariatric surgery; however, some patients report low rates of weight loss, which leads to thinking about other conditioning factors. OBJECTIVE:To establish the factors associated to weight loss in a cohort of obese patients submitted to gastric bypass. METHODS:Analytical retrospective study. The study variable was weight loss, expressed as the percentage of excess body mass index lost (%EBMIL). A linear regression model of mixed effects was performed as well as a COX model of proportional risks. RESULTS:166 patients aged 19-69 years, most of them women (74.7%), were studied. The average baseline body mass index (BMI) was 46.9 ± 6.8 kg/m(2) and 46.3 ± 7.7 kg/m(2) for males and females, respectively. The multivariate analysis showed that for each 10.0 kg/m(2) in excess at the time of surgery, the PBMIEL decreased by 9.8% and that inadequate daily caloric intake decreased the PBMIEL by 4.0%. For each 10.0 kg/m(2) of baseline BMI, there was a 57.8% decrease in the likelihood of achieving a 50% weight loss. CONCLUSIONS:The patients with lower weight excess according to their BMI have a better response to bariatric surgery in terms of PBMIEL. :Introducción: La obesidad es catalogada como la epidemia del siglo XXI. El tratamiento médico multidisciplinario no ha sido suficiente y las técnicas quirúrgicas son empleadas con mayor frecuencia. El bypass gástrico es considerado el gold standard de la cirugía bariátrica, sin embargo, algunos pacientes reportan bajas tasas de pérdida de peso, lo que hace pensar en otros factores condicionantes. Objetivo: Establecer los factores asociados con la pérdida de peso, en una cohorte de pacientes obesos sometidos a bypass gástrico. Métodos: Estudio analítico retrospectivo. La variable respuesta fue la pérdida de peso, expresada en porcentaje del exceso de índice de masa corporal perdido (PEIMCP). Se realizó un modelo de regresión lineal de efectos mixtos y un modelo de riesgos proporcionales de COX. Resultados: Se estudiaron 166 pacientes entre 19 y 69 años, la mayoría mujeres (74,7%). Los hombres presentaron un índice de masa corporal (IMC) inicial promedio de 46,9 ± 6,8 kg/m2 y las mujeres de 46,3 ± 7,7 kg/m2. El análisis multivariado mostró que por cada 10,0 kg/m2 de mas al momento de la cirugía, disminuyó el PEIMCP en un 9,8% y un inadecuado consumo calórico diario disminuyó en un 4,0% el PEIMCP. Por cada 10,0 kg/m2 de IMC inicial, hubo una disminución del 57,8% en la probabilidad de lograr una pérdida de peso del 50%. Conclusiones: Los pacientes con menor exceso de peso según su índice IMC responden mejor a la cirugía bariátrica en términos del PEIMCP.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Giraldo Villa A,Serna López ÁM,Mustiola Calleja KG,López Gómez LM,Donado Gómez J,Toro Escobar JMdoi
10.3305/nh.2013.28.3.6176subject
Has Abstractpub_date
2013-05-01 00:00:00pages
623-30issue
3eissn
0212-1611issn
1699-5198journal_volume
28pub_type
杂志文章abstract::Nowadays, publications on probiotics have increased exponentially. However they usually are heterogeneous, use diverse strains and doses, and different outcomes, making it difficult to generalize their results. On the basis of the currently available literature, the use of probiotics is supported in the following dise...
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abstract::In the present study the effects of two cycloxygenase-2 (COX-2) selective inhibitors, celecoxib and nimesulide as compared to a non-selective COX inhibitor, aspirin was studied in the rat intestine. Female Wistar rats weighing between 150-175 g were divided into four groups having 8 animals each as follows: Group 1(Co...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract:INTRODUCTION:Body Mass Index (BMI) is one of the most used parameters in bariatric surgery. However, it does not discriminate the weight associated with adiposity. CUN-BAE formula is an equation that calculates Body Fat Percentage or adiposity, based on easily available values (age, sex and BMI). With this new classifi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.2.7581
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abstract:Introduction:Introduction: at present, it is precisely the Mediterranean countries whose characteristic lifestyle was recognized as a health paradigm and promoted to the rest of the world, those who are at mostly at risk, in which it becomes necessary the immediate development of strategies based on education that may ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.02685
更新日期:2019-07-02 00:00:00
abstract::The purpose of this review is to address methodological issues related to accelerometer-based assessments of physical activity (PA) in older individuals. Special interest is also put on recently updated technology. No definitive evidence exists currently to indicate which are the more valid and reliable accelerometer ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:tracheoesophageal fistula (TEF) may result from cancer or mechanical ventilation. Endoscopic Gastrostomy or Gastrojejunostomy (PEG/PEG-J) is used for nutritional support. OBJECTIVE:in TEF-patients, evaluating nutritional status when PEG is performed, safety of PEG/PEG-J and clinical outcome. METHODS:from t...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.2.9078
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the differences in frequency of fat-soluble vitamin deficiencies if we adjust their levels by its main carriers in plasma in patients undergoing Biliopancreatic diversion (BPD) and Roux-en-Y gastric bypass (RYGB). RESEARCH METHODS & PROCEDURES:We recruited 178 patients who underwent RYGB (n = 116...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.1.7471
更新日期:2014-07-01 00:00:00
abstract::A big proportion of patients with biliary and pancreatic surgery present preoperative malnourishment aggravated by perioperative fasting and additional therapies. Surgery of the pancreas and the biliary tract may cause digestive impairments, mainly absorptive, especially with fat malabsorption. Many studies have shown...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2008-05-01 00:00:00
abstract:INTRODUCTION:Obese adolescents have higher cardiovascular risk (CVR). Intima-media thickness (IMT) detects early arterial vascular compromise. OBJECTIVE:To evaluate whether obese adolescents have higher vascular compromise measured by IMT than nonobese adolescents, and if this is greater in those with metabolic syndro...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112012000100023
更新日期:2012-01-01 00:00:00
abstract::Sedentary behavior and physical exercise seem to influence the nutritional status of the population independently. In this sense, sedentary behavior is associated inversely with healthy eating patterns and directly with BMI, body fat, risk of chronic diseases and psychological problems. By contrast, regular exercise i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.sup1.9473
更新日期:2015-07-18 00:00:00
abstract:INTRODUCTION:Dual X-ray absorptiometry (DXA), air displacement plethysmography (ADP), bioelectrical impedance analysis (BIA) and anthropometry are four body composition methods that have been frequently used for the assessment of body fat percentage (%BF) in athletes. However, the agreement between these methods has no...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.760
更新日期:2017-10-24 00:00:00
abstract::Objetivos: oligoelementos como zinc (Zn), hierro (Fe) y cobre (Cu) tienen una influencia significativa en el mantenimiento de la función inmune y del metabolismo normales; modulan la función immune e influyen en la susceptibilidad del organismo ante infecciones. Pero la relación entre trazas de estos elementos y la br...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.97
更新日期:2016-03-25 00:00:00
abstract:INTRODUCTION:Necrotizing enterocolitis (NEC) is the most commonly acquired neonatal intraabdominal emergency and causes significant morbidity and mortality. A proposed strategy for the prevention of NEC in preterm infants is the administration of oral probiotics. The objective of the study is to analyze the efficacy an...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nutr hosp.v28in06.6901
更新日期:2013-11-01 00:00:00
abstract::Continuous physical exercise leads the athlete to maintain an unstable balance between dietary intake, energy expenditure and the additional demands of a high amount of physical activity. Thus, an accurate assessment of nutritional status is essential to optimize the performance, since it affects health, body composit...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.31.sup3.8770
更新日期:2015-02-26 00:00:00
abstract::The problems of disintubation and obstruction of nutritional catheters are common during treatment with enteral nutrition. This prospective study has been designed to evaluate the differences in the frequency of obstruction between two different types of enteral nutrition catheter. Catheter A (Silk, Ibys) with one sin...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract::One of the clearest indications for enteral nutrition is made up by patients who underwent treatment for orofacial pathology. In this way, we have reviewed retrospectively, 321 clinical histories of patients who underwent treatment (orofacial surgery), dividing these according to the pathology; neoplasia or non-neopla...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract:UNLABELLED:Stability of extemporaneous parenteral nutrition is a critical aspect of these formulations, with impact in patient safety and quality of service. In lipid emulsions physical stability can be assessed by the increase in the number of lipid globules of size superior than 500 nm, generated by coalescence of sm...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000300014
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Oncohematological diseases such as lymphoma or leukaemia affect an increasing number of newly diagnosed patients in Spain and other countries. Both disease and treatment may have a negatively impact in the nutritional status of the patient. Malnutrition is not uncommon among oncohematological patients. This ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2012.27.3.5863
更新日期:2012-05-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.3.6395
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Vitamin D and calcium play an important role in peak bone mass acquisition. Recent studies have suggested that vitamin D deficiency in children is widespread, mainly during infancy and adolescent years. However, the vitamin D status at others ages is unsufficiently investigated. OBJECTIVES:To determine the ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.6.6065
更新日期:2012-11-01 00:00:00
abstract::Introducción: el trastorno por atracón o "Binge Eating Disorders" (BED) se caracteriza por el consumo de grandes cantidades de comida en un breve periodo de tiempo acompañado de una sensación de falta de control sobre la ingesta. El BED se relaciona con una alimentación poco equilibrada, contribuyendo a la aparición d...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.799
更新日期:2016-11-29 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03205
更新日期:2020-12-16 00:00:00
abstract::Los datos del estudio PREDYCES® nos revelaron que en España la desnutrición relacionada con la enfermedad (DRE) afecta a uno de cada cuatro pacientes hospitalizados. Esta cifra aumenta hasta el 36,8% en los pacientes hematológicos. Se calcula que un 20% de los pacientes oncológicos muere por complicaciones relacionada...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.180
更新日期:2016-06-03 00:00:00
abstract:OBJECTIVE:To report the data of the Home Parenteral Nutrition (HPN) registry of the NADYA-SENPE working group for the year 2006. METHODOLOGY:We compiled the data from the on-line registry introduced by the responsible Units for the monitoring of HPN from January 1st to December 31st 2006. RESULTS:103 patients with HP...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract:INTRODUCTION:Food-Based Dietary Guidelines (FBDGs) are an initiative by the United Nations Food and Agriculture Organization (FAO) and the World Health Organization (WHO) designed to help countries establish their own nutrition education principles. Such principles should be expressed through clear and specific message...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.32.3.9362
更新日期:2015-09-01 00:00:00
abstract::Tube feeding is a widely used medical treatment for providing nutrition to terminally ill patients. Long term nutritional support in these patients or patients with irreversible neurological deterioration create a host of ethical and legal conflicts with difficult solutions. This work looks at the cultural and ethical...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:Introduction:Objective: iron deficiency anemia is associated with adverse results for health and it is highly prevalent worldwide. The current study evaluated the prevalence and the sociodemographic factors associated with iron deficiency anemia in a sample of Colombian pregnant women. Materials and methods: the second...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1895
更新日期:2019-03-07 00:00:00
abstract:OBJECTIVE:to determine if precipitation processes occur in parenteral nutrition solutions (PNs) with calcium gluconate and sodium glycerophosphate in the precipitation threshold limits of the Spanish SENPE/SEGHNP/SEFH 2008 consensus document of PN preparation. METHODS:seven PNs with different composition were prepared...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1861
更新日期:2018-10-05 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-09-01 00:00:00
abstract:INTRODUCTION:one of the main extradigestive manifestations of celiac disease is the decrease in bone mineral density (BMD). Bone densitometry performed with DXA is the method of choice for BMD assessment. Indications for its use in celiac children are controversial. OBJECTIVE:analyzing BMD and various clinical-analyti...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1510
更新日期:2018-06-04 00:00:00