Compulsão alimentar na cirurgia bariátrica: características antropométricas, bioquímicas e comportamentais

Abstract

Bariatric surgery is considered the most efficient resource in the treatment of obesity, much is known about the gains caused by this procedure, however the aspects related to its negative outcomes are still poorly addressed, especially those related to the presence of binge eating in the postoperative period. later operation. Thus, the aim of the present study was to evaluate the influence of behaviors suggestive of binge eating on anthropometric, biochemical and behavioral parameters of post-bariatric patients. This is a cross-sectional study, in which patients of both sexes, over 18 years of age, with at least 1 year postoperatively and at least 6 months without nutritional follow-up, were selected. The presence of binge eating was observed through the binge eating scale, in addition to this, the level of physical activity, alcohol use and quality of life were also evaluated. In addition, anthropometric (weight, height, % fat mass and % fat-free mass) and biochemical (chromium, magnesium, lipid and glucose profiles) were evaluated, in addition to qualitative and quantitative analysis of food consumption. We evaluated 70 individuals, 94.21% women, median age 44 years, median BMI 31.5 kg/m², 42% had behaviors suggestive of binge eating (CTCA). For this group, a higher rate of weight regain was observed, and a lower rate of excess weight loss, in addition to a higher rate of fat mass and lower fat-free mass when compared to the others. Serum magnesium values were lower and insulin higher in the CTCA group. In addition, there was a greater daily consumption of calories, carbohydrates and trans fat in the CTCA group, in the qualitative evaluation, it was observed that the individuals studied had about 30% of their daily calories from ultra-processed foods. When analyzing the episodes of binge eating, it was noted that the median caloric intake was 432.17 kcal, reaching 1,639.81 kcal, at these times the consumption of ultra-processed foods 81.26%. Finally, the CTCA group also had lower quality of life indices. In view of all the results presented, it was possible to verify that binge eating disorder is a condition that causes both physical damage, weight relapse and the appearance of comorbidities, as well as psychological damage, thus causing an important reduction in the quality of life of these individuals