Perfil epidemiológico de pacientes obesos do Programa de Cirurgia Bariátrica de um hospital escola de Campo Grande - MS

Abstract

Just like a global epidemy, has been following the most morbid chronic diseases. The growing prevalence of overweight and obesity is associated to chronic diseases related to the diet (comorbidity), including diabetes mellitus type 2, arterial hypertension, cardiovascular diseases, osteoarthritis articulate, sleep apnea, hepatic esteatosis, some cancer types, menstrual irregularity, hirsutism, urinary incontinence, and psychological disorders. Objective: Identify the profile epidemiologist of morbid obesity patients in a University Hospital Bariatric Surgery Program in Campo Grande/MS. Methods: 252 patients from the NHU/UFMS Bariatric Surgery Clinic were retrospectived studied between February 2004 and April 2007. The patients were excluded prisoners, indigenous people, children under age and with mental illness. This study was approved by the Ethics Committee of UFMS as Protocol Nº 872. Statistical analysis was performed using the "Software" SigmaStat, version 2.0 and the program EpiInfo V.3.3.2 - fev.2005, considering differences, relationships and significant correlations when the level of significance, value of "p" was less than 0.05. The comparison between the patients who had obesity to less than 15 years and those who had obesity for 15 years or more, for the quantity of co-morbidities evaluated in this study, was evaluated by test not parametric Mann-Whitney. Results: Of 252 taken care of patients 80.15% were of feminine sex and 19.84% of the masculine sex; the average age was of 36,07±10,16 years; for about race 86.53% were white, 3.26% were mulatto, 5.31% were mediums brown and 4.90% blacks; for about origin 66.7% inhabited in Campo Grande /MS, 31.72% inhabited in other cities of MS and 1.58% inhabited outside of MS; for about to the clinical data the average variation of stature was of 1,62±0,10m, of weight 136,89±91,75kg and IMC 48,12±6,69Kg/m2; it had predominance of the co-morbidities: arterial hypertension 63.49%, dyspnea 55.56%, varicose veins 45.63% and depression 36.51%. Conclusion: The arterial hypertension in the obesity is the illness of bigger occurrence, followed by: dyspnea, varicose veins depression, as hypertension influenced by the BMI and obesity time. The obesity is a serious illness and complex it is essential to the performance of a multidisciplinary staff, where all the involved professionals have knowledge of the alterations provoked for the obesity and can assist and motivate the patient for the adjusted treatment, As obesity a serious disease and complex it is believed that the actions of a multidisciplinary team, with knowledge of the changes caused by obesity and can help motivate the patient for treatment.