Abandono de la terapia nutricional y pérdida de peso en pacientes bariátricos: Cohorte retrospectiva en Lima, Perú
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Autor
Giacchetti-Vega, MonicaBaquerizo-vonBerswordts, Pamela
Carbone-Moane, Camila
Bernabe-Ortiz, Antonio
Fecha de publicación
2017-04-04Palabras clave
Cirugía bariátricaObesidad mórbida
Terapia dietética
Abandono de pacientes
Gestión de la atención al paciente
xmlui.metadata.dc.contributor.email
[email protected]
Metadatos
Mostrar el registro completo del ítemOtros títulos
Diet and weight loss therapy dropout in bariatric patients: Retrospective cohort in Lima, PeruCitation
Abandono de la terapia nutricional y pérdida de peso en pacientes bariátricos: Cohorte retrospectiva en Lima, Perú 2017, 21 (1):18 Revista Española de Nutrición Humana y DietéticaJournal
Revista Española de Nutrición Humana y DietéticaDOI
10.14306/renhyd.21.1.271Enlaces adicionales
http://renhyd.org/index.php/renhyd/article/view/271Resumen
Introduction: The aims of this study were to determine the proportion of patients who meet international recommendations for bariatric surgery and to assess the association between weight loss and dropout rate during diet therapy. Material and Methods: Retrospective cohort study performed using data from clinical records of patients who underwent sleeve gastrectomy in a private clinic of Lima, Peru. Two outcomes were evaluated, eligibility for bariatric surgery according to international recommendations (BMI≥40kg/m2 or ≥35kg/m2 with comorbidities) and abandonment before and after starting nutritional management (no nutritional assessment after 60 days from the previous visit without achieving ideal BMI). The exposure was the percentage of weight lost in the first five weeks after surgery split into <10% and ≥10%. Poisson regression was used and relative risks and 95% confidence intervals (95%CI) were calculated. Results: Data from 423 medical records of bariatric patients, mean age 39.2 years (±12.3), 294 (69.5%) women, were analyzed. Only 117 (27.7%) patients met international recommendations for bariatric surgery. Before starting nutritional management, 48/117 (41%) abandoned treatment, whereas an additional 29/69 (42.0%) abandoned before six months of nutritional management. Patient losing ≥10% of weight in the first month had 90% lower risk (RR=0.10; 95%CI:0.01-0.68) of nutritional therapy dropout compared to those who lost <10% of weight, controlling for sex and age. Conclusions: A great proportion of patients undergoing bariatric surgery did not meet the international criteria. A greater loss of weight during the first month was associated a lower dropout rate during nutritional therapy.Tipo
info:eu-repo/semantics/articleDerechos
info:eu-repo/semantics/openAccessIdioma
spaISSN
2174-51452173-1292
ae974a485f413a2113503eed53cd6c53
10.14306/renhyd.21.1.271
Scopus Count
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