Efeito da fisioterapia contra-resistida com relação à massa corporal magra em pacientes no pós-operatório de cirurgia bariátrica

Abstract

-Background -Calculations of metabolic and physical activity are carried out from the active tissue in the body, known as lean body mass, which is the sum of fat-free lean mass to essential fat. Kinesiotherapy helps in weight strength and flexibility and can be applied in the patients recovery. Aim -In patients undergoing surgical treatment for morbid obesity are the objectives: 1) to evaluate the effect of physiotherapy counter resisted in lean mass; 2) to assess the factors associated with variations in lean body mass with physical therapy; 3) to compare the group of patients who lost lean mass to the one who won using physical therapy, analyzing the co-morbidities that interfered with these results. Method -The study included 100 patients operated on by Fobi-Capella technique divided into group A, patients who lost lean body mass measured in two periods (between 30 days and three months between three months and six months) and group B by the patients that gained lean body mass in at least period. Data collection was performed using the Electronic Multiprofessional Protocol of Metabolic and Bariatric Surgery with emphasis in Physical Therapy, identified as SINPE © (Integrated Electronic Protocols). The patients were evaluated pre-operatively and followed in the postoperative period in four phases: in the hospital, 30 days, three months and six months after the operation. Results -There were significant differences between the three assessments (p <0.001). By comparing the 30 days to three months, there was loss of lean body mass with statistical significance (p <0.001). Similarly, between 30 days and six months (p <0.001). However, the period between three months and six months did not show results with significance level (p <0.612), showing a tendency to maintain lean body mass. Conclusions -Physical therapy counter resisted helped in maintaining lean body mass between the periods of three months and six months; 2) elderly men, diabetic and dyslipidemic lost more lean mass; duration of obesity, cardiovascular and orthopedic disease not changed the lean mass; 3) groups A and B showed no significant differences for both gain and loss lean mass in relation to cardiovascular and orthopedic comorbidities, but patients with diabetes mellitus and dyslipidemia were more prevalent in Group A. ABCDDV/797RESUMO -Racional -Cálculos metabólicos e de atividade física são realizados a partir do tecido ativo presente no corpo, conhecido como massa corporal magra, que resulta da soma da massa magra isenta de gordura com a gordura essencial. A cinesioterapia é a musculação terapêutica que auxilia na força e flexibilidade. Objetivos -No paciente submetido a tratamento cirúrgico para obesidade mórbida: 1) avaliar o efeito da fisioterapia contra-resistida na massa magra; 2) avaliar os fatores associados às variações de massa corporal magra com tratamento fisioterapêutico; 3) comparar o grupo de pacientes que perdeu com o que ganhou massa magra com o tratamento fisioterapêutico, analisando as co-morbidades que interferira...

The Relation Among the Physical Activity Level During Leisure Time, Anthropometry, Body Composition, and Physical Fitness of Women Underwent of Bariatric Surgery and an Equivalent Group With No Surgery

“…The results on Table 3 confirm that the adoption of a healthy lifestyle, including the regular practice of physical activity contribute not only in the maintenance of the results acquired in the bariatric surgery 19 , but also enhance the general health conditions, and has an important role on the recuperation of the body mass lost during the first years after the surgery 18 .…”

“…This happens due to bad protein absorption and some intolerances acquired after the operation. The major part of the lean body mass consists of skeletal muscle mass and its lost reflects significantly on the decreasing of both static and dynamic muscle strength (physical fitness important aspects), and consequently decreasing the individuals functional capacity 11 , 19 , 28 .…”

Protocolo eletrônico multiprofissional em cirurgia bariátrica

“…Para exemplo, foi criado o protocolo específico de Fisioterapia em Cirurgia Bariátrica e Metabólica. Os resultados dos dados levantados com os pacientes incorporados atualmente neste protocolo é tema de outro trabalho 9 .…”

Abordagem fisioterapêutica no pós-operatório de cirurgia bariátrica: revisão sistemática

“…O tratamento fisioterapêutico por meio de exercícios físicos se tem destacado como o grande responsável na qualidade de vida pós-cirurgia bariátrica, sendo recomendado como um importante componente para promover o ganho de força e massa muscular, aumentar a demanda de energia, melhorar a densidade mineral óssea, a função cognitiva e a qualidade do sono [5,8].…”