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Prospective cohort of parameters of glycemic and lipid metabolism after abdominoplasty in normal weight and formerly obese patiens.
Santos, Leandro R de A; da Costa, Paulo R; Maia, Thiago S; Junior, Armando Chiari; Resende, Vivian.
Afiliação
  • Santos LRA; Master in Sciences Applied to Surgery and Ophtalmology graduate program of the Medical School, Federal University of Minas Gerais, Belo Horizonte, Brazil.
  • da Costa PR; Surgery Department of the Medical School, Federal University of Minas Gerais, Belo Horizonte, Brazil.
  • Maia TS; Graduated at Medical School Federal, University of Minas Gerais, Belo Horizonte, Brazil.
  • Junior AC; Surgery Department of the Medical School and Head of the Plastic Surgery service at Clinical Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil.
  • Resende V; Surgery Department and Coordinator of the Sciences Applied to Surgery and Ophtalmology graduate program of the Medical School, Federal University of Minas Gerais, Belo Horizonte, Brazil.
JPRAS Open ; 37: 155-162, 2023 Sep.
Article em En | MEDLINE | ID: mdl-37560483
Background: Obesity poses a major risk for cardiovascular diseases, while it is almost a consensus that intra-abdominal adiposity has a more deleterious effect for metabolic syndrome. In this sense, it is speculated that lipectomy or liposuction would be metabolically harmful, as it changes the abdominal-superficial adipose tissue ratio. However, the literature has shown conflicting evidence. Methods: In order to evaluate the possibility of metabolism alteration resulting from body coutouring surgery, a prospective cohort was implemented with 35 patients who underwent abdominoplasty, including some with a history of massive weight loss. Fasting blood glucose, fasting plasma insulin, triglycerides, total cholesterol and fractions were requested preoperatively and in the third postoperative month. The groups were also compared with each other. Results: No statistically significant variation between the exams collected in the preoperative period and those collected after abdominoplasty was found. There was a statistically significant difference in LDL (low-density lipoprotein; p = 0.033) and non-HDL (non-high-density lipoprotein) cholesterol (p = 0.020) between the two control tests of the groups surveyed. There were also differences in comorbidities (p = 0.006) and complications (p <0.001) between the groups. Conclusions: Abdominoplasty was not able of changing tests that assess glycemic and lipid metabolism three months after the operation. Our attention was drawn to the fact that patients who had massive weight loss had better control of LDL cholesterol (p = 0.033) and non-HDL cholesterol (p = 0.020), despite having higher weight and body mass index (p <0.001).
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: JPRAS Open Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: JPRAS Open Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda