Cardiometabolic risk factors of post-bariatric patients two years after COVID-19 pandemic onset: a longitudinal study

Abstract The COVID-19 pandemic’s prolonged extension may have had a long-term negative impact on weight and metabolic parameters associated with the effectiveness of bariatric surgery. The aim of this study was to assess the impact of the COVID-19 pandemic on cardiometabolic risk markers and weight...

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Main Authors: Raysa Manuelle Santos Rocha, Márcia Ferreira Cândido de Souza, Danielle Villela Costa, Larissa Monteiro Costa Pereira, Jamille Oliveira Costa, Rosely de Jesus Nascimento, Andreia Ferreira de Aragão Rabelo, Alex Menezes dos Santos-Junior, Mario Francisco Dantas de Santana-Filho, André Luiz de Jesus Morais, Leonardo Baumworcel, José Rodrigo Santos Silva, Marcos Antonio Almeida-Santos, Antônio Carlos Sobral Sousa
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-78792-7
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author Raysa Manuelle Santos Rocha
Márcia Ferreira Cândido de Souza
Danielle Villela Costa
Larissa Monteiro Costa Pereira
Jamille Oliveira Costa
Rosely de Jesus Nascimento
Andreia Ferreira de Aragão Rabelo
Alex Menezes dos Santos-Junior
Mario Francisco Dantas de Santana-Filho
André Luiz de Jesus Morais
Leonardo Baumworcel
José Rodrigo Santos Silva
Marcos Antonio Almeida-Santos
Antônio Carlos Sobral Sousa
author_facet Raysa Manuelle Santos Rocha
Márcia Ferreira Cândido de Souza
Danielle Villela Costa
Larissa Monteiro Costa Pereira
Jamille Oliveira Costa
Rosely de Jesus Nascimento
Andreia Ferreira de Aragão Rabelo
Alex Menezes dos Santos-Junior
Mario Francisco Dantas de Santana-Filho
André Luiz de Jesus Morais
Leonardo Baumworcel
José Rodrigo Santos Silva
Marcos Antonio Almeida-Santos
Antônio Carlos Sobral Sousa
author_sort Raysa Manuelle Santos Rocha
collection DOAJ
description Abstract The COVID-19 pandemic’s prolonged extension may have had a long-term negative impact on weight and metabolic parameters associated with the effectiveness of bariatric surgery. The aim of this study was to assess the impact of the COVID-19 pandemic on cardiometabolic risk markers and weight outcomes of post-bariatric patients. This is a longitudinal study carried out with patients who underwent bariatric surgery before the COVID-19 pandemic. Anthropometric, lipid, glycemic profile, blood pressure, eating behavior and physical activity parameters obtained through face-to-face consultations from 2019 to 2022 were evaluated. An increase in BMI (p = 0.001), percentage of weight gain (p < 0.001), postoperative weight regain rate (p = 0.002), fasting blood glucose (p < 0.001), and glycosylated hemoglobin (p < 0.001) was identified. There were reductions in the percentages of excess weight loss (p = 0.001) and physically active individuals (p = 0.016). These changes were only triggered after the pandemic years. Uncontrolled eating, emotional eating, and physical inactivity were identified as risk factors for weight gain during the pandemic. Prepandemic weight regain rate was risk factor for increased fasting blood glucose. Two years after the pandemic onset, the study participants exhibited increased rates of weight regain, reduced excess weight loss, and an increase in fasting blood glucose and glycosylated hemoglobin parameters.
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spelling doaj-art-9f38d589330340329b1cfd383af530782025-01-26T12:34:59ZengNature PortfolioScientific Reports2045-23222024-11-0114111010.1038/s41598-024-78792-7Cardiometabolic risk factors of post-bariatric patients two years after COVID-19 pandemic onset: a longitudinal studyRaysa Manuelle Santos Rocha0Márcia Ferreira Cândido de Souza1Danielle Villela Costa2Larissa Monteiro Costa Pereira3Jamille Oliveira Costa4Rosely de Jesus Nascimento5Andreia Ferreira de Aragão Rabelo6Alex Menezes dos Santos-Junior7Mario Francisco Dantas de Santana-Filho8André Luiz de Jesus Morais9Leonardo Baumworcel10José Rodrigo Santos Silva11Marcos Antonio Almeida-Santos12Antônio Carlos Sobral Sousa13Graduate Program in Health Sciences, Federal University of SergipeGraduate Program in Nutrition Sciences, Federal University of SergipeGraduate Program in Physiological Sciences, Federal University of Rio de JaneiroGraduate Program in Health Sciences, Federal University of SergipeGraduate Program in Health Sciences, Federal University of SergipeGraduate Program in Management and Technological Innovation in Healthcare, Federal University of SergipeUniversity Hospital of Sergipe, Federal University of SergipeGraduate Program in Nutrition Sciences, Federal University of SergipeGraduate Program in Nutrition Sciences, Federal University of SergipeGraduate Program in Health Sciences, Federal University of SergipeClinic and Hospital São Lucas/Rede D’Or São LuizDepartment of Statistics and Actuarial Sciences, Federal University of SergipePostgraduate Program in Health and Environment, Tiradentes UniversityGraduate Program in Health Sciences, Federal University of SergipeAbstract The COVID-19 pandemic’s prolonged extension may have had a long-term negative impact on weight and metabolic parameters associated with the effectiveness of bariatric surgery. The aim of this study was to assess the impact of the COVID-19 pandemic on cardiometabolic risk markers and weight outcomes of post-bariatric patients. This is a longitudinal study carried out with patients who underwent bariatric surgery before the COVID-19 pandemic. Anthropometric, lipid, glycemic profile, blood pressure, eating behavior and physical activity parameters obtained through face-to-face consultations from 2019 to 2022 were evaluated. An increase in BMI (p = 0.001), percentage of weight gain (p < 0.001), postoperative weight regain rate (p = 0.002), fasting blood glucose (p < 0.001), and glycosylated hemoglobin (p < 0.001) was identified. There were reductions in the percentages of excess weight loss (p = 0.001) and physically active individuals (p = 0.016). These changes were only triggered after the pandemic years. Uncontrolled eating, emotional eating, and physical inactivity were identified as risk factors for weight gain during the pandemic. Prepandemic weight regain rate was risk factor for increased fasting blood glucose. Two years after the pandemic onset, the study participants exhibited increased rates of weight regain, reduced excess weight loss, and an increase in fasting blood glucose and glycosylated hemoglobin parameters.https://doi.org/10.1038/s41598-024-78792-7Bariatric surgeryCardiometabolic risk factorsCOVID-19 pandemicEating behaviorWeight regain
spellingShingle Raysa Manuelle Santos Rocha
Márcia Ferreira Cândido de Souza
Danielle Villela Costa
Larissa Monteiro Costa Pereira
Jamille Oliveira Costa
Rosely de Jesus Nascimento
Andreia Ferreira de Aragão Rabelo
Alex Menezes dos Santos-Junior
Mario Francisco Dantas de Santana-Filho
André Luiz de Jesus Morais
Leonardo Baumworcel
José Rodrigo Santos Silva
Marcos Antonio Almeida-Santos
Antônio Carlos Sobral Sousa
Cardiometabolic risk factors of post-bariatric patients two years after COVID-19 pandemic onset: a longitudinal study
Scientific Reports
Bariatric surgery
Cardiometabolic risk factors
COVID-19 pandemic
Eating behavior
Weight regain
title Cardiometabolic risk factors of post-bariatric patients two years after COVID-19 pandemic onset: a longitudinal study
title_full Cardiometabolic risk factors of post-bariatric patients two years after COVID-19 pandemic onset: a longitudinal study
title_fullStr Cardiometabolic risk factors of post-bariatric patients two years after COVID-19 pandemic onset: a longitudinal study
title_full_unstemmed Cardiometabolic risk factors of post-bariatric patients two years after COVID-19 pandemic onset: a longitudinal study
title_short Cardiometabolic risk factors of post-bariatric patients two years after COVID-19 pandemic onset: a longitudinal study
title_sort cardiometabolic risk factors of post bariatric patients two years after covid 19 pandemic onset a longitudinal study
topic Bariatric surgery
Cardiometabolic risk factors
COVID-19 pandemic
Eating behavior
Weight regain
url https://doi.org/10.1038/s41598-024-78792-7
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