Cardiovascular Risk Assessment in the Immediate Postoperative Period of Bariatric Surgery

Objectives: Since obesity and overweight are strongly associated with cardiovascular diseases, we investigated cardiovascular events risk in individuals who lost weight through bariatric surgery. Methods: Serum levels of glucose, insulin, triacylglycerol, HDL cholesterol, non-HDLDL cholesterol, and...

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Main Authors: Letícia de Oliveira Souza Bratti, Ana Carolina Martins, Bruno Fonseca Nunes, Emerita Quintina de Andrade Moura, Ana Carolina Rabello de Moraes, Fabíola Branco Filippin-Monteiro
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Obesities
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Online Access:https://www.mdpi.com/2673-4168/5/1/5
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author Letícia de Oliveira Souza Bratti
Ana Carolina Martins
Bruno Fonseca Nunes
Emerita Quintina de Andrade Moura
Ana Carolina Rabello de Moraes
Fabíola Branco Filippin-Monteiro
author_facet Letícia de Oliveira Souza Bratti
Ana Carolina Martins
Bruno Fonseca Nunes
Emerita Quintina de Andrade Moura
Ana Carolina Rabello de Moraes
Fabíola Branco Filippin-Monteiro
author_sort Letícia de Oliveira Souza Bratti
collection DOAJ
description Objectives: Since obesity and overweight are strongly associated with cardiovascular diseases, we investigated cardiovascular events risk in individuals who lost weight through bariatric surgery. Methods: Serum levels of glucose, insulin, triacylglycerol, HDL cholesterol, non-HDLDL cholesterol, and lipoprotein ratios were assessed in patients with obesity before and after bariatric surgery, including a 6-month follow-up period. Results: Bariatric surgery significantly improved BMI, triglyceride levels, glucose, and insulin sensitivity. However, HDL cholesterol levels dropped sharply in the first month (<i>p</i> < 0.0001), coinciding with elevated atherogenic indices, indicating a transient increase in cardiovascular risk. By 6 months, indices improved significantly, HDL recovered, and LDL particle size increased, suggesting reduced atherogenic potential. Conclusions: Individuals undergoing bariatric surgery have a higher cardiovascular events risk in the immediate postoperative period. Health professionals should be aware of and monitor these patients closely.
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spelling doaj-art-a7b4a015da134bab9682eb3faffcaf2b2025-08-20T01:48:45ZengMDPI AGObesities2673-41682025-01-0151510.3390/obesities5010005Cardiovascular Risk Assessment in the Immediate Postoperative Period of Bariatric SurgeryLetícia de Oliveira Souza Bratti0Ana Carolina Martins1Bruno Fonseca Nunes2Emerita Quintina de Andrade Moura3Ana Carolina Rabello de Moraes4Fabíola Branco Filippin-Monteiro5Programa de Pós-Graduação em Farmácia, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis 88040900, BrazilPrograma de Pós-Graduação em Farmácia, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis 88040900, BrazilPrograma de Pós-Graduação em Farmácia, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis 88040900, BrazilLaboratório de Análises Clínicas, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis 88040900, BrazilPrograma de Pós-Graduação em Farmácia, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis 88040900, BrazilPrograma de Pós-Graduação em Farmácia, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis 88040900, BrazilObjectives: Since obesity and overweight are strongly associated with cardiovascular diseases, we investigated cardiovascular events risk in individuals who lost weight through bariatric surgery. Methods: Serum levels of glucose, insulin, triacylglycerol, HDL cholesterol, non-HDLDL cholesterol, and lipoprotein ratios were assessed in patients with obesity before and after bariatric surgery, including a 6-month follow-up period. Results: Bariatric surgery significantly improved BMI, triglyceride levels, glucose, and insulin sensitivity. However, HDL cholesterol levels dropped sharply in the first month (<i>p</i> < 0.0001), coinciding with elevated atherogenic indices, indicating a transient increase in cardiovascular risk. By 6 months, indices improved significantly, HDL recovered, and LDL particle size increased, suggesting reduced atherogenic potential. Conclusions: Individuals undergoing bariatric surgery have a higher cardiovascular events risk in the immediate postoperative period. Health professionals should be aware of and monitor these patients closely.https://www.mdpi.com/2673-4168/5/1/5bariatric surgerylipoprotein ratiosatherogenic indexescardiovascular riskcardiovascular disease
spellingShingle Letícia de Oliveira Souza Bratti
Ana Carolina Martins
Bruno Fonseca Nunes
Emerita Quintina de Andrade Moura
Ana Carolina Rabello de Moraes
Fabíola Branco Filippin-Monteiro
Cardiovascular Risk Assessment in the Immediate Postoperative Period of Bariatric Surgery
Obesities
bariatric surgery
lipoprotein ratios
atherogenic indexes
cardiovascular risk
cardiovascular disease
title Cardiovascular Risk Assessment in the Immediate Postoperative Period of Bariatric Surgery
title_full Cardiovascular Risk Assessment in the Immediate Postoperative Period of Bariatric Surgery
title_fullStr Cardiovascular Risk Assessment in the Immediate Postoperative Period of Bariatric Surgery
title_full_unstemmed Cardiovascular Risk Assessment in the Immediate Postoperative Period of Bariatric Surgery
title_short Cardiovascular Risk Assessment in the Immediate Postoperative Period of Bariatric Surgery
title_sort cardiovascular risk assessment in the immediate postoperative period of bariatric surgery
topic bariatric surgery
lipoprotein ratios
atherogenic indexes
cardiovascular risk
cardiovascular disease
url https://www.mdpi.com/2673-4168/5/1/5
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