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Vol. 22 No. 1 (2023)
Original Articles

Smoking in post-bariatric patients without regular medical follow-up and associated weight loss and regain: a cross-sectional study

Marcela P. Paula
Hospital Federal da Lagoa, Rio de Janeiro, RJ, Brazil. 
Bio
Eline C. Romagna
aculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. 
Bio
Diogo M. F. Mattos
Universidade Federal Fluminense, Niterói, RJ, Brazil.
Bio
Karynne G. Lopes
Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. 
Bio
Luiz Guilherme Kraemer-Aguiar
Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. 
Bio
DOI:

Published 2023-07-17

Keywords

  • Bariatric surgery,
  • Weight loss,
  • Smoking

How to Cite

1.
Marcela P. Paula, Eline C. Romagna, Diogo M. F. Mattos, Karynne G. Lopes, Luiz Guilherme Kraemer-Aguiar. Smoking in post-bariatric patients without regular medical follow-up and associated weight loss and regain: a cross-sectional study . BJHBS [Internet]. 2023 Jul. 17 [cited 2024 Oct. 12];22(1):23-9. Available from: /bjhbs/article/view/58
Crossref
Scopus

Abstract

Introduction: Obesity and smoking are associated with an increased risk of cardiovascular disease, reduced quality of life and premature mortality. The relationship between smoking and body weight changes in patients who underwent bariatric surgery is unclear. Objective: We studied post-bariatric patients without any current medical follow-up and compared smokers and non-smokers with regard to weight loss and regain. Methodology: Ninety-four patients post-Roux-en-Y gastric bypass (n=80) or Sleeve gastrectomy (n=14), aged 42±9 years, body mass index (BMI)=32.9±6.5kg/m2, were recruited in public outpatient care and allocated into two groups according to time since surgery < or ≥5 years (G<5y or G≥5y, respectively). They were further divided into smokers or non-smokers. Clinical history, physical examination, anthropometrics and hemodynamics measurements were obtained. Results: The prevalence of smoking was 12.8%. BMI, neck circumference, pre-surgical BMI, and rate of weight regain (RWR) were higher in the G≥5y group than in the G<5y (p≤0.03) one. No differences in excess weight loss (EWL) were observed between smokers and non-smokers in both groups (p≥0.15). Higher RWR was detected in non-smokers in G<5y (p=0.03), while no differences between smokers and non-smokers were found for RWR in G≥5y (p=0.37). Conclusion: Smoking habits do not appear to influence weight loss after surgery. However, a higher weight regain was detected in non-smokers who had less than 5 years since surgery. 

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