@article{Marcela P. Paula_Eline C. Romagna_Diogo M. F. Mattos_Karynne G. Lopes_Luiz Guilherme Kraemer-Aguiar_2023, place={Rio de Janeiro - RJ, Brazil}, title={Smoking in post-bariatric patients without regular medical follow-up and associated weight loss and regain: a cross-sectional study }, volume={22}, url={/bjhbs/article/view/58}, DOI={10.12957/bjhbs.2023.76948}, abstractNote={<p><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">Introduction</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">: </span><span class="NormalTextRun SCXW228063752 BCX0">Obesity and smoking are associated with an increased risk of cardiovascular disease, </span><span class="NormalTextRun SCXW228063752 BCX0">reduced</span> <span class="NormalTextRun SCXW228063752 BCX0">quality of life</span><span class="NormalTextRun SCXW228063752 BCX0"> and</span> <span class="NormalTextRun SCXW228063752 BCX0">premature</span> </span><span class="TextRun Highlight SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">mortality</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">. </span><span class="NormalTextRun SCXW228063752 BCX0">The relationship between smoking and </span><span class="NormalTextRun SCXW228063752 BCX0">body weight</span><span class="NormalTextRun SCXW228063752 BCX0"> changes in patients who underwent bariatric surgery is unclear</span><span class="NormalTextRun SCXW228063752 BCX0">.</span></span> <span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">Objective: </span></span><span class="TextRun Highlight SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">We </span><span class="NormalTextRun SCXW228063752 BCX0">studied</span> <span class="NormalTextRun SCXW228063752 BCX0">post-bariatric patients without any current medical follow-up and compared smokers </span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">and</span></span> <span class="TextRun Highlight SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">non-smokers </span><span class="NormalTextRun SCXW228063752 BCX0">with regard</span><span class="NormalTextRun SCXW228063752 BCX0"> to weight loss and regain</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">. </span><span class="NormalTextRun SCXW228063752 BCX0">Met</span><span class="NormalTextRun SCXW228063752 BCX0">ho</span><span class="NormalTextRun SCXW228063752 BCX0">dology</span><span class="NormalTextRun SCXW228063752 BCX0">: </span><span class="NormalTextRun SCXW228063752 BCX0">Ninety-four patients post-Roux-en-Y gastric bypass (n=80) or Sleeve gastrectomy (n=14), aged 42±9 years, </span><span class="NormalTextRun SCXW228063752 BCX0">body mass index (BMI)</span><span class="NormalTextRun SCXW228063752 BCX0">=32.9±6.</span><span class="NormalTextRun SCXW228063752 BCX0">5kg</span><span class="NormalTextRun SCXW228063752 BCX0">/m</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun Superscript SCXW228063752 BCX0" data-fontsize="12">2</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">,</span><span class="NormalTextRun SCXW228063752 BCX0"> were recruited in public outpatient care and allocated into </span><span class="NormalTextRun SCXW228063752 BCX0">two </span><span class="NormalTextRun SCXW228063752 BCX0">groups according to time since surgery < or ≥</span><span class="NormalTextRun SCXW228063752 BCX0">5 years (G<5y or G≥5y, respectively). They were further divided into smokers or non-smokers. Clinical history, physical examination, anthropometric</span><span class="NormalTextRun SCXW228063752 BCX0">s</span><span class="NormalTextRun SCXW228063752 BCX0"> and hemodynamics measurements were obtained</span><span class="NormalTextRun SCXW228063752 BCX0">. Results: </span><span class="NormalTextRun SCXW228063752 BCX0">The prevalence </span><span class="NormalTextRun SCXW228063752 BCX0">of</span><span class="NormalTextRun SCXW228063752 BCX0"> smoking was 12.8%</span><span class="NormalTextRun SCXW228063752 BCX0">. </span><span class="NormalTextRun SCXW228063752 BCX0">BMI, neck circumference, pre</span><span class="NormalTextRun SCXW228063752 BCX0">-surgical</span><span class="NormalTextRun SCXW228063752 BCX0"> BMI, and </span></span><span class="TextRun SCXW228063752 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">rate of weight regain (RWR)</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0"> were higher in </span><span class="NormalTextRun SCXW228063752 BCX0">the </span><span class="NormalTextRun SCXW228063752 BCX0">G≥5y </span><span class="NormalTextRun SCXW228063752 BCX0">group</span><span class="NormalTextRun SCXW228063752 BCX0"> than in </span><span class="NormalTextRun SCXW228063752 BCX0">the </span><span class="NormalTextRun SCXW228063752 BCX0">G<5y</span><span class="NormalTextRun SCXW228063752 BCX0"> (</span><span class="NormalTextRun SCXW228063752 BCX0">p</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">≤</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">0.03</span><span class="NormalTextRun SCXW228063752 BCX0">)</span><span class="NormalTextRun SCXW228063752 BCX0"> one</span><span class="NormalTextRun SCXW228063752 BCX0">.</span><span class="NormalTextRun SCXW228063752 BCX0"> No differences in excess weight loss (EWL) </span><span class="NormalTextRun SCXW228063752 BCX0">were observed </span><span class="NormalTextRun SCXW228063752 BCX0">between smokers </span><span class="NormalTextRun SCXW228063752 BCX0">and</span> <span class="NormalTextRun SCXW228063752 BCX0">non-smokers in both groups (</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">p</span><span class="NormalTextRun SCXW228063752 BCX0">≥</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">0.15). Higher RWR was detected in non-smokers in G<5y (</span><span class="NormalTextRun SCXW228063752 BCX0">p</span><span class="NormalTextRun SCXW228063752 BCX0">=0.03), while no differences between smokers </span><span class="NormalTextRun SCXW228063752 BCX0">and</span></span> <span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">non-smokers were found for </span><span class="NormalTextRun SCXW228063752 BCX0">RWR</span><span class="NormalTextRun SCXW228063752 BCX0"> in G≥5y (</span><span class="NormalTextRun SCXW228063752 BCX0">p</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">=</span></span><span class="TextRun SCXW228063752 BCX0" lang="EN" xml:lang="EN" data-contrast="auto"><span class="NormalTextRun SCXW228063752 BCX0">0.37)</span><span class="NormalTextRun SCXW228063752 BCX0">. </span><span class="NormalTextRun SCXW228063752 BCX0">Conclusion: </span><span class="NormalTextRun SCXW228063752 BCX0">Smoking habits </span><span class="NormalTextRun SCXW228063752 BCX0">do </span><span class="NormalTextRun SCXW228063752 BCX0">not </span><span class="NormalTextRun SCXW228063752 BCX0">appear </span><span class="NormalTextRun SCXW228063752 BCX0">to influence weight loss </span><span class="NormalTextRun SCXW228063752 BCX0">after </span><span class="NormalTextRun SCXW228063752 BCX0">surgery. However, a higher weight regain was detected in non-smokers</span><span class="NormalTextRun SCXW228063752 BCX0"> who had less than 5 years since surgery</span><span class="NormalTextRun SCXW228063752 BCX0">.</span></span><span class="EOP SCXW228063752 BCX0" data-ccp-props="{"201341983":0,"335551550":6,"335551620":6,"335559739":240,"335559740":360}"> </span></p>}, number={1}, journal={Ïã¸ÛÁùºÏ²Ê¿ª½±½á¹û}, author={Marcela P. Paula and Eline C. Romagna and Diogo M. F. Mattos and Karynne G. Lopes and Luiz Guilherme Kraemer-Aguiar}, year={2023}, month={Jul.}, pages={23–29} }