This study analyzes the eating behavior and factors associated with the presence of disordered eating attitudes in patients undergoing bariatric surgery. It is a cross-sectional, descriptive, and analytical study conducted at a hospital in the Amazon region of Brazil. The Disordered Eating Attitude Scale reduced version (DEAS-s) was used to assess the risk of eating disorders and the Three-Factor Eating Questionnaire (TFEQ-R21) was used to characterize eating behavior. A total of 205 patients participated, with a mean age of 37.5 ± 8.6 years. The majority of participants were female (93.7%; p < 0.001), and the mean BMI was 45.3 ± 6.7 kg/m². It was found that cognitive restraint had the highest mean (52.6 ± 19.9; p < 0.001). As for the DEAS-s, the question with the highest mean response was “spending one or more days without eating or consuming only liquids to lose weight” (2.80 ± 1.99). Female participants had a higher score for emotional eating (p = 0.016). Disordered eating attitudes showed a correlation with emotional eating and uncontrolled eating. These results suggest that candidates for bariatric surgery may have susceptibility to eating disorders. The importance of a multidisciplinary team conducting monitoring during the preoperative period is highlighted.

Given the changes in the digestive tract post-bariatric surgery, adapting to a new pattern of eating behavior becomes crucial, with special attention to the specifics of chewing mechanics. This study aimed to investigate the association between self-perception of chewing, chewing behavior, and the presence of gastrointestinal symptoms in preoperative patients undergoing bariatric surgery. Sixty adult candidates for bariatric surgery at a public hospital in Belém (Brazil) were analyzed. Participants predominantly exhibited unilateral chewing patterns (91.6%), a fast chewing rhythm (73.3%), a large food bolus (80%), liquid intake during meals (36.7%), and 41.7% reported that chewing could cause some issue. Significant associations were found between the perception of causing problems and chewing scarcity (p = 0.006), diarrhea (p = 0.004), absence of slow chewing (p = 0.048), and frequent cutting of food with front teeth (p = 0.034). These findings reveal a relationship between the perception of chewing problems and chewing scarcity, presence of diarrhea, and fast chewing.

This study analyzes the eating behavior and factors associated with the presence of disordered eating attitudes in patients undergoing bariatric surgery. It is a cross-sectional, descriptive, and analytical study conducted at a hospital in the Amazon region of Brazil. The Disordered Eating Attitude Scale reduced version (DEAS-s) was used to assess the risk of eating disorders and the Three-Factor Eating Questionnaire (TFEQ-R21) to characterize eating behavior. A total of 205 patients participated, with a mean age of 37.5 ± 8.6 years, the majority being female (93.7%; p<0.001), the mean BMI was 45.3±6.7 kg/m2. It was found that cognitive restraint had the highest mean (52.6±19.9; p<0.001). As for the DEAS-s, the question with the highest mean was "spending one or more days without eating or consuming only liquids to lose weight" (2.80±1.99). Female participants had a higher score in the emotional eating (p=0.016). Disordered eating attitudes showed a correlation with emotional eating and uncontrolled eating. These results suggest that candidates for bariatric surgery may have susceptibility to eating disorders. The importance of a multidisciplinary team in monitoring during the preoperative period is highlighted.

Ciência Brasileira: Múltiplos olhares - Nutrição, Biologia, Biomedicina e Meio Ambiente (978-85-5722-655-5) - Associação Entre Triagem Nutricional E Avaliação Antropométrica De Pacientes Candidatos À Cirurgia Cardíaca Eletiva Em Um Hospital De Referência Em Belém-Pa

Este artigo teve como objetivo avaliar o risco cardiovascular em indivíduos adultos com transtornos mentais internados em um hospital de referência. Foi utilizado na metodologia o estudo descritivo, do tipo quantitativo, sendo investigado na pesquisa o perfil sociodemográfico, antropométrico e clínico. Para análise dos dados utilizou-se o teste G ou Qui-quadrado de independência seguido pela análise de resíduos do Qui-quadrado para testar associação entre as diferentes categorias de uma variável em dois ou mais grupos independentes, o teste T de Student foi usado para comparar as variáveis bioquímicas o nível de significância de 5% - p≤0,05. Obteve-se como resultado na população estudada predominância do sexo feminino, ensino fundamental incompleto, fora do mercado de trabalho, e residindo com seus familiares. A maioria apresentava diagnóstico de transtorno afetivo bipolar, estado nutricional de eutrofia e desnutrição, com risco para doenças cardiovasculares de acordo com índices antropométricos. Conclui-se com o estudo que indivíduos em tratamento psiquiátrico podem apresentar acúmulo de tecido adiposo na região abdominal, classificando-os com risco metabólico e cardiovascular, mesmo com eutrofia ou desnutrição. Além de apresentarem níveis baixos de HDL-c, que se relaciona a dislipidemias e riscos para a saúde e qualidade de vida.

OBJETIVO: Analisar os impactos da suplementação imunomoduladora em pacientes oncológicos eleitos à cirurgia do trato gastrointestinal por meio de uma revisão da literatura.MÉTODOS: Revisão de literatura, utilizando a base de dados PUBMED e Biblioteca Virtual em Saúde (BVS), com descritores: nutritional therapy, immunomodulation, surgery, gastrointestinal neoplasms. A pergunta de pesquisa foi: o que as publicações existentes apontam sobre os efeitos da suplementação imunomoduladora nos pacientes oncológicos eleitos à cirurgia do trato gastrointestinal? Foram incluídos: artigos originais em inglês, português ou espanhol, publicados nos últimos cinco anos e com seres humanos. Foram excluídos: artigos de revisão e metanálises. Os estudos selecionados conforme os critérios definidos, foram lidos na íntegra e extraídos os principais resultados encontrados.RESULTADOS: Foram selecionados 10 artigos. Dentre os diversos efeitos observados, destaca-se o efeito sobre as complicações infecciosas, no qual estudos apontaram menor incidência nos grupos de pacientes submetidos a suplementação imunomoduladora, além de otimizar a oferta de nutrientes e, consequentemente, o estado nutricional.CONCLUSÕES: A suplementação imunomoduladora parece contribuir com a redução de desfechos relacionados com complicações infecciosas.