Bariatrik cerrahi sonrası akut dönem vücut kompozisyon değişimlerinin cinsiyet ve anatomik bölgeye göre değerlendirilmesi

Yıl 2020, Cilt: 13 Sayı: 3, 665 - 675, 18.09.2020

Mustafa Atabey Muhammed Raşid Aykota Sevda Yılmaz

https://doi.org/10.31362/patd.742674

Öz

Amaç: Bariatrik cerrahi (BC) akut kilo
kaybına neden olur, ancak vücut kompozisyonundaki postoperatif erken dönem
değişiklikler üzerindeki etkisi hakkında yeterli bilgi yoktur. Bu çalışmada,
Mini gastrik bypas (MGB) ve Sleeve gastrektomi (SG) sonrası ilk aydaki vücut
kompozisyon değişiklikleri cinsiyet ve anatomik bölgeye göre incelenmiştir.

Gereç ve yöntem: MGB ve SG öncesi ve postoperatif 1 ay
sonra 100 morbid obez hastada (70 kadın, 30 erkek) vücut kompozisyonu (üst
ekstremite, alt ekstremite, gövde kas ve yağ oranları) ayrıca tüm vücut yağ
doku ve yağsız doku kütlesi Biyoelektrik Empedans Analizi (BIA) teknolojisi
kullanılarak ölçüldü.

Bulgular: MGB sonrası kadın ve erkeklerde hem tüm vücut
yağ kütlesinde (p=0,071) hem de yağsız doku kütlesinde (p=0,781)
azalma gerçekleşmiştir. Ayrıca MGB sonrası tüm gruplarda kas kütle kaybı
istatistiksel olarak anlamlı değildir. Ancak SG sonrası kadınlarda anlamlı yağ
doku kaybı oluşurken (p=0,014) erkeklerde yağsız doku kütlesinde (p=0,029)
ve üst ekstremite kas kütlesinde (p=0,001)
anlamlı azalma tespit edilmiştir.

Sonuç: Çalışmamız bariatrik cerrahinin akut kilo kaybına neden
olduğunu ve hem tüm vücut yağ kütlesi hem de yağsız doku kütlesinin
etkilendiğini ve bazı anatomik bölgelerde kas kaybının yağ kaybından daha
yüksek olduğunu açıkça göstermektedir. Bariatrik cerrahi sonrası akut dönemde
vücut kompozisyonundaki değişimlerin cinsiyet ve yapılan cerrahi prosedüre göre
farklılıklar içerebileceği bulunmuştur. Kas kütle kaybının uzun vadede zararlı
sonuçları olabileceğinden, bariatrik cerrahi sonrası beslenme stratejilerinin
mümkün olan en kısa sürede belirlenmesi gerekmektedir. 

Anahtar Kelimeler

Mini Gastrik Bypas, sleeve gastrektomi, vücut kompozisyonu, yağ doku kütlesi, yağsız doku kütlesi

Destekleyen Kurum

yok

Proje Numarası

yok

Evaluation of body composition changes after bariatric surgery according to gender and anatomical region

Öz

Purpose: Bariatric surgery induces acute
weight loss, but there is insufficient information about its effect on
postoperative early changes in body composition (BC). In this study, BC changes
in the first month after Mini gastric bypass (MGB) and Sleeve gastrectomy (SG)
were examined according to gender and anatomical region.

Materials and methods: Body composition
changes in 100 morbidly obese patients (70 women, 30 men) after MGB and SG were
measured using Bioelectrical Impedance Analysis (BIA) technology.

Results: After MGB, both men and women had a
reduction in both their body fat (p=0.071) and lean tissue mass (p=0.781).
In addition, muscle mass loss was not statistically significant in all groups
after MGB. However, after SG, significant fat tissue loss occurred in women (p=0.014),
whereas in men, there was a significant decrease in lean tissue mass (p=0.029)
and upper limb muscle mass (p=0.001).

Conclusion: Our study clearly shows that
bariatric surgery induces acute weight loss and that both whole-body fat and
lean tissue mass are affected, and muscle loss in some anatomical regions is
higher than fat loss. It has been found that changes in body composition in the
early period after bariatric surgery may include differences according to
gender and surgical procedure. Since muscle mass loss can have harmful
consequences in the long term, nutritional strategies should be determined as
soon as possible after bariatric surgery.

Anahtar Kelimeler

mini gastric bypass, sleeve gastrectomy, body composition, fat mass, lean tissue mass

Proje Numarası

yok

Kaynakça

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