Características antropométricas e metabólicas em obesos com transtorno alimentar
Características antropométricas e metabólicas em obesos com transtorno alimentar
Data
2015
Autores
Silva, Henyse G. V. da
Magalhães, Vera Cristina
Oliveira, Beatriz A.
Rosa, Juliana S.
Santos, Thaíza T
Moreira, Annie B
Journal Title
Journal ISSN
Volume Title
Publisher
HUPE - Hospital Universitário Pedro Ernesto
Resumo
O transtorno de compulsão alimentar periódica (TCAP) é um distúrbio psiquiátrico com alta morbidade, associado à obesidade e ao alto risco cardiovascular. O objetivo deste trabalho foi identificar alterações antropométricas e/ou metabólicas em obesos com TCAP e compará-las àqueles sem TCAP. Estudo transversal realizado no ambulatório do Napta/ UERJ, envolvendo 39 adultos obesos, sem doenças malignas ou consumptivas e medicamentos que interferissem nos re- sultados, sendo 22 com e 17 sem TCAP. As variáveis coletadas foram peso, estatura, perímetro da cintura, pressão arterial; e foram analisadas glicemia, perfil lipídico, dosagem de leptina, adiponectina e insulina, sendo calculado o Índice HOMA IR. Os dados foram expressos como média (desvio-padrão), sendo utilizados os testes: Qui-quadrado e t-Student. O valor de signi- ficância foi 5%. Amostra composta por 82% de mulheres, com elevada prevalência de hipertensão arterial, resistência insu- línica e sedentarismo, sem diferenças entre os grupos com ou sem TCAP. Todos apresentaram o perímetro da cintura acima da recomendação, mais de 60% apresentaram HDL-colesterol baixo e um terço, triglicerídeos elevados. Não houve diferença dos níveis de adiponectina nem de leptina entre obesos com ou sem TCAP, apesar de os valores estarem fora dos limites normais. Obesos, independentemente do diagnóstico de TCAP, têm elevado risco cardiovascular com alta prevalência de hipertensão arterial, dislipidemia, circunferência de cintura alterada e sedentarismo. Além disso, apresentam inflamação crônica de baixo grau com baixos níveis de adiponectina e altos de leptina. Entretanto, apesar de estas afirmativas terem sido confirmadas, não foram identificadas diferenças signifi- cativas entre obesos com o transtorno alimentar.
The binge eating disorder (BED), is a psychiatric disturb with great morbidity, is associated with obesity and increased risk of the cardiovascular diseases. As few studies were published in BED, the objective of this research was to identify anthro- pometric and metabolic in this group and compare with no BED obesity. A cross-sectional study was performed in the ambulatory of Napta/UERJ with 39 obese adults (BMI ≥ 30 kg/ m2) with no malignancy, consumptive disease nor taking any medicine that could interfere with the results were evaluated. Among them, 22 have BED and 17 do not. Weight, height, waist circumference, blood pressure, glycemic, leptin, adipo- nectin, insulin level and lipidogram were assessed. IR HOMA identified insulin resistance. The data were expressed as mean (standard deviation). Chi-square and t-Student tests were per- formed. The significance level was of 5%. Sample composed of 82% women, with a high prevalence of hypertension, insulin resistance and sedentary lifestyle, with no differences between the groups with or without BED. All the participants presented the waist measurement above the recommendation; more than 60% had low HDL cholesterol and a third of them pre- sented high triglycerides. There was no difference in levels of adiponectin and leptin in obese with or without BED, in spite of these being outside normal limits. Obese individuals despite BED have high cardiovascular risk, associated with high prevalence of hypertension, dyslipidemia, increased waist circumference and sedentariness. In addition, they have low-grade chronic inflammation associated with low level of adiponectin and high level of leptin. Although these affirmatives have been confirmed, no significant differences were observed in obese patient with eating binge disorder.
El trastorno de la compulsión alimenticia periódica (TCAP) es un trastorno psiquiátrico con alto índice de morbilidad, asocia- do con la obesidad y riesgo cardiovascular elevado. El objetivo de este estudio fue identificar los cambios antropométricos y/o metabólicos en pacientes obesos con TCAP y comparar- los con obesos sin el trastorno. Estudio transversal realizado en el ambulatorio de Napta/UERJ, con la participación de 39 adultos obesos, sin enfermedades malignas o consuntivas ni medicamentos que interfiriesen en los resultados, de los cuales 22 tienen TCAP y 17 no. Se recogieron las variables: peso, estatura, circunferencia de la cintura, presión arterial; y analizados la glucemia, lípidos sanguíneos, dosificación de leptina, adiponectina e insulina, se calculó el índice HOMA IR. Los datos presentados en media (desviación estándar), utilizándose las pruebas: Chi-cuadrado y t-Student. El valor de significación fue del 5%.La muestra compuesta en un 82% por mujeres, con alta prevalencia de hipertensión arterial, resistencia a la insulina y sedentarismo, sin diferencias entre los grupos con o sin TCAP. Todos presentaron la circunferencia
The binge eating disorder (BED), is a psychiatric disturb with great morbidity, is associated with obesity and increased risk of the cardiovascular diseases. As few studies were published in BED, the objective of this research was to identify anthro- pometric and metabolic in this group and compare with no BED obesity. A cross-sectional study was performed in the ambulatory of Napta/UERJ with 39 obese adults (BMI ≥ 30 kg/ m2) with no malignancy, consumptive disease nor taking any medicine that could interfere with the results were evaluated. Among them, 22 have BED and 17 do not. Weight, height, waist circumference, blood pressure, glycemic, leptin, adipo- nectin, insulin level and lipidogram were assessed. IR HOMA identified insulin resistance. The data were expressed as mean (standard deviation). Chi-square and t-Student tests were per- formed. The significance level was of 5%. Sample composed of 82% women, with a high prevalence of hypertension, insulin resistance and sedentary lifestyle, with no differences between the groups with or without BED. All the participants presented the waist measurement above the recommendation; more than 60% had low HDL cholesterol and a third of them pre- sented high triglycerides. There was no difference in levels of adiponectin and leptin in obese with or without BED, in spite of these being outside normal limits. Obese individuals despite BED have high cardiovascular risk, associated with high prevalence of hypertension, dyslipidemia, increased waist circumference and sedentariness. In addition, they have low-grade chronic inflammation associated with low level of adiponectin and high level of leptin. Although these affirmatives have been confirmed, no significant differences were observed in obese patient with eating binge disorder.
El trastorno de la compulsión alimenticia periódica (TCAP) es un trastorno psiquiátrico con alto índice de morbilidad, asocia- do con la obesidad y riesgo cardiovascular elevado. El objetivo de este estudio fue identificar los cambios antropométricos y/o metabólicos en pacientes obesos con TCAP y comparar- los con obesos sin el trastorno. Estudio transversal realizado en el ambulatorio de Napta/UERJ, con la participación de 39 adultos obesos, sin enfermedades malignas o consuntivas ni medicamentos que interfiriesen en los resultados, de los cuales 22 tienen TCAP y 17 no. Se recogieron las variables: peso, estatura, circunferencia de la cintura, presión arterial; y analizados la glucemia, lípidos sanguíneos, dosificación de leptina, adiponectina e insulina, se calculó el índice HOMA IR. Los datos presentados en media (desviación estándar), utilizándose las pruebas: Chi-cuadrado y t-Student. El valor de significación fue del 5%.La muestra compuesta en un 82% por mujeres, con alta prevalencia de hipertensión arterial, resistencia a la insulina y sedentarismo, sin diferencias entre los grupos con o sin TCAP. Todos presentaron la circunferencia
Description
Palavras-chave
Obesidade, Adulto, Doenças cardiovasculares, Obesity, Adult, Obesidad, Enfermedades cardiovasculares
Citação
Silva HGV, Magalhães VC, Oliveira BA, Rosa JS, Santos TT, Moreira AB. Características antropométricas e metabólicas em obesos com transtorno alimentar. Revista HUPE. 2015; 14 (3):14-19.