Maximum respiratory pressure in obese individuals before and after bariatric surgery
DOI:
https://doi.org/10.33233/fb.v22i2.4155Keywords:
obesidade; cirurgia bariátrica; músculos respiratóriosAbstract
Obesity is a chronic and multifactorial, and is considered a global public health problem. Among the respiratory changes due to obesity, it is discussed how weight gain or loss of body weight can interfere with maximal respiratory pressures (PRM), and there is no consensus in the literature. Objective: To analyze the predictive power of the reference equations for maximal respiratory pressures in obese before and after weight loss. Methods: A cross-sectional study was carried out in which 20 obese patients were included in the Bariatric Surgery Programs of reference hospitals in Manaus/Amazonas, who had maximal respiratory pressures assessed by means of manuvacuometry before and approximately one year after bariatric surgery. Results: The mean weight decreased from 138.5 ± 21.7 kg to 82.7 ± 8.2 kg after surgery. The maximal respiratory pressures were supranormal before surgery and reduced after surgery. Among the analyzed equations, only those proposed by Sanchez et al. were able to predict the measured values. Conclusion: The maximal respiratory pressures were increased in the morbidly obese evaluated and reduced after the surgery. The most used equations in Brazilian clinical practice seem not to be able to predict maximal respiratory pressures values in this population, being the most adequate those proposed by Sanchez et al.
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Copyright (c) 2021 Luana Sanches Araújo, Cássio Daniel Araújo da Silva, Caroline Lima de Medeiros, Nayara de Oliveira Bitencourt, Camila Miriam Suemi Sato Barros do Amara, Fernanda Figueiroa Sanchez, Roberta Lins Gonçalves
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