Browsing by Author "Silva, Thales Philipe Rodrigues da"

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    Environmental and individual factors associated with quality of life of adults who underwent bariatric surgery : a cohort study.
    (2020) Lima, Marina Dayrell de Oliveira; Silva, Thales Philipe Rodrigues da; Menezes, Mariana Carvalho de; Mendes, Larissa Loures; Pessoa, Milene Cristine; Araújo, Lauro Pinheiro Ferreira de; Andrade, Roberto Guimarães Cabezas; D’Assunção, Alexandra Dias Moreira; Manzo, Bruna Figueiredo; Corrêa, Allana dos Reis; Santos, Fernanda Batista Oliveira; Lachtim, Sheila Aparecida Ferreira; Freitas, Giselle Lima de; Andrade, Lucas Adailton Viana de; Sousa, Marco Aurélio de; Matozinhos, Fernanda Penido
    Introduction: Obesity is a multifactorial chronic condition associated with genetic, behavioral and environmental factors. Understanding the role of the built and social environment in Quality of Life (QOL) is critical to reducing the negative impacts of the environment on health. Objective: To estimate the built and social environmental and individual factors that influence the QOL of adults who underwent bariatric surgery. Methods: A prospective cohort study conducted with adults who underwent bariatric surgery. Using longitudinal linear regression analysis, we verified the association between the domains of World Health Organization Quality of Life in version bref (WHOQOL-Bref) – General QOL and domains psychological, physical health, social relations and environment – and possible influencing factors. Results: The increase in Body Mass Index (BMI) reduces on average 0.47 points in physical domain assessment score. The increase of healthy establishments within the buffer increases on average 0.52 points in the physical domain score. Being female reduces, on average, 5.35 points in the psychological domain evaluation score. Adults who practiced less than 150 min a week of leisure-time physical activity had a 3.27 point average reduction in the social relations domain assessment score. The increase in the number of Supermarkets and Hypermarkets in the buffer increases on average 2.18 points from the Social Relations domain score. Conclusions: Individual and contextual factors were associated with the QOL of adults who underwent bariatric surgery. Although the surgery yields positive results, the maintenance of same is strongly related to changes in lifestyle, the built environment and multi-professional guidance.
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    Understanding weight regain after a nutritional weight loss intervention : systematic review and meta-analysis.
    (2022) Machado, Adriane Moreira; Guimarães, Nathalia Sernizon; Bocardi, Victoria Bortolosso; Silva, Thales Philipe Rodrigues da; Carmo, Ariene Silva do; Menezes, Mariana Carvalho de; Duarte, Camila Kümmel
    Background & aims: The purpose of this systematic review was to analyze the effects of lifestyle in- terventions on long-term weight maintenance of weight loss. In addition, we seek to address which period is most susceptible to weight regain; and what is the time required for following-up weight maintenance after the intervention. Methods: Articles published up to August 2020 were identified using the Medline (PubMed), Embase, Web of Science, CENTRAL and Scopus. Results: After the selection process, 27 clinical trials involving 7236 individuals were included. The re- sults showed that around 36 weeks after the end of the intervention, weight variation reduces, and a sign of continuous weight gain begin to occur with some patients (n 1⁄4 208,209) presenting even a completely regain of the lost weight before one year (~40e48 weeks). However, some strategies used during the weight loss intervention and maintenance period may impact the amount and when the weight regain happens, like intervention type;, intervention duration;, presence of dietitian on the care team;, and maintenance period with counseling by a health professional at least once a month. Conclusion: This systematic review and meta-analysis showed that lifestyle interventions remained effective in maintaining the mean weight (5% lower than baseline weight) after weight loss interventions were over. However, weight regain started 36 weeks after intervention conclusion. And, it turns out, some strategies used during the weight loss intervention and maintenance period may impact the amount and when the weight regain happens. Obesity complexity and chronicity should be considered, therefore constant and lifelong monitoring and support are important.