P39 Evaluation of the result of the integral treatment of obesity in patients of CPVS

Abstract

Introduction: The bariatric surgery produces a long-term sustained weight loss and reduces comorbidity and mortality in patients with severe obesity. The evaluation of ponderal loss must be done with the appropriate tools developed : Percentage of IMC loss (PIMCP), Percentaje of excess of IMC loss (PEIMCP) and the final IMC (MCF) expected three years after surgery.

Objectives: 1- To asses ponderal loss in patients subjected to comprehensive obesity treatment in the CPVS during the period from August 2012 to August 2019 2- To determine associacion between demographic factors, comorbidities and weight reduction achieved. 3- To determine association between maintaining physical activity and eating plan and long-term outcome. 4- To determine risk factors for weight regain.

Material and method: Observational, longitudinal and analityc study. Type of sampling: consecutive. The electronic medical history of the patients was analyzed, later a telephone interview was conducted and the variables were obtained at present. Surgical procedure: vertical sleeve gastrectomy . Statistical analysis: Infostat.

Results: n: 43,7 men (16%) and 36 women (84%). Middle age 47,05 years ds 10.65 (23- 67 years. IMC at the begining 44,79 ds 6.14 (32.00- 61.00) The decrease of IMC was significant, diferential media 12.89 IC 95% 11.46 - 14.32 p < 0.0001. PIMCP: Media 28,34 % (8,88% -48,97) PEIMCP: Media 69,26% ds 22.32 (20,00% - 118,18%). Showing a significant rise througout treatment, 6,53 IC 95% 1.88 - 11.18 p 0.0071. The weight regain ocurred in 18% not exceeding the 10% of IMC between the year and the end of study. No significant association was shown between demographyc factors (age and gender) and comorbidities with respect to successful, good or failed end result of
treatment. We observe a source of association between the weight regain and noncompliance with the guidelines for regular physical activity odds ratio 20.22 IC 95% 2.18 - 187.73 p 0.008. Being very improbable for those who continue their physical conditioning: odds ratio 0.05 IC 95% 0.01 - 0,46 p: 0.008

Conclusions: When evaluating ponderal loss in patients under comprehensive obesity treatment including gastric slevee surgery, we can objectify that the result is predominantly successful using the different recomended measurement tools. No association was determined between demographyc factors, comorbidities and the weight reduction achieved. It was not demostrated there is an association between the maintenance of physical activity guidelines and the eating plan and the categories of long-term results. And it was demostrated an association between the abandonment of the guidelines of physical activity and the regain of weight.