Associação da Escala de Bristol e sintomas gastrointestinais em mulheres candidatas à cirurgia bariátrica

Abstract

Introduction: Obesity has become an epidemic disease of great social impact. In Brazil, the percentage of obese people increased by 67.8% from 2006 to 2018, with women being the most frequent population. Studies have associated obesity with changes in the gut microbiota, an important factor in the etiology of obesity. Objective: To analyze the association between Bristol Scale and gastrointestinal symptoms in women candidates for bariatric surgery. Methodology: Cross-sectional study, carried out with 39 women candidates for bariatric surgery who underwent nutritional monitoring at Hospital Metropolitano, Várzea Grande - MT, between August 2019 and March 2020. Sociodemographic, lifestyle and gastrointestinal tract variables were evaluated. Bivariate analysis was performed using Pearson's chi-square test and Fisher's exact test. P<0.05 was considered significant. Results: The average age of the participants was 40.10 ± 9.74 years, of white race/color (69.2%), with a partner (56.4%), completed high school (56.4%) and with children (79.5%). The most frequent Bristol classifications were 4 (28.2%), 5 (25.6%) and 3 (23.1%). Regarding the speed of intestinal transit, 49% had altered intestinal transit. There were no significant differences between Bristol Scale categories and sociodemographic and lifestyle variables. It was found that women with a greater number of gastrointestinal symptoms had changes in intestinal transit to slow or fast (p=0.001). Conclusion: Among obese women candidates for bariatric surgery, gastrointestinal symptoms and changes in intestinal transit may be related to intestinal dysbiosis.