Dor musculoesquelética em membros inferiores de pacientes obesos antes e depois da cirurgia bariàtrica Musculoskeletal pain in lower limbs in obese patients before and after bariatric surgery

RACIONAL: A Organização Mundial da Saúde calcula que em 2015 haverá aproximadamente 2,3 bilhões de adultos com sobrepeso e mais de 700 milhões com obesidade no mundo. O excesso de peso pode levar a inúmeras complicações, dentre elas as doenças articulares degenerativas. OBJETIVO: Estimar a frequência e local da dor músculoesquelética em membros inferiores antes e depois da cirurgia bariátrica. MÉTODO: Estudo descritivo de corte transversal, composto por 22 indivíduos obesos que preencheram questionários antes e seis meses depois de submetidos à cirurgia bariátrica. Os dados foram expressos através de uma análise descritiva e avaliados estatiscamente com nível de significância de 5%. RESULTADOS: A dor foi referida pelos pacientes no pré-operatório em 87,5% no tornozelo e pé, 80% em joelho e 91,7% no quadril. No pós-operatório ela diminuiu para 12,5% no tornozelo e pé, 20% no joelho e 8,3% no quadril atingindo significância estatística (p<0,001). CONCLUSÃO: Indivíduos obesos submetidos à cirurgia bariátrica apresentaram acentuada redução tanto na frequência quanto na intensidade das dores músculoesqueléticas localizadas em ordem no quadril, tornozelo e pé e joelho.<br>BACKGROUND: The World Health Organization estimates that in 2015 there will be approximately 2.3 billion overweight adults and more than 700 million obese individuals worldwide. Excess weight can lead to several complications, such degenerative diseases. AIM: To estimate the frequency and local of musculoskeletal pain in the lower limbs before and after bariatric surgery. METHODS: Cross-sectional descriptive study consisting of 22 obese individuals who filled in questionnaires before and six months after undergoing bariatric surgery. Data were shown through a descriptive analysis. The statistical analysis was performed with significance level at 5%. RESULTS: Musculoskeletal pain in the lower limbs was placed preoperatively in 87.5% in the ankle and foot, knee 80% and 91.7% in the hip. Postoperative pain remained present in 12.5% in the ankle and foot, knee 20% and 8.3% in the hip, with statistical significance (p <0.001). CONCLUSION: Obese people who underwent bariatric surgery experienced a marked reduction in both frequency and intensity of musculoskeletal pain located in order in the hip, ankle and foot, and knee

Quality of life and prevalence of osteoarticular pain in patients submitted to bariatric surgery

OBJECTIVE: To analyze quality of life and observe the prevalence of musculoskeletal pain in patients submitted to bariatric surgery. METHODS: A prospective, observational and comparative study with 26 individuals aged 18 to 60 years, 25 women, which included two evaluations, one preoperative and the other approximately 42 months after surgery. The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) and the Human Body Diagram with Visual Analogue Scale were employed. RESULTS: The individual samples showed grade III obesity, with a predominance of postoperative overweight, hypertension and diabetes in 65.4% and 42.3% of the samples, with remission of hypertension in 50% and of diabetes mellitus in 38.5% (p<0.001). The SF-36 demonstrated improved quality of life, especially in aspects related to motricity; vitality and mental health showed no significant changes. Osteoarticular pain was reported and identified in various sites by the subjects; however, 87.5% of patients in the preoperative period and 88.5% in the postoperative period reported not having any physical therapy orientation, while 65.4% reported being engaged in some type of regular physical activity after surgery (p<0.001). CONCLUSION: Morbidly obese individuals have a high probability of suffering from clinical, psychic, and musculoskeletal alterations, compromising their quality of life and showing improvement after bariatric surgery; on the other hand, the psycho-emotional manifestations did not progress in the same way