Fatores de risco para excesso de peso para filhos de mães obesas operadas, e obesas não operadas

Abstract

Background: Bariatric surgery patients are counseled to change their lifestyle behaviors. It is reasonable to presume that, by sharing the same environment, the child will be exposed to a healthier environment. Objective: To compare phenotypic and behavioral characteristics between children born to obese mothers before (BMS) or after (AMS) bariatric surgery. Methods: This retrospective cohort study made comparisons between these two groups regarding phenotyping and behavioral data. Results: The sample consisted of 101 participants aged 0 - 12 years, 67 BMS and 34 AMS. All were predominantly sedentary and reported eating an excess of total energy above estimated needs, with no difference between groups (BMS median = 569 kcal, IQR = 1,185; AMS median = 245 kcal, IQR = 1,055; P =.18). Consequently, there was a high prevalence of overweight (Percentile ≥ 85) in both groups (BMS N = 40, 59.7%; AMS N = 18, 52.9%, P = .52), as well as elevated abdominal and arm circumferences. Additionally, children in both groups reported a deficit in daily calcium intake. Conclusions: Despite mothers’ guidance for lifestyle changes after bariatric surgery, the children in our sample reported multiple obesogenic environmental conditions, such as poor behavioral characteristics and, high prevalence of overweight.