RACIONAL: A cirurgia bariátrica é considerada o único método efetivo para tratamento da obesidade refratária e, principalmente, para aqueles em que o tratamento clínico não obteve sucesso. No entanto, o surgimento de intolerâncias alimentares e manifestações clínicas após são bastante comuns. OBJETIVO: Identificar intolerâncias alimentares e sintomas associados em pacientes submetidos à técnica de Fobi-Capella sem anel gástrico. MÉTODOS: Trata-se de um estudo transversal com pacientes adultos que possuíam no máximo um ano de pós-operatório. Foram investigados dados demográficos, antropométricos, peso e estatura pré-cirúrgicos. O estado nutricional foi classificado de acordo com os critérios estabelecidos pela World Health Organization. Considerou-se intolerância alimentar a presença de náuseas, vômitos, diarreia ou distensão abdominal após ingestão de um alimento específico. RESULTADOS: A amostra foi composta por 61 pacientes que compareceram a consulta nutricional dos quais 26 (42,6%) apresentaram intolerância alimentar, sendo a maioria relacionada à carne vermelha (n=12; 34,3%) durante os primeiros seis meses da operação, havendo redução significativa entre os períodos de 0 a 6 meses e 7 a 12 meses (p=0,02). Dentre os sintomas relatados pelos pacientes, a náusea foi o mais recorrente até o 6º mês, porém sem diferença estatística entre os dois períodos (p=0,06). CONCLUSÃO: O procedimento de Fobi-Capella sem anel gástrico promoveu elevada frequência de intolerância às carnes em geral, principalmente para a vermelha, frango e peixe, nesta sequência; a náusea foi o sintoma mais frequente. Estes dados sugerem necessidade de acompanhamento nutricional adequado durante todo o período pós-operatório.

BACKGROUND: Bariatric surgery is considered the only effective method to treat refractory obesity, and especially for those in which clinical treatment was not successful. However, the appearance of food intolerances and clinical manifestations are quite common. AIM: To identify food intolerances and associated them to symptoms in patients undergoing Fobi-Capella technique without gastric ring. METHODS: This was a cross-sectional study of adult patients who had more than one year after surgery. Demographic, anthropometric, weight and preoperative height data were investigated. Nutritional status was classified according to the criteria established by the World Health Organization. It was considered food intolerance the presence of nausea, vomiting, diarrhea or bloating after eating a particular food. RESULTS: The sample consisted of 61 patients who attended the nutritional consultation of which 26 (42.6%) had food intolerance, mostly related to red meat (n=12; 34.3%) during the first six months of operation; there was a significant difference between the periods between 0 and 6 months, and 7 to 12 (p=0.02). Among the symptoms reported by patients, nausea was the most recurrent until the 6th month, but without significant differences between the two periods (p=0.06). CONCLUSION: The Fobi-Capella procedure without gastric ring promoted high frequency of intolerance to meat in general, especially for the red, chicken and fish, on this sequence; nausea was the most frequent symptom. These data suggest the need for adequate nutritional monitoring throughout the postoperative period.

Objective: To investigate the prevalence and associated factors with overweight and obesity among children under five in the Alagoas state, Northeast of Brazil. Design: Cross-sectional population-based study. The study was based on 1115 children with an average age of 24.7 months (SD ± 16.8), and 51.7% were female. Nutritional status was classified according to BMI / age. The z score > + 1 and < +2 z identified children with overweight and > + 2 z score identified those with obesity, according to the standard reference of World Health Organization. To identify the variables associated with overweight and obesity was performed Poisson regression analysis. Results: The prevalence of overweight and obesity was 23.9% and 7.8%, respectively, 33.8% for girls and 29.4% in boys. After adjustment, the per capita income equal to or greater than 2.5 times the minimum wage, age 6 to 23 months and mother overweight and obesity remained positively associated with overweight/obesity. On the other hand, it was observed negative association between low and insufficient birth weight with child overweight/ obesity. Conclusions: The results show a similar prevalence of overweight and obesity to other studies in the country for children under five years, warning for possible impairment of adequate child growth and development.

Objetivo: Investigar la prevalencia y los factores asociados con el sobrepeso y la obesidad en niños menores de 5 años en el estado de Alagoas, al noreste de Brasil. Diseño: Estudio poblacional transversal. El estudio se basó en 1.115 niños con una edad promedio de 24,7 meses (DE ± 16,8), de los que el 51,7% eran niñas. El estado nutricional se clasificó según el IMC / edad. El score > + 1 and < +2 z identificaba a los niños con sobrepeso y aquellos con un score > + 2 z a aquellos con obesidad, en función de la referencia estándar de la Organización Mundial de la Salud. Para identificar las variables asociadas con el sobrepeso y la obesidad se realizó un análisis de regresión de Poisson. Resultados: La prevalencia de sobrepeso y obesidad fue del 23,9% y del 7,8%, respectivamente, del 33,8% en las niñas y del 29,4% en los niños. Tras el ajuste, la renta per cápita igual o superior a 2,5 veces el salario mínimo, la edad de 6 a 23 meses y el sobrepeso y la obesidad maternos seguían asociándose positivamente con el sobrepeso/obesidad. Por otro lado, se observó una asociación negativa entre el peso al nacimiento bajo o insuficiente con el sobrepeso/ obesidad infantil. Conclusiones: Los resultados muestran una prevalencia similar de sobrepeso y obesidad a la de otros estudios en este país para los niños menores de 5 años, alertando de una posible alteración del crecimiento y desarrollo del niño.

Objective: To characterize the food habits, nutritional status and quality of life of patients in the postoperative period of bariatric surgery to Fobi-Capella. Methods: Analytical cross-sectional study was conducted with 66 patients underwent bariatric surgery and monitoring by the staff of the Hospital Universitario Oswaldo Cruz (HUOC), in northeast Brazil. A questionnaire was applied in witch was covered sociodemographic characteristics, and demographic information related to eating habits, and also evaluated the quality of life by the method BAROS. Results: The tolerance to food, the category "hardly eaten" were reported food such as meat, chicken, rice, raw salad and corn meal and that "not eaten" were corn meal, followed by sweets, meat and chicken. There was a reduction of total body weight and BMI and, consequently, the increase in PEP% over time. Regarding quality of life, it can be observed which is classified as "good" for most patients in both groups of 6-18 months and > 18 months. Conclusions: Our results demonstrate that bariatric surgery showed satisfactory effects in this population, however the need for continuous nutritional education work, especially in groups of more than 18 months post-operatively.

Objetivo: Caracterizar los hábitos alimenticios, el estado nutricional y la calidad de vida de pacientes en el periodo posoperatorio de la cirugía bariátrica de Fobi-Capella. Métodos: Se realizó un estudio analítico transversal en 66 pacientes sometidos a cirugía bariátrica y monitorizados por el personal del Hospital Universitario Oswaldo Cruz (HUOC), en el noreste de Brasil. Se aplicó un cuestionario que contemplaba características sociodemográficas e información demográfica relativa a los hábitos alimenticios, y también se evaluaba la calidad de vida por el método BAROS. Resultados: En la tolerancia a los alimentos, en la categoría de "difícil de comer" se notificaron alimentos tales como carne, pollo, arroz, ensalada cruda y maíz y en la "no ingeridos" estaban maíz, seguido de caramelos, carne y pollo. Hubo una reducción del peso corporal total y del IMC y, en consecuencia, un aumento del PEP% con el tiempo. Con respecto a la calidad de vida, se pudo observar que la mayor parte de los pacientes la clasificaron como "buena" en ambos grupos de 6-18 meses y de > 18 meses. Conclusiones: Nuestro resultados demuestran que la cirugía bariátrica produjo unos efectos satisfactorios en esta población; sin embargo, existe la necesidad de una educación nutricional continuada, especialmente en el grupo de más de 18 meses tras la cirugía.