Avaliação da frequência de deficiência de vitamina D em pacientes com obesidade

Autores

  • Raquel Coronato Nunes Pontifícia Universidade Católica do Rio de Janeiro (PUC-RJ), Rio de Janeiro, RJ
  • Ana Luiza Gomes Moura Faculdade de Medicina da Universidade Presidente Antônio Carlos (FAME/UNIPAC), Juiz de Fora, MG.
  • Arthur Lawall Silva Faculdade de Medicina da Universidade Presidente Antônio Carlos (FAME/UNIPAC), Juiz de Fora, MG.
  • Gustavo Gusman Oliveira Faculdade de Medicina da Universidade Presidente Antônio Carlos (FAME/UNIPAC), Juiz de Fora, MG.
  • Luisa Artiaga Malta Faculdade de Medicina da Universidade Presidente Antônio Carlos (FAME/UNIPAC), Juiz de Fora, MG.
  • Rodrigo Oliveira Moreira Instituto Estadual de Diabetes e Endocrinologia (IEDE), Rio de Janeiro, RJ

DOI:

https://doi.org/10.34019/1982-8047.2018.v44.13966

Palavras-chave:

Obesidade, Metabolismo, Vitamina D, Síndrome metabólica

Resumo

Introdução: A obesidade é um problema de saúde pública mundial. Além das diversas alterações metabólicas encontradas em indivíduos obesos, há evidências de alterações no sistema endócrino, como observado no metabolismo da vitamina D.

Objetivos:Avaliar a frequência de deficiência de vitamina D em uma amostra de pacientes adultos com obesidade.

Materiais e métodos: Foi realizado um estudo transversal retrospectivo analisando 183 prontuários dos pacientes atendidos pela primeira vez buscando tratamento para obesidade. Após os fatores de exclusão, restaram 113 prontuários válidos.

Resultados: O IMC variou de 30.1 a 77.1, com uma mediana de 44.5 kg/m2. Trinta pacientes (26,55 %) tinham a Vitamina D abaixo de 20 ng/ml, sendo considerados com diagnóstico de Deficiência de Vitamina D. Nenhum correlação foi encontrada entre os níveis de Vitamina D e os parâmetros antropométricos. Houve associação significativa estatística dos níveis de Vitamina D com colesterol total (r=-0.26; p=0.0053), LDL-colesterol (r=-0.25; p=0.0071), além de uma tendência à significância com os níveis de TGP (r=0.16; p=0.088).

Conclusão: Houve uma elevada frequência de deficiência de vitamina D em pacientes obesos. Não houve correlação entre os níveis de vitamina D e os marcadores antropométricos, porém foi encontrada uma correlação inversa de vitamina D com níveis de colesterol total e LDL-colesterol, mostrando a relação com a dislipidemia. Também, houve uma tendência à significância com os níveis de TGP, o que provavelmente remete à esteatose hepática, comum em obesos.

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Publicado

2019-04-04

Como Citar

1.
Nunes RC, Moura ALG, Silva AL, Oliveira GG, Malta LA, Moreira RO. Avaliação da frequência de deficiência de vitamina D em pacientes com obesidade. HU Rev [Internet]. 4º de abril de 2019 [citado 21º de novembro de 2024];44(2):175-81. Disponível em: https://periodicos.ufjf.br/index.php/hurevista/article/view/13966

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