Obesity and Physical Activity in Ostomized Patients

Abstract

Introduction The relationship between obesity and physical activity is still unknown in specific groups, such as people living with ostomies.

Objective To assess the prevalence of obesity and the level of physical activity in ostomized individuals.

Methods A cross-sectional study with a population of ostomized patients in two hospitals of a Brazilian city. Obesity was assessed by the Body Mass Index (BMI) and physical activity, by the International Physical Activity Questionnaire.

Results The study included 148 patients (55.4% of men [82]), with a mean age of 58.5 (±17.8) years, with 56.1% (83) of the sample aged 60 or older. Colostomies were identified as definitive in 67.6% (100), there were 28 cases (18.9%) of obesity, 67 (45.3%) overweight patients, and 31 (20.9%) subjects were underweight. Sedentary lifestyle was identified in 40.5% (60) of the participants. The mean BMI was significantly higher in men (25.9 ± 5.1), and a higher proportion of men were overweight (28; 34.1%); the underweight group had a greater proportion of women (20; 30.3%). An association between physical inactivity and underweight (p = 0.003) was found.

Conclusion Most patients with ostomies, especially colostomies, are men over 60 years of age who are overweight or obese. In general, underweight individuals are more sedentary.

Keywords

obesity - ostomy - exercise

Availability of Data and Materials

The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request.

Statement of Ethics

The subjects of the present study have provided their consent, and the study protocol was approved by the institutional committee on human research under CAAE: 34772514.9.0000.5083.

Authors Contribution

All authors played a role in designing the study, analyzing and interpreting the data, drafting the article, and ensuring the authenticity of the data.

Ethics Approval and Consent to Participate

This study was approved by the Research Ethics Committee of Universidade Federal de Goiás (CEP: 1.237.077).

Publikationsverlauf

Eingereicht: 05. Februar 2022

Angenommen: 07. Juni 2022

Artikel online veröffentlicht:
02. August 2022

• References

• 1 WHO. World Health Organization. Consultation on Obesity. Obesity: preventing and managing the global epidemic. Technical reports series; 894. Geneva, Switzerland: WHO; 2000: 268
• 2 Colwell JC. The role of obesity in the patient undergoing colorectal surgery and fecal diversion: a review of the literature. Ostomy Wound Manage 2014; 60 (01) 24-28
• 3 Gallagher S, Gates J. Challenges of ostomy care and obesity. Ostomy Wound Manage 2004; 50 (09) 38-40 , 44, 46 passim
• 4 Gallagher S. The intersection of ostomy and wound management, obesity, and associated science. Ostomy Wound Manage 2014; 60 (01) 6-7
• 5 Nybaek H, Bang Knudsen D, Nørgaard Laursen T, Karlsmark T, Jemec GB. Skin problems in ostomy patients: a case-control study of risk factors. Acta Derm Venereol 2009; 89 (01) 64-67
• 6 Martinussen C, Bojsen-Moller KN, Svane MS, Dejgaard TF, Madsbad S. Emerging drugs for the treatment of obesity. Expert Opin Emerg Drugs 2017; 22 (01) 87-99
• 7 Wen LM. Effectiveness of childhood obesity treatment through 20 group education sessions over 6 months: does the attendance of a child matter?. JAMA Pediatr 2017; 171 (07) 619-620
• 8 Dankel SJ, Loenneke JP, Loprinzi PD. Health outcomes in relation to physical activity status, overweight/obesity, and history of overweight/obesity: a review of the WATCH Paradigm. Sports Med 2017; 47 (06) 1029-1034
• 9 Matsudo S, Araújo T, Matsudo V. et al. Questionário Internacional de Atividade Física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fís Saúde 2001; 6 (02) 5-18
• 10 Malta DC, Santos MA, Andrade SS. et al. [Time trend in adult obesity indicators in Brazilian state capitals, 2006-2013]. Cien Saude Colet 2016; 21 (04) 1061-1069
• 11 Malta DC, Andrade SC, Claro RM, Bernal RT, Monteiro CA. Trends in prevalence of overweight and obesity in adults in 26 Brazilian state capitals and the Federal District from 2006 to 2012. Rev Bras Epidemiol 2014; 17 (Suppl. 01) 267-276
• 12 Velásquez-Meléndez G, Pimenta AM, Kac G. [Epidemiology of overweight and obesity and its determinants in Belo Horizonte (MG), Brazil: a cross-sectional population-based study]. Rev Panam Salud Publica 2004; 16 (05) 308-314
• 13 Nichols TRJ. Quality of life in US residents with ostomies as assessed using the SF36v2. J Wound Ostomy Continence Nurs 2015; 42 (01) 71-78
• 14 Salomé GM, Carvalho MRF, Massahud Junior MR, Mendes B. Profile of ostomy patients residing in Pouso Alegre city. J Coloproctol (Rio J) 2015; 35 (02) 106-112
• 15 Silva JB, Costa DR, Menezes FJC, Tavares JM, Marques AG, Escalante RD. Perfil epidemiológico e morbimortalidade dos pacientes submetidos à reconstrução de trânsito intestinal: experiência de um centro secundário do nordeste brasileiro. Rev Bras Coloproctol 2010; 30 (03) 299-304
• 16 Melotti LF, Bueno IM, Silveira GV, Silva MEN, Fedosse E. Characterization of patients with ostomy treated at a public municipal and regional reference center. J Coloproctol (Rio J) 2013; 33 (02) 70-74
• 17 Sasaki VDM, Pereira APS, Ferreira AM, Pinto MH, Gomes JJ. Health care service for ostomy patients: profile of the clientele. J Coloproctol (Rio J) 2012; 32 (03) 232-239
• 18 Verweij NM, Bonhof CS, Schiphorst AHW. et al. Quality of life in elderly patients with an ostomy - a study from the population-based PROFILES registry. Colorectal Dis 2018; 20 (04) O92-O102
• 19 Baretta E, Baretta M, Peres KG. Nível de atividade física e fatores associados em adultos no Município de Joaçaba, Santa Catarina, Brasil. Cad Saude Publica 2007; 23 (07) 1595-1602
• 20 Attolini RC, Gallon CW. Qualidade de vida e perfil nutricional de pacientes com câncer colorretal colostomizados. Rev Bras Coloproctol 2010; 30: 289-298
• 21 Campos K, Bot LHB, Petroianu A, Rebelo PA, Souza AAC, Panhoca I. The impact of colostomy on the patient's life. J Coloproctol (Rio J) 2017; 37 (03) 205-210