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Case Report
Assessment of cardiovascular risk, heart rate variability, and functionality in the late postoperative period of bariatric surgery submitted to whole-body vibration exercise: A case report
1 Acadêmica de Fisioterapia, Curso de Fisioterapia, Universidade Iguaçu, Nova Iguaçu, Rio de Janeiro, Brazil
2 Professor, Mestre, Curso de Fisioterapia, Universidade Iguaçu, Nova Iguaçu, Rio de Janeiro, Brazil
3 Professor, Doutora, Curso de Medicina, Universidade Iguaçu, Nova Iguaçu, Rio de Janeiro, Brazil
4 Professora, Doutora, Curso de Fisioterapia, Universidade Iguaçu, Nova Iguaçu, Rio de Janeiro, Brazil; Professora do programa de mestrado em ciências da atividade Física, Universidade Salgado de Oliveira - UNIVERSO, Niterói, Rio de Janeiro, Brazil
Address correspondence to:
Antônio Marcos da Silva Catharino
Rua Gavião Peixoto 70, Room 811, CEP 24.2230-100, Icaraí, Niterói-RJ,
Brazil
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Article ID: 101393Z01AM2023
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How to cite this article
Moreira AV, d’Alegria Tuza FA, de Moura PH, da Silva Catharino AM, Moreno AM. Assessment of cardiovascular risk, heart rate variability, and functionality in the late postoperative period of bariatric surgery submitted to whole-body vibration exercise: A case report. Int J Case Rep Images 2023;14(1):103–112.ABSTRACT
Currently, a high prevalence of risk factors for cardiovascular diseases, such as obesity, sedentary lifestyle, and poor diet, has been observed among young people. Obesity is a public health problem that directly impacts the economy. In this case study, the authors are using data from a survey of a late postoperative bariatric surgery patient. Male patient, 23 years old, obese since childhood, 186 kg [body mass index (BMI) 61], sedentary, without other comorbidities. He denies smoking. On 10/30/2019, he underwent Y gastroplasty (Gastric Bypass) with a reduction of approximately 90% of the stomach. On 09/13/2021, he started an intervention protocol through whole-body vibration (WBV). Cardiovascular risk, heart rate variability, functionality, and quality of life were evaluated in the acute phase and in the chronic phase. The training was conducted through 10 interventions with exercises on the vibrating platform. Functionality was assessed through the tests: “Timed up and Go,” Sit/Stand, 6-minute Walk Test, and handgrip strength. A 7.1% gain in functional capacity was observed, with a 37.5% reduction in perceived exertion. In addition, there was a 39% gain in handgrip strength and a reduction in the execution time in the functional capacity tests. Heart rate variability after interventions showed that WBV can reduce cardiovascular risk. In conclusion, the exercise program allowed the reduction of body weight and body mass index and impacted the alteration of body composition and functionality, resulting in a reduction in cardiovascular risk.
Keywords: Cardiovascular risk, Glycemia, Heart rate variability, Obesity
SUPPORTING INFORMATION
Acknowledgments
Laisa Liane Paineiras Domingos: Physiotherapist, Master and PhD in Sciences from the Universidade do Estado do Rio de Janeiro. Ana Paula Lima de Santanna: Academic of the Physiotherapy Course at the Universidade Iguaçu. Thaís Silva Rodrigues Dionísio: Academic of the Physiotherapy Course at the Universidade Iguaçu.
Author ContributionsAmanda Vieira Moreira - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Fábio Augusto d’Alegria Tuza - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Paulo Henrique de Moura - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Antônio Marcos da Silva Catharino - Conception of the work, Design of the work, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Adalgiza Mafra Moreno - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Amanda Vieira Moreira et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
