Use of alcohol before and after bariatric surgery

Patients were interviewed atSurgery Clinic of the Hospital das Clínicas da Universidade Federal de Pernambuco - HC/UFPE (Brazil) from July 2011 to March 2012. We analyzed socioeconomic, anthropometric and clinical variables. We used the Alcohol Use Disorders Identification Test (AUDIT C).

RESULTS:

One hundred nineteen patients were enrolled (mean age: 41.23+11.30 years), with a predominance of the female gender (83.2%), non-Caucasian race (55%), married individuals or in a stable union (65.5%), with a high school education (40.3%)and active in the job market (37%). Weight and body mass index (BMI) were 128.77+25.28Kg and 49.09+9.26Kg/m²,respectively in the preoperative period (class II obesity) and 87.19+19.16Kg and 33.04+6.21Kg/m², respectively in the postoperative period (class I obesity) (p<0.001). Hypertension was the most frequent disease in the pre (66.6%) and postoperative (36.5%) periods. The prevalence of alcohol use was 26.6% in the preoperative period, of which 2.2% of high risk, and 35.1% in the postoperative period, of which 1.4% of probable dependence; this difference did not achieve statistical significance (p=0.337).

CONCLUSION:

The prevalence of abusive alcohol intake and/or probable dependence was low in both the pre and postoperative periods, with little evidence of risky consumption among the patients submitted to bariatric surgery.

Obesity, Morbid; Bariatric Surgery; Alcoholic Beverage; Ethanol; Weight Loss

Associated diseases, clinical disorders	Pre (N = 45) N (%)		Post (N = 74) N (%)
Hypertension	30	(66.6)	27	(36.5)
Dyspnoea	21	(46.6)	5	(6.8)
Menstrual Changes	16	(42.1)	8	(10.8)
GastroesophagealReflux	17	(37.7)	8	(10.8)
Sleep Apeia	13	(28.8)	1	(1.4)
Dyslipidemia	12	(26.6)	7	(9.5)
Diabetes Mellitus	11	(24.4)	3	(4.1)
Endocrine Diseases	2	(4.4)	5	(6.8)

Classification of AUDIT C	Pre (N = 12) N (%)		Post (N = 26) N (%)
Low Risk/Abstemious	9	75.0	17	65.4
Risk	2	16.7	8	30.8
Harmful/High Risk	1	8.3	-	-
Likely Dependence	-	-	1	3.8

	Habit of alcoholism
Variable	Yes		No		TOTAL		p value
	n	%	n	%	n	%

Total Group	12	26.7	33	73.3	45	100.0

• Age group
Up to 39	9	34.6	17	65.4	26	100.0	p⁽¹⁾ = 0.458
40 to 49	2	16.7	10	83.3	12	100.0
50 or more	1	14.3	6	85.7	7	100.0

• Gender
Male	2	28.6	5	71.4	7	100.0	p⁽¹⁾ = 1.000
Female	10	26.3	28	73.7	38	100.0

• Race
Caucasian	5	38.5	8	61.5	13	100.0	p⁽¹⁾ = 0.285
Non-Caucasian	7	21.9	25	78.1	32	100.0

• Marital status
Single	1	33.3	2	66.7	3	100.0	p⁽¹⁾ = 1.000
Married	11	26.2	31	73.8	42	100.0

• Schooling
Elementary school	5	25.0	15	75.0	20	100.0	p⁽¹⁾ = 0.817
High school	4	23.5	13	76.5	17	100.0
Higher education	3	37.5	5	62.5	8	100.0

• Occupation
Employee/Self-employed	6	37.5	10	62.5	16	100.0	p⁽¹⁾ = 0.339
Unemployed	2	13.3	13	86.7	15	100.0
Retired/Benefit	1	14.3	6	85.7	7	100.0
Of home	3	42.9	4	57.1	7	100.0

• Origin
Recife/Surroundings	8	28.6	20	71.4	28	100.0	p⁽¹⁾ = 1.000
Upstate	4	23.5	13	76.5	17	100.0

	Habit of alcoholism
Variable	Yes		No		TOTAL		p value
	n	%	n	%	n	%

Total Group	26	35.1	48	64.9	74	100.0

• Age group
Up to 39	15	44.1	19	55.9	34	100.0	p⁽¹⁾ = 0.288
40 to 49	6	31.6	13	68.4	19	100.0
50 or more	5	23.8	16	76.2	21	100.0

• Gender
Male	6	46.2	7	53.8	13	100.0	p⁽²⁾ = 0.361
Female	20	32.8	41	67.2	61	100.0

• Race
White	7	30.4	16	69.6	23	100.0	p⁽¹⁾ = 0.570
White not	19	37.3	32	62.7	51	100.0

• Marital status
Single	10	26.3	28	73.7	38	100.0	p⁽¹⁾ = 0.103
Married	16	44.4	20	55.6	36	100.0

• Schooling
Illiterate	2	40	3	60	5	100.0	p⁽²⁾ = 0.902
Elementary school	7	33.3	14	66.7	21	100.0
High school	10	32.3	21	67.7	31	100.0
Higher education	7	41.2	10	58.8	17	100.0

• Occupation
Employee/Self-employed	12	42.9	16	57.1	28	100.0	p⁽²⁾ = 0.524
Unemployed	7	30.4	16	69.6	23	100.0
Retired/Benefit	3	21.4	11	78.6	14	100.0
Of home	4	44.4	5	55.6	9	100.0

• Origin
Recife/ Surroundings	19	37.3	32	62.7	51	100.0	p⁽²⁾ = 0.871
Another State	4	30.8	9	69.2	13	100.0
Upstate	3	30	7	70	10	100.0

Classification of% EWL	Yes		No		Total Group		p value
Classification of% EWL	N	%	N	%	N	%
≤ 3 months
Suitable	19	100.0	30	93.8	49	96.1	p⁽¹⁾ = 0.523
Inappropriate	-	-	2	6.3	2	3.9
TOTAL	19	100.0	32	100.0	51	100.0

3-6 months
Suitable	17	94.4	23	79.3	40	85.1	p⁽¹⁾ = 0.225
Inappropriate	1	5.6	6	20.7	7	14.9
TOTAL	18	100.0	29	100.0	47	100.0

6-12 months
Suitable	2	20.0	8	42.1	10	34.5	p⁽¹⁾ = 0.414
Inappropriate	8	80.0	11	57.9	19	65.5
TOTAL	10	100.0	19	100.0	29	100.0

12-18 months
Suitable	2	33.3	4	66.7	6	50.0	p⁽¹⁾ = 0.567
Inappropriate	4	66.7	2	33.3	6	50.0
TOTAL	6	100.0	6	100.0	12	100.0

End
Suitable	11	57.9	17	53.1	28	54.9	p⁽²⁾ = 0.741
Inappropriate	8	42.1	15	46.9	23	45.1
TOTAL	19	100.0	32	100.0	51	100.0

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[1] Address for correspondence: Maria Goretti Pessoa de Araújo Burgos E-mail: gburgos@hotlink.com.br