Abstract
Background : The rehabilitation of complications related to oral feeding, resulting from gastroplasty is the competence of the speech therapist, to intervene in mastication and swallowing functions, aiming at quality of life. Aim : Check in the postoperative period the efficiency of stimulation, independent judges in readiness for re-introduction of solid food in morbidly obese undergoing gastroplasty. Method : Cross-sectional study of descriptive and quantitative evaluated mastication and quality of life of 70 morbidly obese patients undergoing gastroplasty, and a group of 35 obese suffered speech therapy. Results : In the evaluation of mastication for group 1 (pre and post speech therapy), the results show that, except for the lack of chewing, the other variables, such as food court, type of mastication, mastication rhythm, jaw movements, bolus size, excessive mastication and fluid intake, demonstrate statistical insignificance. In evaluating the quality of life when compared groups 1 and 2, the results from the questionnaire on quality of life in dysphagia (SWAL-QoL - Quality of Life in Swallowing) total and 11 domains assessed in the questionnaire, were statistically significant. With these results, the group 2 presented unfavorable conditions for quality of life . Conclusion : The stimulation protocol, independent judges in readiness for re-introduction of solid food of these patients in the postoperative period, applied in these conditions of the study, was not the distinguishing factor of the rehabilitation process for the observed period.
Highlights
Obesity is a chronic disease of metabolic and/or gene origin associated with excess body fat, which can be associated with many comorbidities[8], and is a public health problem
Thirty-five were inserted in group 1 who received speech therapy and 35 obese inserted in group 2 without speech therapy
Group 1 evaluation of mastication on chewing cheese bread, the results showed that, except for the lack of chewing (p=0.042), the other variables, as cut food (p=0.090), type of chewing (p=0.052), chewing rhythm (p=0.097), jaw movements (p= 0.144), bolus size (p=0.144), chewing excess (p=0.087) and fluid intake (p=0.052) did not show statistical significance
Summary
Obesity is a chronic disease of metabolic and/or gene origin associated with excess body fat, which can be associated with many comorbidities[8], and is a public health problem. In Brazil, obesity is rapidly growing and has a great impact on public health and costs, increasing the last six years from 11.4% to 15.8% in general population[3]. In addition to clinical treatment, surgical therapies are carried out, among them the gastroplasty. It has various techniques, one of them is the Fobi-Capella, widely used and considered the gold standard in bariatric surgery, due to its high level of efficiency and low morbimortality[1]. There is the influence of environmental factors on the onset of obesity; only the consumption of foods with high energy, probably, can not explain the increase in overweight and obesity rates in Brazil and worldwide. The factor that must be taken into consideration is chewing because, when classified as normal
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call