Comunicamos a todos os pacientes e moradores de Camacari e regiao que suspendemos os atendimentos no Meddi (Sistema Santa Helena). Em breve estaremos instalando uma filial da BAROS - Cirurgia Bariatrica e Metabolica na cidade para dar continuidade ao atendimento de excelencia aos pacientes operados e candidatos a cirurgia. Levaremos para Camacari a experiente equipe da BAROS com nutricionista, psicologa e cirurgiao plastico, obviamente capitaneados pelos cirurgioes Heitor Povoas e Bruno Duque. Aguardem!! I'm attending at the A - 5th International Conference On Sleeve Gastrectomy (Day 2): session at the IFSO14 event Information sourced from CardioSource: Journal Scan Summary Title: The Metabolic Burden of Sleep Loss Date Posted: March 25, 2014 Authors: Schmid SM, Hallschmid M, Schultes B. Citation: Lancet Diabetes Endocrinol 2014;Mar 25:[Epub ahead of print]. [Lancet Diabetes Endocrinol article summary] Perspective: The following are 10 points to remember about the metabolic burden of sleep loss: Observational studies link both sleep quality and duration to metabolic traits. Quality and duration of sleep in this population have been studied with overnight polysomnography and the Pittsburgh Sleep Quality Index. Shift work disrupts the normal circadian sleep wake cycle, and has been associated with adverse metabolic health in large observational studies. Evidence linking sleep loss and metabolic traits include data from large population studies on obesity, diabetes, and dyslipidemia. However, the strongest link is between short sleep and hypertension. A meta-analysis, including more than one million subjects in 16 prospective studies, reported that sleep duration of <7 hours is associated with an increased risk of death (relative risk, 1.12; 95% confidence interval, 1.06-1.38). Reduced sleep duration and sleep quality lead to increased hepatic glucose production and reduced peripheral muscle glucose uptake. Several studies conclude that suppression of slow wave sleep, but not rapid eye movement sleep, impairs glucose metabolism. Activity (measured by actigraphy) is decreased in healthy individuals after one night of partial sleep deprivation. Moreover, habitual sleep deprivation (<6 hours/night) is associated with a significant reduction in total body movement. Taken together, insufficient sleep may negate the positive effects of physical activity on metabolic health. To date, no randomized controlled clinical trial has been reported on an intervention to raise sleep quality and impact positively on metabolic traits. However, at present, physicians can safely encourage good sleep hygiene as a part of good metabolic health. Future studies may target interventions on interruption of distinct physiological mechanisms underlying the link between quality of sleep and metabolic health. Author(s): Peter M. Farrehi, M.D., F.A.C.C. (Disclosure) Topic(s): Prevention/Vascular, General Cardiology, SleepApnea, CardioMetabolic 2014 American College of Cardiology Foundation The above message comes from CardioSource, who is solely responsible for its content. You have received this email because you requested follow-up information to an Epocrates DocAlert Message. For more information about DocAlert Messages, please click here. Best wishes,The Epocrates Team1100 Park Place, #300San Mateo, CA 94403 Heitor Mais uma evidência científica de que retardar a cirurgia bariátrica para manter os pacientes em programas de controle de peso por intervenções convencionais não melhora os resultados do tratamento cirúrgico. Adrenalina e noradrenalina são dois hormônios que provocam a queima