Prague Med. Rep. 2024, 125, 339-349

https://doi.org/10.14712/23362936.2024.30

Longitudinal Study Involving Obesity in Women and Bariatric Surgery: An Electromyographic Approach to the Masseter and Temporal Muscles

Carolina Hunger Malek-Zadeh1, Marcelo Palinkas2,3, Lígia Moriguchi Watanabe4, Wilson Salgado, Jr.5, Paulo Batista de Vasconcelos1, Isabela Hallak Regalo1, Selma Siéssere2,3, Simone Cecilio Hallak Regalo2,3, Carla Barbosa Nonino1,4

1Department of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil
2Department of Basic and Oral Biology, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
3National Institute and Technology – Translational Medicine (INCT.TM), São Paulo, Brazil
4Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil
5Department of Surgery and Anatomy, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

Received November 9, 2023
Accepted October 29, 2024

This longitudinal study was aimed to evaluate the electromyographic activity (EMG) of the masticatory muscles during mandibular tasks in women with grade II and III obesity, who were eligible for bariatric surgery. Twenty-one patients were followed up for 3 and 6 months after the Roux-en-Y gastric bypass. The EMG included analyses of the masseter and temporalis muscles during rest, right and left laterality, protrusion, and dental clenching at maximal voluntary contraction with and without parafilm. Data were tabulated and submitted for statistical analysis using the repeated measures test (P<0.05) with the Bonferroni post-test. Significant differences were observed between the right temporal muscle during maximal voluntary contraction (P=0.003) and maximal voluntary contraction with Parafilm M for the right masseter (P=0.01), left masseter (P=0.03), right temporal (P=0.002), and left temporal (P=0.03) muscles. There was gradual decrease in the resting EMG of the masticatory muscles 6 months after surgery. There was an increase in the EMG of the muscles that are the most active in the neuroanatomical movements of laterality and protrusion 6 months after surgery. There was an increase in EMG in maximal voluntary contraction with and without parafilm, 3 and 6 months after surgery. This study suggests that women with severe obesity who underwent bariatric surgery had better functional results of the masticatory muscles 3 and 6 months after the procedure, which is an important parameter in surgical planning, functional recovery, and nutritional status.

Funding

This study was supported by the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) and National Institute of Science and Technology in Translational Medicine.

References

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