Dietary intake in the postoperative bariatric surgery at a university hospital in Rio de Janeiro

Authors

  • Louise Crovesy-de-Oliveira Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro
  • Gigliane Cosendey-Menegati Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro
  • Eliane Lopes-Rosado Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro

DOI:

https://doi.org/10.14306/renhyd.18.1.38

Keywords:

Obesity, Bariatric Surgery, Recommended Dietary Allowances, Diet Records, Dietary Intake.

Abstract

Introduction: bariatric surgery is a treatment for morbid obesity that besides result in high weight loss promotes improvements in laboratory tests and in the pressure reduction. However the surgery can cause bad effects as deficiency some nutrients. This fact become more important evaluates the adequacy of dietary intake of these patients. The objective this study was evaluates the adequacy dietetic of patients after bariatric surgery.

Material and methods: we select forty women who underwent Roux-en-Y gastric and carried evaluation anthropometric and dietetic. The dietary evaluate was compared with the daily consumption requirement and food pyramid for these patients.

Results: forty women with 43.1 ± 9.96 years, obesity and very high risk for metabolic complications associate with obesity, and with acceptation of supplementation (95%) participated this study. The majority of women consumed group’s foods “high-calorie foods, fats and sweets are energy-dense foods” and showed high intake of foods groups “grains and cereals” and “high-fiber, low-calorie foods”. Dietary intake was low-calorie (1342.50 ± 474.06 Kcal), adequate in protein (22.10 ± 6.94%), carbohydrate (50.74 ± 10.96%), lipid (26.14 ± 7.17%), saturated fatty acids (8.69 ± 2.74%) and polyunsaturated fatty acids (8.93 ± 3.51%) and low-monounsaturated fatty acids (4.13 ± 1.78%) and fibers (17.02 ± 10.64 g).

Conclusions: nutritional habits of women showed inadequacy, these results reinforce the importance of nutritional accompanying in the late postoperative bariatric surgery.

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References

Steinbrook R. Surgery for severe obesity. N Engl J Med. 2004; 350(11): 1075–9. DOI: https://doi.org/10.1056/NEJMp048029

Santos LMP, Oliveira IV, Peters LR, Conde WL. Trends in morbid obesity and in bariatric surgeries covered by the brazilian public helth system. Obes Surg. 2010; 20(7): 943-8. DOI: https://doi.org/10.1007/s11695-008-9570-3

Bavaresco M, Paganini S, Lima TP, Salgado Jr W, Ceneviva R, Santos JE, et al. Nutritional course of patients submitted to bariatric surgery. Obes Surg. 2010; 20(6): 716-21. DOI: https://doi.org/10.1007/s11695-008-9721-6

Sovik TT, Aasheim ET, Taha O, Fagerland MW, Björkman S, Birkeland KI, et al. Weight loss, cardiovascular risk factors, and quality of life after gastric bariatric bypass and duodenal switch: a randomized trial. Annais of Inter Med. 2011; 155(5): 281-91. DOI: https://doi.org/10.7326/0003-4819-155-5-201109060-00005

Cunha SFC, Sanches M; Faria A, Santos JE, Nonino-Borges CB. Lean body mass changes within 12 months of bariatric surgery. Rev Nutr. 2010; 23(4): 535-41. DOI: https://doi.org/10.1590/S1415-52732010000400004

Shah M, Simha V, Garg A. Review: long-term impact f bariatric surgery on body weight, comorbididites, and nutritional status. The J Clin Endo Metab. 2006; 91(11): 4223 –31. DOI: https://doi.org/10.1210/jc.2006-0557

Zalesin KC, Miller WM, Franklin B, Mudugal D, Buragadda AR, Boura J, et al. Vitamin A deficiency after gastric bypass surgery: An underreported postoperative complication. J Obes. 2011; 1-4. DOI: https://doi.org/10.1155/2011/760695

Coupaye M, Puchaux K, Bogard C, Msika S, Jouet P, Cleirici C, et al. Nutritional consequences of adjustable gastric banding and gastric bypass : a 1-year prospective study. Obes Surg. 2009; 19(1): 56-65. DOI: https://doi.org/10.1007/s11695-008-9571-2

De la Manza MP, Leivaa L, Barrerab G, Boggiano C, Herrerac T, Pérezd Y, et al. Evaluación a largo plazo del estado nutricional, composición corporal y desidad mineral ósea en mujeres operadas de bypass gástrico: impacto del nivel socioeconómico. Rev Méd Chile. 2008; 136: 1415-23. DOI: https://doi.org/10.4067/S0034-98872008001100007

Brolin RE, Gorman JH, Petschenik AJ, Bradley LJ, Kenler HA, Cody RP. Are vitamin B12 and folate deficiency clinically important after roux-en-Y gastric bypass? J Gastrointest Surg. 1998; 2(5): 436 –42. DOI: https://doi.org/10.1016/S1091-255X(98)80034-6

Moizé VL, Pi-Sunyer X, Mochari H, Vidal J. Nutritional pyramid for post-gastric bypass patients. Obes Surg. 2010; 20(8): 1133-41. DOI: https://doi.org/10.1007/s11695-010-0160-9

Brolin RE, Kenler HA, Gorman RC. The dilemma of outcome assessment after operations for morbid obesity. Surgery. 1989; 105(3): 337–46.

Institute of Medicine. FOOD AND NUTRITION BOARD. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington, DC: National. Academy Press; 2005.

Aills L, Blankenship J, Buffington C, Furtado M, Parrott J. ASMBS Allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008; 4(5): 73-108. DOI: https://doi.org/10.1016/j.soard.2008.03.002

World Health Organization (WHO). Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Technical Report Series, n.854, Geneva; 1995.

World Health Organization (WHO). Measuring obesityclassification and description of anthropometric data. Report of a WHO Regional Office Consultation on the Epidemiology of Obesity. Copenhagen, Denmark: WHO Regional Office for Europe, Nutrition Unit; 1988.

Bordalo LA, Mourão DM, Bressan J. Deficiências nutricionais após cirurgia bariátrica por que ocorrem? Acta Med Port. 2011; 24(4): 1021-8. DOI: https://doi.org/10.20344/amp.1564

Ponsky TA, Brody F, Pucci E. Alterations in gastrointestinal physiology after Roux-en-Y gastric bypass. J Am Coll Surg. 2005; 201(1): 125-31. DOI: https://doi.org/10.1016/j.jamcollsurg.2005.03.021

Fogelholm M, Anderssen S, Gunnarsdottir I, Lahti-Koski M. Dietary macronutrients and food comsuption as determinants of long-term weight change in adult populations: a systemic literature review. Food Nutr Res. 2012; 56: 19103 DOI: https://doi.org/10.3402/fnr.v56i0.19103

Faria SL, Faria OP, Lopes TC, Galvão MV, Kelly EO, Ito MK. Relation between carbohydrate intake and weight loss after bariatric surgery. Obes Surg. 2009; 19(6): 708-16. DOI: https://doi.org/10.1007/s11695-008-9583-y

Bobbioni-Harsch E, Hober O, Morel Ph, Chassot G, Lehmann T, Volery M, et al. Factors influencing energy intake and body weight loss after gastric bypass. Eur J Clin Nutr. 2002; 56(6): 551-6. DOI: https://doi.org/10.1038/sj.ejcn.1601357

Di Meglio DP, Mattes RD. Liquid versus solid carbohydrate: effects on food intake and body weight. Int J Obes Relat Metab Disord. 2000; 24(6): 794-800. DOI: https://doi.org/10.1038/sj.ijo.0801229

Prentice AM. Manipulation of dietary fat and energy density and subsequent effects on substrate flux on food intake. Am J Clim Nutr. 1998; 67(3 Suppl): 535S-41S. DOI: https://doi.org/10.1093/ajcn/67.3.535S

Kirk TR. Role of dietary carbohydrate and frequent eating in body-weight control. Proc Nutr Soc. 2000; 59(3): 349-58. DOI: https://doi.org/10.1017/S0029665100000409

Salas-Salvadó J, Farrés X, Lugue X, Narejos S, Borrell M, Basora J, et al. Effect of two doses of a mixture of soluble fibres on body weight and metabolic variables in overweight or obese patients: a randomized trial. Br J Nutr. 2008; 99(6): 1380-7. DOI: https://doi.org/10.1017/S0007114507868528

Associação Brasileira para o Estudo de Obesidade e da Síndrome Metabólica (ABESO). Diretrizes brasileiras da obesidade 2009/2010. 3 ed. 2009.

Wardé-Kamar J, Rogers M, Flancbaum L, Laferrère B. Calorie intake and meal patterns up to 4 years after Roux-en-Y gastric bypass surgery. Obes Surg. 2004; 14(8): 1070-9. DOI: https://doi.org/10.1381/0960892041975668

Eliot K. Nutritional considerations after bariatric surgery. Crit care Nurs Q. 2003; 26(2): 133-8. DOI: https://doi.org/10.1097/00002727-200304000-00007

Westerterp-Plantenga MS, Nieuwenhuizen A, Tomé D, Soenen S, Westerterp KR. Dietary protein, weight loss, and weight maintenance. Annu Rev Nutr. 2009; 29: 21-41. DOI: https://doi.org/10.1146/annurev-nutr-080508-141056

Swenson BR, Schulman AS, Edwards MJ, Gross MP, Hedrick TL, Weltman AL, Northrup et al. The effect of a low-carbohydrate, high-protein diet on post laparoscopic gastric bypass weight loss: a prospective randomized trial. J Surg Res. 2007; 142(2): 308-13. DOI: https://doi.org/10.1016/j.jss.2007.02.052

Olbers T, Bjorkman S, Lindroos A, Maleckas A, Lönn L, Sjöströ m L, Lönroth H. Body composition, dietary intake, and energy expenditure after laparoscopic Roux-en-Y gastric bypass and laparoscopic vertical banded gastroplasty: a randomized clinical trial. Ann Surg. 2006; 244(5): 715-22. DOI: https://doi.org/10.1097/01.sla.0000218085.25902.f8

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Published

2013-11-21

How to Cite

Crovesy-de-Oliveira, L., Cosendey-Menegati, G., & Lopes-Rosado, E. (2013). Dietary intake in the postoperative bariatric surgery at a university hospital in Rio de Janeiro. Spanish Journal of Human Nutrition and Dietetics, 18(1), 12–17. https://doi.org/10.14306/renhyd.18.1.38