Bariatric Nutrition Guidelines for the Indian Population

Remedios, Carlyne; Bhasker, Aparna Govil; Dhulla, Neha; Dhar, Shilpa; Lakdawala, Muffazal

doi:10.1007/s11695-015-1836-y

Cited by 28 publications

(18 citation statements)

References 39 publications

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“…This has resulted in a heavily carbohydrate-based diet (> 65–70% total energy intake [ 34 ]) which may be significantly lacking in adequate diversity for provision of other important nutrients [ 35 ]. Widespread lactovegetarian preferences have further reduced the scope for dietary diversity [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Sustainable food security in India—Domestic production and macronutrient availability

2018

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India has been perceived as a development enigma: Recent rates of economic growth have not been matched by similar rates in health and nutritional improvements. To meet the second Sustainable Development Goal (SDG2) of achieving zero hunger by 2030, India faces a substantial challenge in meeting basic nutritional needs in addition to addressing population, environmental and dietary pressures. Here we have mapped—for the first time—the Indian food system from crop production to household-level availability across three key macronutrients categories of ‘calories’, ‘digestible protein’ and ‘fat’. To better understand the potential of reduced food chain losses and improved crop yields to close future food deficits, scenario analysis was conducted to 2030 and 2050. Under India’s current self-sufficiency model, our analysis indicates severe shortfalls in availability of all macronutrients across a large proportion (>60%) of the Indian population. The extent of projected shortfalls continues to grow such that, even in ambitious waste reduction and yield scenarios, enhanced domestic production alone will be inadequate in closing the nutrition supply gap. We suggest that to meet SDG2 India will need to take a combined approach of optimising domestic production and increasing its participation in global trade.

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Section: Discussionmentioning

confidence: 99%

Sustainable food security in India—Domestic production and macronutrient availability

2018

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“…Studies across a number of low-income countries in Africa and South Asia have suggested a strong link between meat consumption in young children and lower stunting rates (Krebs et al, 2011). As India has strong lactovegetarian preferences (Remedios et al, 2016) and one of the highest rates of childhood stunting globally (FAO, 2013) this is an important consideration.…”

Section: Increased Meat and Dairy Intakementioning

confidence: 99%

Quantifying, Projecting, and Addressing India's Hidden Hunger

Ritchie

Reay

Higgins

2018

Front. Sustain. Food Syst.

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It is estimated that more than two billion people suffer from 'hidden hunger' (micronutrient malnutrition) globally, with nearly half living in India. Despite being highlighted as one the most cost-effective investments for human development, progress on addressing micronutrient deficiencies (MiND) has been slowing. The severe social, health, and economic costs of MiND in India should make it a top priority for domestic governance and international donors alike. This study, for the first time, maps food system pathways from crop production through to household-level food availability, for a range of key vitamins, minerals, and amino acids. Results suggest widespread (>80% total Indian population) risk of deficiencies in calcium, vitamin A, B 12, folate, in addition to lysine limitation, with more localized deficiencies (<25% population) in iron, zinc, and vitamin B 6 . These deficiencies are the result of a combination of a monotonous cereal-dominated diet lacking in diversity, and overall insufficient food intake. This approach also allowed for "MiND by micronutrient" scenario analysis to 2030, to identify potential intervention points in the food system and the capacity of these interventions to address deficiency. Scenario analysis to 2030 and 2050 indicates that, although increased availability of animal-based products, reduction of supply chain losses, and close to maximum (90%) attainable yields could make some contribution to addressing Indian MiND, additional intervention strategies will be essential. Recommendations for intervention in the short (urgent), near-term (2030), and long-term (2050) have been formulated based on this analysis.

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“…However, bariatric surgery is not entirely risk-free and carries potential complications ranging from 5 to 20% (11). Consequently, bariatric guidelines (12)(13)(14)(15) support an intentional preoperative weight loss to reduce the liver volume (13,14) and risk of perioperative complications (12,13,15). It is particularly challenging for surgeons to elevate the left lobe of a large or fatty liver (16,17), especially during laparoscopic Roux-en-y gastric bypass surgery (RYGB), thereby, increasing the risk of liver injury and intraoperative bleeding (18).…”

Section: Introductionmentioning

confidence: 99%

“…The most recent bariatric guidelines (14,15) and literature (24,(29)(30)(31)(32)(33) are in favour of energy-restricted diets to achieve rapid preoperative weight reduction. However, there is significant heterogeneity in the type of energy-restricted dietary regimes being prescribed (34).…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Energy-Restricted Diets in Achieving Preoperative Weight Loss for Bariatric Patients: a Systematic Review

et al. 2018

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In bariatric practice, a preoperative weight loss of at least 5% is recommended. However, the hypocaloric diets prescribed vary and no consensus exists. This study examined the efficacy of preoperative diets in achieving 5% weight loss. From a systematic literature search, eight randomised controlled trials (n = 862) were identified. Half of the trials used a "very-low-calorie diet" whilst the rest employed a "low-calorie diet". Only five diets achieved ≥ 5% weight loss over varying durations and energy intakes. By inference, compliance with a 700-1050 kcal (2929-4393 kJ) diet, consisting of moderate carbohydrate, high protein and low/moderate fat, for 3 weeks is likely to achieve 5% weight loss. A low-carbohydrate diet (< 20 g/day) may achieve this target within a shorter duration. Additional research is required to validate these conclusions.

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Bariatric Nutrition Guidelines for the Indian Population

Cited by 28 publications

References 39 publications

Sustainable food security in India—Domestic production and macronutrient availability

Sustainable food security in India—Domestic production and macronutrient availability

Quantifying, Projecting, and Addressing India's Hidden Hunger

The Efficacy of Energy-Restricted Diets in Achieving Preoperative Weight Loss for Bariatric Patients: a Systematic Review

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