Nutrition Care in Bariatric Surgery: An Academy Evidence Analysis Center Systematic Review

Andromalos, Laura; Crowley, Nina; Brown, Jennifer; Craggs-Dino, Lillian; Handu, Deepa; Isom, Kellene; Lynch, Amanda; DellaValle, Diane M.

doi:10.1016/j.jand.2018.08.002

Cited by 19 publications

(4 citation statements)

References 29 publications

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“…Liking of a healthy dietary pattern is coupled with less perceived hunger and associated with higher percentage weight loss. These findings support that the bariatric surgery team, including registered dietitians [91], could use simple surveys of chemosensation, mirroring the National Health and Nutrition Examination Survey [60], as well as a liking survey [41] to help track diet-related outcomes associated with weight loss after bariatric surgery.…”

Section: Discussionmentioning

confidence: 56%

Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women

et al. 2019

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We tested the hypothesis that successful weight loss post-bariatric surgery would be associated with healthier chemosensory function, food likes, and dietary behaviors than either unsuccessful weight loss or pre-surgery morbid obesity. In a case-control design, pre-surgical women with morbid obesity (n = 49) were compared with those 1-year post-surgery (24 Roux-en-Y Bypass, 24 Sleeve Gastrectomy) and defined by excess or percent weight loss as successful/unsuccessful. For self-reported smell/taste perception, more post-surgery than pre-surgery reported improved/distorted perception, especially if weight loss successful. Measured taste function (perceived quinine and NaCl intensity) was lower among weight loss unsuccessful versus pre-surgery patients, yet a genetic variation in taste probe (propylthiouracil bitterness) matched expected frequencies without significant pre/post-surgery difference. Regarding survey-reported liking, higher diet quality was seen in the weight loss successful (independent of surgery type) versus pre-surgical patients, with differences driven by lower sweet and refined carbohydrate liking. The post versus pre-surgical patients had greater restraint but less hunger and disinhibition. Patients reporting both higher diet quality and lower hunger showed greater % weight loss, independent of surgery type. Thus, successful weight loss 1-year post-bariatric surgery was associated with improved or distorted chemosensation and patterns of liking associated with healthier diets, especially if coupled with less hunger.

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Section: Discussionmentioning

confidence: 56%

Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women

et al. 2019

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“…The nutritional status of patients seeking MBS is important [ 104 , 110 ]. A nutritional assessment by a registered dietitian with expertise in MBS can help obtain a comprehensive weight history, identify maladaptive eating behaviors or patterns, and correct any micronutrient deficiencies prior to surgery.…”

Section: Patient Evaluationmentioning

confidence: 99%

2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery

Eisenberg

Shikora

Aarts³

et al. 2022

OBES SURG

234

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Major updates to 1991 National Institutes of Health guidelines for bariatric surgeryMetabolic and bariatric surgery (MBS) is recommended for individuals with a body mass index (BMI) >35 kg/m2, regardless of presence, absence, or severity of co-morbidities.MBS should be considered for individuals with metabolic disease and BMI of 30-34.9 kg/m2.BMI thresholds should be adjusted in the Asian population such that a BMI >25 kg/m2 suggests clinical obesity, and individuals with BMI >27.5 kg/m2 should be offered MBS.Long-term results of MBS consistently demonstrate safety and efficacy.Appropriately selected children and adolescents should be considered for MBS.(Surg Obes Relat Dis 2022; https://doi.org/10.1016/j.soard.2022.08.013) © 2022 American Society for Metabolic and Bariatric Surgery. All rights reserved.

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“…This limits the applicability of the findings, as more nutritionally engaged patients may be more likely to request those appointments. The current evidence of the effects of postoperative medical nutrition therapy on postoperative weight loss are limited in number and mixed in results [ 15 ]. Most recently, a randomized controlled trial assessing a single meeting with a registered dietitian postoperatively did not appear to effect 2-year weight outcomes [ 16 ].…”

Section: Timing Of Interventionsmentioning

confidence: 99%

Behavioral Interventions After Bariatric Surgery

Tewksbury

Isom

2022

Curr Treat Options Gastro

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Purpose of Review Bariatric surgery is the most effective and durable treatment for severe obesity. Postoperative behavioral weight management approaches are available for optimizing weight change for both short- and long-term outcomes. Recent Findings Varying settings such as groups and telemedicine along with techniques such as cognitive behavioral therapy have been assessed in the post-bariatric surgery population. The assessment and application of these programs have been limited due to methodological, financial, and attrition-related constraints. Summary This review aims to summarize the current evidence for different postoperative behavioral interventions on postoperative outcomes, specifically highlighting weight loss. Future opportunities for study include mechanisms for overcoming some of the barriers to implementing these programs in clinical, non-research settings.

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Nutrition Care in Bariatric Surgery: An Academy Evidence Analysis Center Systematic Review

Cited by 19 publications

References 29 publications

Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women

Associations between Weight Loss, Food Likes, Dietary Behaviors, and Chemosensory Function in Bariatric Surgery: A Case-Control Analysis in Women

2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery

Behavioral Interventions After Bariatric Surgery

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