Relation Between Carbohydrate Intake and Weight Loss After Bariatric Surgery

Faria, Sílvia Leite; Faria, Orlando Pereira; Lopes, Tatiane Carvalho; Galvão, Marcelle Vieira; Kelly, Emily de Oliveira; Ito, Marina

doi:10.1007/s11695-008-9583-y

Cited by 34 publications

(42 citation statements)

References 37 publications

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“…However, little is known about the associations between changes in total energy intake and energy-contributing nutrients (i.e., the macronutrients carbohydrates, fat, and protein) and the long-term weight change in patients who have undergone bariatric surgery (14). Most studies have been based on few participants (n , 100) (7,(15)(16)(17)(18), short follow-ups (,3 y) (7,17,19), and only postsurgery dietary intakes (4,7,8,15,16,18). Thus, in most studies, it has not been possible to analyze the changes between dietary intakes before and after surgery.…”

Section: Introductionmentioning

confidence: 99%

Changes in total energy intake and macronutrient composition after bariatric surgery predict long-term weight outcome: findings from the Swedish Obese Subjects (SOS) study

Kanerva

Larsson

Peltonen

et al. 2017

The American Journal of Clinical Nutrition

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Background: Approximately 20-30% of obese patients do not achieve successful weight outcomes after bariatric surgery. Objective: We examined whether short-term changes (#0.5 y postsurgery) in energy intake and macronutrient composition after bariatric surgery could predict 10-y weight change. Design: Participants were recruited from the Swedish Obese Subjects (SOS) study, which was a matched (nonrandomized) prospective trial that compared bariatric surgery with usual care for obese patients. A total of 2010 patients who underwent bariatric surgery were included in the study. Physical examinations (e.g., weight) and questionnaires (e.g., dietary questionnaire) were completed before and 0.5, 1, 2, 3, 4, 6, 8, and 10 y after surgery. For the main analytic strategy, a linear mixed model was implemented, which included repeated measures with a random intercept and an unstructured covariance matrix. Results: Short-term changes in energy intake (P , 0.001) and in relative proportions of energy from carbohydrates (P , 0.001), fat (P , 0.001), and protein (P , 0.05) were associated with 10-y weight change after bariatric surgery. At the 10-y follow-up, men and women with the largest reductions in energy intake had lost 7.3% and 3.9% more weight, respectively, compared with that of subjects with the smallest intake reductions (P , 0.001). Greater weight loss was achieved in men and women who favored protein and carbohydrates over fat and in subjects who favored protein over carbohydrates than in individuals who favored the opposite changes in macronutrient composition (P , 0.05). Conclusions: The level of energy restriction that is achieved at 0.5 y after bariatric surgery predicts long-term weight loss. Weight loss is also associated with a changing dietary macronutrient composition. This trial was registered at clinicaltrials.gov as NCT01479452.Am J Clin Nutr 2017;106:136-45.

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Section: Introductionmentioning

confidence: 99%

Changes in total energy intake and macronutrient composition after bariatric surgery predict long-term weight outcome: findings from the Swedish Obese Subjects (SOS) study

Kanerva

Larsson

Peltonen

et al. 2017

The American Journal of Clinical Nutrition

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“…The reduction of calorie intake is objective of dietetic treatment at the obesity and postoperative of the bariatric surgery 26 and it is associated with weigh loss at the postoperative at long time 20 . Study has showed a calorie intake around 1500 kcal at individuals with 3 to 4 years bariatric surgery.…”

Section: Competing Interestsmentioning

confidence: 99%

“…According Faria et al 20 patients postbariatric that realized high intake of lipids and carbohydrates According to the nutritional pyramid proposed for population this study, the writer made a division in food groups, which the groups elaborated for him are: "high protein, low fat foods", "high fiber, low calorie foods", "grains and cereals", and "high calorie foods, fat and sweets are energy dense foods". The consumption of foods group "high protein, low fat foods" was adequate, but the groups "high fiber, low calorie foods" and "grains and cereals" showed upper of recommendation.…”

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confidence: 99%

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

Crovesy-de-Oliveira

Cosendey-Menegati

Lopes-Rosado

2013

Rev Esp Nutr Hum Diet

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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. Dietary intake in the postoperative bariatric surgery at a university hospital in Rio de Janeiro Introducción: la cirugía bariátrica es un tratamiento para obesidad mórbida y además de resultar en elevada pérdida de peso produce mejoras en marcadores bioquímicos de los sujetos y una reducción de la presión arterial. Sin embargo, la cirugía puede provocar efectos negativos como deficiencias de algunos nutrientes. Esto hace que sea importante evaluar la adecuación dietética de estos pacientes. El objetivo de este estudio fue evaluar la adecuación dietética de pacientes después de la cirugía bariátrica. Material y métodos: se seleccionaron 40 mujeres sometidas a gastroplastia en Y de Roux y se llevó a cabo las mediciones antropométricas y dietéticas. La evaluación dietética fue comparada con el requerimiento de ingesta diaria y la pirámide nutricional para estos pacientes.Resultados: participaron en el estudio cuarenta mujeres con 43,1 ± 9,96 años, obesas y con riesgo elevado de complicaciones metabólicas, y buena aceptación de la suplementación (95%). La mayoría de las mujeres consumió grupos de alimentos "con alto contenido de calorías, grasa y dulce" y mostraron alta ingesta del grupo "granos y cereales" y "alimentos ricos en fibra y bajos en calorías". La ingesta fue baja en calorías (1342,50 ± 474,06 kcal), ácidos grasos monoinsaturados (4,13 ± 1,78%) y fibras (17,02 ± 10,64 g), adecuada en proteínas (22,10 ± 6,94%), carbohidratos (50,74 ± 10,96%), lípidos (26,14 ± 7,17%), ácido...

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“…Leite y cols 7 , evaluaron la influencia de la composición de la dieta postoperatoria en el proceso de descenso de peso. Se calculó el promedio de baja de peso mensual, se analizó la frecuencia de consumo de alimentos y la proporción de los diferentes macronutrientes (lípidos, proteínas y carbohidratos) que los pacientes incluían en su dieta después del BPG.…”

Section: Reducción Del Pesounclassified

“…El consumo frecuente de carbohidratos se asocia a una mayor ganancia de peso 7 . Independiente de su aporte calórico, los azúcares y alimentos de mayor índice glicémico estimulan la producción de insulina y disminuyen la lipolisis.…”

Section: Reganancia De Pesounclassified

Reganancia de peso después de la cirugía bariátrica

Papapietro

2012

Rev Chil Cir

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Weight gain after bariatric surgeryAmong obese subjects, bariatric surgery is very effective to achieve weight loss, to improve metabolic disturbances such as diabetes mellitus and to improve quality of live. However, long term follow up studies show that an important proportion of patients gain weight again. This phenomenon commonly occurs between the third and sixth postoperative year. The main risk factors for weight gain are behavioral and psychological issues, that can be detected in the preoperative assessment. This reinforces the concept that bariatric surgery must be managed by experienced multidisciplinary teams Key words: Obesity, bariatric surgery, weight gain. ResumenLa cirugía para la obesidad ha probado ser el tratamiento más efectivo para reducir el exceso de peso de cualquier magnitud, lo que favorece la mejoría de las comorbilidades metabólicas, especialmente de la diabetes tipo 2 y de la calidad de vida. Los estudios con seguimiento de largo plazo muestran que un porcentaje importante de pacientes operados regana peso, lo que se observa más frecuentemente entre el tercer y sexto año postoperatorio. Existen cambios anatómicos y factores dependientes de la técnica quirúrgica que pueden explicar la reganancia de peso, pero son los aspectos conductuales y sicológicos, los principales factores de riesgo para que un paciente que ha reducido exitosamente su exceso de peso vuelva a engordar. Varios de estos aspectos, son detectables en la etapa preoperatoria, lo que confirma que la cirugía bariátrica debe ser realizada en centros de excelencia que cuenten con equipo multidisciplinario.Palabras clave: Cirugía bariátrica, resultados, reganancia de peso. La cirugía bariátrica ha demostrado ser eficaz para el tratamiento de la obesidad mórbida y las comorbilidades asociadas. Los estudios han demostrado que el tratamiento quirúrgico logra una mayor pérdida de peso que el tratamiento médico para la obesidad de cualquier grado de severidad 1 . Sin embargo, con ningún tipo de cirugía se ha logrado asegurar la mantención del peso en el largo plazo. Reducción del pesoEn los estudios de revisión, se observan cifras de reducción del exceso de peso con un amplio rango. Entre 29 y 87% con banding gástrico (BG), la cirugía más común en el mundo. Las técnicas que incorporan un componente de malabsorción como el bypass gástrico (BPG) y la diversión bi-

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Relation Between Carbohydrate Intake and Weight Loss After Bariatric Surgery

Abstract: The glycemic load and grams of carbohydrate are intake factors that can be useful tools in weight loss and long-term weight maintenance on patients who have undergone Roux-en-Y Gastric Bypass (RYGB).

Cited by 34 publications

References 37 publications

Changes in total energy intake and macronutrient composition after bariatric surgery predict long-term weight outcome: findings from the Swedish Obese Subjects (SOS) study

Changes in total energy intake and macronutrient composition after bariatric surgery predict long-term weight outcome: findings from the Swedish Obese Subjects (SOS) study

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

Reganancia de peso después de la cirugía bariátrica

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