nach oben

Obesity Surgery

Erschienen in:

15.01.2020 | Original Contributions

The Relationship Between Bariatric Surgery and Diet Quality: a Systematic Review

verfasst von: Nazy Zarshenas, Linda Clare Tapsell, Elizabeth Phillipa Neale, Marijka Batterham, Michael Leonard Talbot

Erschienen in: Obesity Surgery | Ausgabe 5/2020

Einloggen, um Zugang zu erhalten

Abstract

Background

Bariatric surgery is currently the most effective treatment for morbid obesity. These procedures change the gastrointestinal system with the aim of reducing dietary intake. Improving diet quality is essential in maintaining nutritional health and achieving long-term benefits from the surgery. The aim of this systematic review was to examine the relationship between bariatric surgery and diet quality at least 1 year after surgery.

Methods

A systematic search of five databases was conducted. Studies were included that reported diet quality, eating pattern, or quality of eating in adult patients who had undergone laparoscopic-adjusted gastric banding (LAGB), Roux-en-Y gastric bypass (RYGB), and sleeve gastrectomy (SG) procedures. Data was extracted to determine the relationship between having had bariatric surgery and subsequent diet quality.

Results

A total of 34 study articles (described in 36 articles) met the inclusion criteria. The majority of studies were observational in nature and showed a reduction in energy intake following surgery, as well as inadequate intakes of micronutrients and protein, and an excessive intake of fats. There was evidence of nutrient imbalances, suboptimal compliance with multivitamin and mineral supplementation, and limited follow-up of patients.

Conclusion

The current evidence base suggests that despite being effective in reducing energy intake, bariatric surgery can result in unbalanced diets, inadequate micronutrient and protein intakes, and excessive intakes of fats. In combination with suboptimal adherence to multivitamin and mineral supplementation, this may contribute to nutritional deficiencies and weight regain. There is a need for high-quality nutrition studies, to identify optimal dietary compositions following bariatric surgery.

Nur mit Berechtigung zugänglich

Sjöström L, Lindroos A-K, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683–93.CrossRefPubMed

Bavaresco M, Paganini S, Lima TP, et al. Nutritional course of patients submitted to bariatric surgery. Obes Surg. 2010;20(6):716–21. https://doi.org/10.1007/s11695-008-9721-6.CrossRefPubMed

McGrice MA, Porter JA. What are gastric banding patients eating one year post-surgery? Obes Surg. 2012;22(12):1855–8. https://doi.org/10.1007/s11695-012-0741-x.CrossRefPubMed

Brolin RE, Robertson LB, Kenler HA, et al. Weight loss and dietary intake after vertical banded gastroplasty and Roux-en-Y gastric bypass. Ann Surg. 1994;220(6):782–90.CrossRefPubMedPubMedCentral

Kruseman M, Leimgruber A, Zumbach F, et al. Dietary, weight, and psychological changes among patients with obesity, 8 years after gastric bypass. Journal of the American Dietetic Association. 2010;110(4):527–34. https://doi.org/10.1016/j.jada.2009.12.028. Language: English. Entry Date: 20100423. Revision Date: 20150819. Publication Type: Journal ArticleCrossRefPubMed

Freeman RA, Overs SE, Zarshenas N, et al. Food tolerance and diet quality following adjustable gastric banding, sleeve gastrectomy and Roux-en-Y gastric bypass. Obes Res Clin Pract. 2014;8(2):e115–200. https://doi.org/10.1016/j.orcp.2013.02.002.CrossRefPubMed

Gesquiere I, Foulon V, Augustijns P, et al. Micronutrient intake, from diet and supplements, and association with status markers in pre- and post-RYGB patients. Clinical Nutrition (Edinburgh, Scotland). 2017;36(4):1175–81. https://doi.org/10.1016/j.clnu.2016.08.009.CrossRef

Suter M, Calmes JM, Paroz A, et al. A new questionnaire for quick assessment of food tolerance after bariatric surgery. Obes Surg. 2007;17:2–8.CrossRefPubMed

Cano-Valderrama O, Sánchez-Pernaute A, Rubio-Herrera MA, et al. Long-term food tolerance after bariatric surgery: comparison of three different surgical techniques. Obes Surg. 2017;27(11):2868–72. https://doi.org/10.1007/s11695-017-2703-9.CrossRefPubMed

10.

Kafri N, Valfer R, Nativ O, et al. Health behavior, food tolerance, and satisfaction after laparoscopic sleeve gastrectomy. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 2011;7(1):82–8. https://doi.org/10.1016/j.soard.2010.09.016.CrossRef

11.

Freire RH, Borges MC, Alvarez-Leite JI, et al. Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass. Nutrition (Burbank, Los Angeles County, Calif). 2012;28(1):53–8. https://doi.org/10.1016/j.nut.2011.01.011.CrossRef

12.

Soares FL, Bissoni de Sousa L, Corradi-Perini C, et al. Food quality in the late postoperative period of bariatric surgery: an evaluation using the bariatric food pyramid. Obes Surg. 2014;24(9):1481–6. https://doi.org/10.1007/s11695-014-1198-x.CrossRefPubMed

13.

Aills L, Blankenship J, Buffington C, et al. Bariatric nutrition: suggestions for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4(5):S73–S108.CrossRefPubMed

14.

Kanerva N, Larsson I, Peltonen M, et al. Changes in total energy intake and macronutrient composition after bariatric surgery predict long-term weight outcome: findings from the Swedish Obese Subjects (SOS) study. Am J Clin Nutr. 2017;106(1):136–45. https://doi.org/10.3945/ajcn.116.149112.CrossRefPubMedPubMedCentral

15.

Moizé V, Pi-Sunyer X, Mochari H, et al. Nutritional pyramid for post-gastric bypass patients. Obes Surg. 2010;20:1133–41.CrossRefPubMed

16.

Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and metaanalyses: the PRISMA statement. BMJ (Clinical Research ed). 2009;339:b2535. https://doi.org/10.1136/bmj.b2535.CrossRef

17.

de Torres Rossi RG, Dos Santos MT, de Souza FI, et al. Nutrient intake of women 3 years after Roux-en-Y gastric bypass surgery. Obes Surg. 2012;22(10):1548–53. Epub 2012/06/13. https://doi.org/10.1007/s11695-012-0688-y.CrossRefPubMed

18.

ADA. American Dietetics Association. Evidence analysis manual: steps in ADA evidence analysis process. Chicago: Scientific Affairs and Research; 2010. p. 43–8.

19.

NHMRC. National Health and Medical Research Council. Levels of evidence and grades for recommendations for developers of guidelines. Commonwealth of Australia.: Canberra; 2009.

20.

Dagan S, Keidar A, Raziel A, et al. Do bariatric patients follow dietary and lifestyle recommendations during the first postoperative year? Obesity Surgery. 2017;27(9):2258–71. https://doi.org/10.1007/s11695-017-2633-6.CrossRef

21.

Novais PF, Rasera Jr I, Leite CV, et al. Food intake in women two years or more after bariatric surgery meets adequate intake requirements. Nutrition Research. 2012;32(5):335–41. https://doi.org/10.1016/j.nutres.2012.03.016.CrossRefPubMed

22.

Novais PF, Junior IR, Shiraga EC, et al. Food aversions in women during the 2 years after Roux-en-Y gastric bypass. Obes Surg. 2011;21(12):1921–7. https://doi.org/10.1007/s11695-010-0342-5.CrossRefPubMed

23.

Leiro LS, Melendez-Araújo MS. Diet micronutrient adequacy of women after 1 year of gastric bypass. Arquivos Brasileiros de Cirurgia Digestiva. 2014;27 Suppl 1:21–5.CrossRefPubMed

24.

Dias MC, Ribeiro AG, Scabim VM, et al. Dietary intake of female bariatric patients after anti-obesity gastroplasty. Clinics. 2006;61(2):93–8.CrossRefPubMed

25.

Benson-Davies S, Davies ML, Kattelmann K. Food preferences in patients after Roux-en Y gastric bypass surgery: a pilot study examining eating behaviors and weight maintenance. Topics in Clinical Nutrition. 2013;28(1):8–14. Language: English. Entry Date: 20130614. Revision Date: 20150818. Publication Type: Journal ArticleCrossRef

26.

Moize V, Geliebter A, Gluck ME, et al. Obese patients have inadequate protein intake related to protein intolerance up to 1 year following Roux-en-Y gastric bypass. Obes Surg. 2003;13(1):23–8.CrossRefPubMed

27.

McGrice MA, Porter JA. The micronutrient intake profile of a multicentre cohort of Australian LAGB patients. Obes Surg. 2014;24(3):400–4. https://doi.org/10.1007/s11695-013-1101-1.CrossRefPubMed

28.

Coluzzi I, Raparelli L, Guarnacci L, et al. Food intake and changes in eating behavior after laparoscopic sleeve gastrectomy. Obes Surg. 2016;26(9):2059–67. https://doi.org/10.1007/s11695-015-2043-6.CrossRefPubMed

29.

Chou JJ, Lee WJ, Almalki O, et al. Dietary intake and weight changes 5 years after laparoscopic sleeve gastrectomy. Obes Surg. 2017;27(12):3240–6. https://doi.org/10.1007/s11695-017-2765-8.CrossRefPubMed

30.

Verger EO, Aron-Wisnewsky J, Dao MC, et al. Micronutrient and protein deficiencies after gastric bypass and sleeve gastrectomy: a 1-year follow-up. Obes Surg. 2016;26(4):785–96. https://doi.org/10.1007/s11695-015-1803-7.CrossRefPubMed

31.

Moizé V, Andreu A, Flores L, et al. Long-term dietary intake and nutritional deficiencies following sleeve gastrectomy or Roux-en-Y gastric bypass in a Mediterranean population. Journal of the Academy of Nutrition & Dietetics. 2013;113(3):400–10. https://doi.org/10.1016/j.jand.2012.11.017. Language: English. Entry Date: 20130627. Revision Date: 20150711. Publication Type: Journal ArticleCrossRef

32.

El Labban S, Safadi B, Olabi A. The effect of Roux-en-Y gastric bypass and sleeve gastrectomy surgery on dietary intake, food preferences, and gastrointestinal symptoms in post-surgical morbidly obese Lebanese subjects: a cross-sectional pilot study. Obesity surgery. 2015;25(12 // (AUB) *American University of Beirut*):2393–9. https://doi.org/10.1007/s11695-015-1713-8.CrossRefPubMed

33.

Harbottle L. Audit of nutritional and dietary outcomes of bariatric surgery patients. Obesity Reviews: An Official Journal Of The International Association For The Study Of Obesity. 2011;12(3):198–204. https://doi.org/10.1111/j.1467-789X.2010.00737.x.CrossRef

34.

Ernst B, Thurnheer M, Wilms B, et al. Differential changes in dietary habits after gastric bypass versus gastric banding operations. Obesity Surgery. 2009;19(3):274–80.CrossRefPubMed

35.

Ortega J, Ortega-Evangelio G, Cassinello N, et al. What are obese patients able to eat after Roux-en-Y gastric bypass? Obesity facts. 2012;5(3):339–48. https://doi.org/10.1159/000339769.CrossRefPubMed

36.

Coughlin K, Bell RM, Bivins BA, et al. Preoperative and postoperative assessment of nutrient intakes in patients who have undergone gastric bypass surgery. Archives of Surgery (Chicago, Ill: 1960). 1983;118(7):813–6.CrossRef

37.

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

38.

da Silva FB, Gomes DL, de Carvalho KM. Poor diet quality and postoperative time are independent risk factors for weight regain after Roux-en-Y gastric bypass. Nutrition (Burbank, Los Angeles County, Calif). 2016;32(11–12):1250–3. https://doi.org/10.1016/j.nut.2016.01.018.CrossRef

39.

Giusti V, Theytaz F, Di Vetta V, et al. Energy and macronutrient intake after gastric bypass for morbid obesity: a 3-y observational study focused on protein consumption. American Journal of Clinical Nutrition. 2016;103(1):18–24. https://doi.org/10.3945/ajcn.115.111732. Language: English. Entry Date: 20160115. Revision Date: 20160429. Publication Type: Article.CrossRefPubMed

40.

Laurenius A, Larsson I, Melanson KJ, et al. Decreased energy density and changes in food selection following Roux-en-Y gastric bypass. Eur J Clin Nutr. 2013;67(2):168–73. https://doi.org/10.1038/ejcn.2012.208.CrossRefPubMed

41.

Miller GD, Norris A, Fernandez A. Changes in nutrients and food groups intake following laparoscopic Roux-en-Y gastric bypass (RYGB). Obes Surg. 2014;24(11):1926–32. https://doi.org/10.1007/s11695-014-1259-1.CrossRefPubMedPubMedCentral

42.

Reid RE, Oparina E, Plourde H, et al. Energy intake and food habits between weight maintainers and regainers, five years after Roux-en-Y gastric bypass. Canadian journal of dietetic practice and research. 2016;77(4):195–8. https://doi.org/10.3148/cjdpr-2016-013. Language: English. Entry Date: 20161121. Revision Date: 20161129. Publication Type: ArticleCrossRefPubMed

43.

NHMRC. Natonal Health and Medical Research Council. Departmnet of Health and Aging. Australian dietary guidelines: eat for health. 2013:https://www.eatforhealth.gov.au/sites/default/files/files/the_guidelines/n55_australian_dietary_guidelines.pdf.

44.

Angarisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg. 2015;25:1822–32.CrossRef

45.

Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;8:1–244.

46.

Goris A, Westerterp-Plantenga M, Westerterp KR. Undereating and underrecording of habitual food intake in obese men: selective underreporting of fat intake. Am J Clin Nutr. 2000;17:130–4.CrossRef

47.

Harbury CM, Verbruggen EE, Callister R, et al. What do individuals with morbid obesity report as a usual dietary intake? A narrative review of available evidence. Clin Nutr. 2016;13:15–22.

48.

Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocrine Practice. 2013;19(2):337–72. https://doi.org/10.4158/ep12437.Gl.CrossRefPubMedPubMedCentral

49.

Parrott J, Frank L, Rabena R, et al. American Society for Metabolic and Bariatric Surgery integrated health nutritional guidelines for the surgical weight loss patient. Surgery for Obesity and Related Diseases. 2016;13:727–41.CrossRef

50.

le Roux CW, Bueter M, Theis N, et al. Gastric bypass reduces fat intake and preference. American Journal Of Physiology Regulatory, Integrative and Comparative Physiology. 2011;301(4):R1057–66. https://doi.org/10.1152/ajpregu.00139.2011.CrossRefPubMedPubMedCentral

51.

Miras AD, Jackson RN, Jackson SN, et al. Gastric bypass surgery for obesity decreases the reward value of a sweet-fat stimulus as assessed in a progressive ratio task. American Journal of Clinical Nutrition. 2012;96(3):467–73. https://doi.org/10.3945/ajcn.112.036921.CrossRefPubMed

52.

Odstrcil EA, Martinez JG, Santa Ana CA, et al. The contribution of malabsorption to the reduction in net energy absorption after long-limb Roux-en-Y gastric bypass. American Journal of Clinical Nutrition. 2010;92(4):704–13. https://doi.org/10.3945/ajcn.2010.29870. Language: English. Entry Date: 20101119. Revision Date: 20151008. Publication Type: Journal Article.CrossRefPubMed

53.

Zarshenas N, Nacher M, Loi KW, et al. Investigating nutritional deficiencies in a group of patients 3 years post laparoscopic sleeve gastrectomy. Obes Surg. 2016;26(12):2936–43.CrossRefPubMed

54.

Toh SY, Zarshenas N, Jorgensen J. Prevalence of nutrient deficiencies in bariatric patients. Nutrition (Burbank, Los Angeles County, Calif). 2009;25(11–12):1150–6. https://doi.org/10.1016/j.nut.2009.03.012.CrossRef

55.

Dodsworth A, Warren-Forward H, Baines S. A systematic review of dietary intake after laparoscopic adjustable gastric banding. Journal Of Human Nutrition And Dietetics. 2011;24:327–41.CrossRefPubMed

Titel: The Relationship Between Bariatric Surgery and Diet Quality: a Systematic Review
verfasst von: Nazy Zarshenas
Linda Clare Tapsell
Elizabeth Phillipa Neale
Marijka Batterham
Michael Leonard Talbot
Publikationsdatum: 15.01.2020
Verlag: Springer US
Erschienen in: Obesity Surgery / Ausgabe 5/2020
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-04392-9

Neu im Fachgebiet Chirurgie

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

The Relationship Between Bariatric Surgery and Diet Quality: a Systematic Review