Skip to main content
Erschienen in: Obesity Surgery 11/2011

01.11.2011 | Review

Dietary Protein Intake and Bariatric Surgery Patients: A Review

verfasst von: Silvia Leite Faria, Orlando Pereira Faria, Cynthia Buffington, Mariane de Almeida Cardeal, Marina Kiyomi Ito

Erschienen in: Obesity Surgery | Ausgabe 11/2011

Einloggen, um Zugang zu erhalten

Abstract

Bariatric surgery, a highly successful treatment for obesity, requires adherence to special dietary recommendations to insure the achievement of weight loss goals and weight maintenance. Postoperative consumption of protein is linked to satiety induction, nutritional status, and weight loss. Hence, we conducted an extensive literature review to identify studies focused on the following: protein and nutritional status; recommendations for dietary protein intake; the effects of protein-rich diets; and associations between dietary protein intake and satiety, weight loss, and body composition. We found that there have been few studies on protein intake recommendations for bariatric patients. Dietary protein ingestion among this population tends to be inadequate, potentially leading to a loss of lean body mass, reduced metabolic rates, and physiological damage. Conversely, a protein-rich diet can lead to increased satiety, enhanced weight loss, and improved body composition. The quality and composition of protein sources are also very important, particularly with respect to the quantity of leucine, which helps to maintain muscle mass, and thus is particularly important for this patient group. Randomized studies among bariatric surgery patient populations are necessary to establish the exact quantity of protein that should be prescribed to maintain their nutritional status.
Literatur
1.
Zurück zum Zitat Wandell PE, Carlsson AC, Theobald H. The association between BMI value and long-term mortality. Int J Obes (Lond). 2009;33(5):577–82.CrossRef Wandell PE, Carlsson AC, Theobald H. The association between BMI value and long-term mortality. Int J Obes (Lond). 2009;33(5):577–82.CrossRef
3.
Zurück zum Zitat Deitel M. Overweight and obesity worldwide now estimated to involve 1.7 billion people. Obes Surg. 2003;13:329–30 (Editorial).PubMedCrossRef Deitel M. Overweight and obesity worldwide now estimated to involve 1.7 billion people. Obes Surg. 2003;13:329–30 (Editorial).PubMedCrossRef
4.
Zurück zum Zitat Must A, Spadano J, Coakley EH, et al. The disease burden associated with overweight and obesity. Am J Med Assoc. 1999;282:1523–9.CrossRef Must A, Spadano J, Coakley EH, et al. The disease burden associated with overweight and obesity. Am J Med Assoc. 1999;282:1523–9.CrossRef
5.
Zurück zum Zitat Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.PubMedCrossRef Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.PubMedCrossRef
6.
Zurück zum Zitat Marcason W. What are the dietary guidelines following bariatric surgery? Am J Diet Assoc. 2004;104(3):487–8.CrossRef Marcason W. What are the dietary guidelines following bariatric surgery? Am J Diet Assoc. 2004;104(3):487–8.CrossRef
7.
Zurück zum Zitat Buchwald H, Oien D. Metabolic/bariatric surgery worldwide 2008. Obes Surg. 2009;19:1605–11.PubMedCrossRef Buchwald H, Oien D. Metabolic/bariatric surgery worldwide 2008. Obes Surg. 2009;19:1605–11.PubMedCrossRef
8.
Zurück zum Zitat Heber D, Greenway FL, Kaplan LM, et al. Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2010;95(11):4823–43.PubMedCrossRef Heber D, Greenway FL, Kaplan LM, et al. Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2010;95(11):4823–43.PubMedCrossRef
9.
Zurück zum Zitat Westerterp-Platenga MS, Nieuwenhuizen A, Tomé D, et al. Dietery protein, weight loss, and weight maintenance. Ann Rev Nutr. 2009;29:21–41.CrossRef Westerterp-Platenga MS, Nieuwenhuizen A, Tomé D, et al. Dietery protein, weight loss, and weight maintenance. Ann Rev Nutr. 2009;29:21–41.CrossRef
10.
Zurück zum Zitat 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;13:21–8.CrossRef 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;13:21–8.CrossRef
11.
Zurück zum Zitat Famsworth E, Luscombe ND, Noakes M, et al. Effect of a high protein, energy-restricted diet on body composition, glycemic control, and lipid concentration in overweight and obese hyperinsulinemic men and women. Am J Clin Nutr. 2003;78:31–9. Famsworth E, Luscombe ND, Noakes M, et al. Effect of a high protein, energy-restricted diet on body composition, glycemic control, and lipid concentration in overweight and obese hyperinsulinemic men and women. Am J Clin Nutr. 2003;78:31–9.
12.
Zurück zum Zitat Faria SL, de Oliveira Kelly E, Lins RD, et al. Nutritional management of weight regain after bariatric surgery. Obes Surg. 2010;20:135–9.PubMedCrossRef Faria SL, de Oliveira Kelly E, Lins RD, et al. Nutritional management of weight regain after bariatric surgery. Obes Surg. 2010;20:135–9.PubMedCrossRef
13.
Zurück zum Zitat Shai I, Schwarzfuchs D, Henkin Y. Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. N Engl J Med. 2008;359:229–41.PubMedCrossRef Shai I, Schwarzfuchs D, Henkin Y. Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. N Engl J Med. 2008;359:229–41.PubMedCrossRef
14.
Zurück zum Zitat Aills L, Blankenship J, Buffington C, et al. ASMBS Allied Health Nutritional Guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4:S73–108.PubMedCrossRef Aills L, Blankenship J, Buffington C, et al. ASMBS Allied Health Nutritional Guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4:S73–108.PubMedCrossRef
15.
Zurück zum Zitat Jackson AA, Gibson NR, Lu Y, et al. Synthesis of erythrocyte glutathione in healthy adults consuming the safe amount of dietary protein. Am J Clin Nutr. 2004;80:101–7.PubMed Jackson AA, Gibson NR, Lu Y, et al. Synthesis of erythrocyte glutathione in healthy adults consuming the safe amount of dietary protein. Am J Clin Nutr. 2004;80:101–7.PubMed
16.
Zurück zum Zitat Castellanos VH, Litchford MD, Campbell WW. Modular protein supplements and their application to long-term care. Nutr Clin Pract. 2006;21:485–504.PubMedCrossRef Castellanos VH, Litchford MD, Campbell WW. Modular protein supplements and their application to long-term care. Nutr Clin Pract. 2006;21:485–504.PubMedCrossRef
17.
Zurück zum Zitat Humayun MA, Elango R, Ball RO, et al. Reevaluation of the protein requirement in young men with the indicator amino acid oxidation technique. Am J Clin Nutr. 2007;85:995–1002. Humayun MA, Elango R, Ball RO, et al. Reevaluation of the protein requirement in young men with the indicator amino acid oxidation technique. Am J Clin Nutr. 2007;85:995–1002.
18.
Zurück zum Zitat Layman DK, Boileau RD, Erickson DJ, et al. A reduced ratio of dietary carbohydrate to protein improves body composition and blood lipid profiles during weight loss in adult women. J Nutr. 2003;133:411–7.PubMed Layman DK, Boileau RD, Erickson DJ, et al. A reduced ratio of dietary carbohydrate to protein improves body composition and blood lipid profiles during weight loss in adult women. J Nutr. 2003;133:411–7.PubMed
19.
Zurück zum Zitat Schinkel ER, Pettine SF, Adams E, et al. Impact of varying levels of protein intake on protein status indicators after gastric bypass in patients with multiple complications requiring nutritional support. Obes Surg. 2006;16:24–30.CrossRef Schinkel ER, Pettine SF, Adams E, et al. Impact of varying levels of protein intake on protein status indicators after gastric bypass in patients with multiple complications requiring nutritional support. Obes Surg. 2006;16:24–30.CrossRef
20.
Zurück zum Zitat Layman DK, Shiue H, Sather C, et al. Increased dietary protein modifies glucose and insulin homeostasis in adult women during weight loss. J Nutr. 2003;133:405–10.PubMed Layman DK, Shiue H, Sather C, et al. Increased dietary protein modifies glucose and insulin homeostasis in adult women during weight loss. J Nutr. 2003;133:405–10.PubMed
21.
Zurück zum Zitat Layman DK, Evans E, Baum JI, et al. Dietary protein and exercise have additive effects on body composition during weight loss in adult women. J Nutr. 2005;135:1903–10.PubMed Layman DK, Evans E, Baum JI, et al. Dietary protein and exercise have additive effects on body composition during weight loss in adult women. J Nutr. 2005;135:1903–10.PubMed
22.
Zurück zum Zitat Volek JS, Sharman MJ. Cardiovascular and hormonal aspects of very-low-carbohydrate ketogenic diets. Obes Res. 2004;12:115S–23.PubMedCrossRef Volek JS, Sharman MJ. Cardiovascular and hormonal aspects of very-low-carbohydrate ketogenic diets. Obes Res. 2004;12:115S–23.PubMedCrossRef
23.
Zurück zum Zitat Bock MA. Roux-en-Y gastric bypass: the dietitian’s and patient’s perspectives. Nutr Clin Pract. 2003;18:141–4.PubMedCrossRef Bock MA. Roux-en-Y gastric bypass: the dietitian’s and patient’s perspectives. Nutr Clin Pract. 2003;18:141–4.PubMedCrossRef
24.
Zurück zum Zitat Faria SL, Faria OP, Lopes TC, et al. Relation between carbohydrate intake and weight loss after bariatric surgery. Obes Surg. 2008;19(6):708–16.PubMedCrossRef Faria SL, Faria OP, Lopes TC, et al. Relation between carbohydrate intake and weight loss after bariatric surgery. Obes Surg. 2008;19(6):708–16.PubMedCrossRef
25.
Zurück zum Zitat Andreu A, Moize A, Rodríguez L, et al. Protein intake, body composition, and protein status following bariatric surgery. Obes Surg. 2010;20:1509–15.PubMedCrossRef Andreu A, Moize A, Rodríguez L, et al. Protein intake, body composition, and protein status following bariatric surgery. Obes Surg. 2010;20:1509–15.PubMedCrossRef
26.
Zurück zum Zitat Ritz P, Becouarn G, Douay O. Gastric bypass is not associated with protein malnutrition in morbidly obese patients. Obes Surg. 2009;19:840–4.PubMedCrossRef Ritz P, Becouarn G, Douay O. Gastric bypass is not associated with protein malnutrition in morbidly obese patients. Obes Surg. 2009;19:840–4.PubMedCrossRef
27.
Zurück zum Zitat Delegge MH, Drake LM. Nutritional assessment. Gastroenterol. 2007;36:1–22. EX 25. Delegge MH, Drake LM. Nutritional assessment. Gastroenterol. 2007;36:1–22. EX 25.
28.
Zurück zum Zitat Behrns KE, Smith CD, Sarr MG. Prospective evaluation of gastric acid secretion and cobalamin absorption following gastric bypass for clinically severe obesity. Dig Dis Sci. 1994;39(2):315–20.PubMedCrossRef Behrns KE, Smith CD, Sarr MG. Prospective evaluation of gastric acid secretion and cobalamin absorption following gastric bypass for clinically severe obesity. Dig Dis Sci. 1994;39(2):315–20.PubMedCrossRef
29.
Zurück zum Zitat Faria SL, Kelly EO, Faria OP, et al. Snack-eating patients experience lesser weight loss after Roux-en-Y gastric bypass surgery. Obes Surg. 2009;19(9):1293–6.CrossRef Faria SL, Kelly EO, Faria OP, et al. Snack-eating patients experience lesser weight loss after Roux-en-Y gastric bypass surgery. Obes Surg. 2009;19(9):1293–6.CrossRef
30.
Zurück zum Zitat DRI. Institute of Medicine, Food and Nutrition Board, Dietary Reference Intakes: energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. Washington: The National Academy; 2005. DRI. Institute of Medicine, Food and Nutrition Board, Dietary Reference Intakes: energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. Washington: The National Academy; 2005.
31.
Zurück zum Zitat Elango R, Humayun MA, Ball RO, et al. Evidence that protein requirements have been significantly underestimated. Curr Opin Clin Nutr Metab Care. 2010;13:52–7.PubMedCrossRef Elango R, Humayun MA, Ball RO, et al. Evidence that protein requirements have been significantly underestimated. Curr Opin Clin Nutr Metab Care. 2010;13:52–7.PubMedCrossRef
32.
Zurück zum Zitat Afolabi PR, Jahoor F, Gibson NR, et al. Response of hepatic proteins to the lowering of habitual dietary protein to the recommended safe level of intake. Am J Physiol. 2004;287:E327–30.CrossRef Afolabi PR, Jahoor F, Gibson NR, et al. Response of hepatic proteins to the lowering of habitual dietary protein to the recommended safe level of intake. Am J Physiol. 2004;287:E327–30.CrossRef
33.
Zurück zum Zitat Young VR, Taylor YS, Rand WM, et al. Protein requirements of man: efficiency of egg protein utilization at maintenance and submaintenance levels in young men. J Nutr. 1973;103:1164–74.PubMed Young VR, Taylor YS, Rand WM, et al. Protein requirements of man: efficiency of egg protein utilization at maintenance and submaintenance levels in young men. J Nutr. 1973;103:1164–74.PubMed
34.
Zurück zum Zitat Rand WM, Young VR. Statistical analysis of nitrogen balance date with reference to the lysine requirements in adults. J Nutr. 1999;129:1920–6.PubMed Rand WM, Young VR. Statistical analysis of nitrogen balance date with reference to the lysine requirements in adults. J Nutr. 1999;129:1920–6.PubMed
35.
Zurück zum Zitat Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i–xii, 1–253. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i–xii, 1–253.
36.
Zurück zum Zitat NIH. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults—The Evidence Report. National Institutes of Health. Obes Res. 1998;6(suppl):51S–209S. NIH. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults—The Evidence Report. National Institutes of Health. Obes Res. 1998;6(suppl):51S–209S.
37.
Zurück zum Zitat Elliot K. Nutritional considerations after bariatric surgery. Crit Care Nurs Q. 2003;26(2):133–8.PubMed Elliot K. Nutritional considerations after bariatric surgery. Crit Care Nurs Q. 2003;26(2):133–8.PubMed
38.
Zurück zum Zitat Smeets AJ, Soenen S, Luscombe-Marsh ND, et al. Energy expenditure, satiety, and plasma ghrelin, glucagon-like peptide 1, and peptide tyrosine–tyrosine concentrations following single high protein lunch. J Nutr. 2008;138:698–702.PubMed Smeets AJ, Soenen S, Luscombe-Marsh ND, et al. Energy expenditure, satiety, and plasma ghrelin, glucagon-like peptide 1, and peptide tyrosine–tyrosine concentrations following single high protein lunch. J Nutr. 2008;138:698–702.PubMed
39.
Zurück zum Zitat Bellissimo N, Desantadina MV, Pencharz PB, et al. A comparison of short-term appetite and energy intakes in normal weight and obese boys following glucose and whey-protein drinks. Int J Obes (Lond). 2008;32:362–71.CrossRef Bellissimo N, Desantadina MV, Pencharz PB, et al. A comparison of short-term appetite and energy intakes in normal weight and obese boys following glucose and whey-protein drinks. Int J Obes (Lond). 2008;32:362–71.CrossRef
40.
Zurück zum Zitat Diepvens K, Haberer D, Westerterp-Platenga MS. Different proteins and biopeptides differently affect satiety and anorexigenic/orexigenic hormones in healthy humans. Int J Obes. 2008;32:10–8.CrossRef Diepvens K, Haberer D, Westerterp-Platenga MS. Different proteins and biopeptides differently affect satiety and anorexigenic/orexigenic hormones in healthy humans. Int J Obes. 2008;32:10–8.CrossRef
41.
Zurück zum Zitat Leibowitz SF, Alexander JT. Hypothalamic serotonin in control of eating behavior, meal size, and body weight. Bio Psychiatry. 1998;44(9):851–64.CrossRef Leibowitz SF, Alexander JT. Hypothalamic serotonin in control of eating behavior, meal size, and body weight. Bio Psychiatry. 1998;44(9):851–64.CrossRef
42.
Zurück zum Zitat Wurtman RJ, Wurtmam JJ. Do carbohydrates affect food intakes via neurotransmitter activity? Appet. 1998;11:42–7. Wurtman RJ, Wurtmam JJ. Do carbohydrates affect food intakes via neurotransmitter activity? Appet. 1998;11:42–7.
43.
Zurück zum Zitat Goto K, Kasaoka S, Takizawa M, et al. Bitter taste and blood glucose are not involved in the suppressive effect of dietary histidine on food intake. Neurosci Lett. 2007;420(2):106–9.PubMedCrossRef Goto K, Kasaoka S, Takizawa M, et al. Bitter taste and blood glucose are not involved in the suppressive effect of dietary histidine on food intake. Neurosci Lett. 2007;420(2):106–9.PubMedCrossRef
44.
Zurück zum Zitat Hall WL, Millward DJ, Long SJ, et al. Casein and whey exert different effects on plasma amino acids profiles, gastrointestinal hormone secretion and appetite. Br J Nutr. 2003;89:239–48.PubMedCrossRef Hall WL, Millward DJ, Long SJ, et al. Casein and whey exert different effects on plasma amino acids profiles, gastrointestinal hormone secretion and appetite. Br J Nutr. 2003;89:239–48.PubMedCrossRef
45.
Zurück zum Zitat Meier JJ, Nauck MA. Glucagon-like peptide 1 (GLP-1) in biology and pathology. Diab Metab Res Rev. 2005;21:91–117.CrossRef Meier JJ, Nauck MA. Glucagon-like peptide 1 (GLP-1) in biology and pathology. Diab Metab Res Rev. 2005;21:91–117.CrossRef
46.
Zurück zum Zitat Verdich C, Flint A, Gutzwiller JP. A meta-analysis of the effect of glucagon-like peptide-1 (7–36) amide on ad libitum energy intake in humans. J Clin Endocrinol Metab. 2001;86:4382–9.PubMedCrossRef Verdich C, Flint A, Gutzwiller JP. A meta-analysis of the effect of glucagon-like peptide-1 (7–36) amide on ad libitum energy intake in humans. J Clin Endocrinol Metab. 2001;86:4382–9.PubMedCrossRef
47.
Zurück zum Zitat Batterham RL, Cohen MA, Ellis SM, et al. Inhibition of food intake in obese subjects by peptide YY3-36. N Engl J Med. 2003;349:941–8.PubMedCrossRef Batterham RL, Cohen MA, Ellis SM, et al. Inhibition of food intake in obese subjects by peptide YY3-36. N Engl J Med. 2003;349:941–8.PubMedCrossRef
48.
Zurück zum Zitat Batterham RL, Heffron H, Kapoor S, et al. Critical role for peptide YY in protein-mediated satiation and body-weight regulation. Cell Metab. 2006;4:223–33.PubMedCrossRef Batterham RL, Heffron H, Kapoor S, et al. Critical role for peptide YY in protein-mediated satiation and body-weight regulation. Cell Metab. 2006;4:223–33.PubMedCrossRef
49.
Zurück zum Zitat Chaston TB, Dixon JB, O’Brien PE. Changes in fat-free mass during significant weight loss: a systematic review. Int J Obes. 2007;31:743–50. Chaston TB, Dixon JB, O’Brien PE. Changes in fat-free mass during significant weight loss: a systematic review. Int J Obes. 2007;31:743–50.
50.
Zurück zum Zitat Faria S, Faria O, Furtado M, et al. Analysis of body composition 629 evolution after Roux-en-Y gastric bypass [abstract]. Obes Surg. IFSO. 2010;630:98–99. Faria S, Faria O, Furtado M, et al. Analysis of body composition 629 evolution after Roux-en-Y gastric bypass [abstract]. Obes Surg. IFSO. 2010;630:98–99.
51.
Zurück zum Zitat Layman DK, Walker DA. Potential importance of leucine in treatment of obesity and the metabolic syndrome. J Nutr. 2006;136:319S–23.PubMed Layman DK, Walker DA. Potential importance of leucine in treatment of obesity and the metabolic syndrome. J Nutr. 2006;136:319S–23.PubMed
52.
Zurück zum Zitat Parker B, Noakes M, Luscombe N, et al. Effect of a high protein, high monounsaturated fat weight loss diet on glycemic control and lipid levels in type 2 diabetes. Am Diab Ass. 2002;25:425–30. Parker B, Noakes M, Luscombe N, et al. Effect of a high protein, high monounsaturated fat weight loss diet on glycemic control and lipid levels in type 2 diabetes. Am Diab Ass. 2002;25:425–30.
53.
Zurück zum Zitat Piatti PM, Monti LD, Magni F, et al. Hypocaloric high-protein diet improves glucose oxidation and spares lean body mass: comparison to hypocaloric high carbohydrate diet. Metab. 1994;43:1481–7.CrossRef Piatti PM, Monti LD, Magni F, et al. Hypocaloric high-protein diet improves glucose oxidation and spares lean body mass: comparison to hypocaloric high carbohydrate diet. Metab. 1994;43:1481–7.CrossRef
54.
Zurück zum Zitat Skov AR, Toubro S, Ronn B, et al. Randomized trial on protein vs carbohydrate in ad libitum fat reduced diet for the treatment of obesity. Int J Obes. 1999;23:528–36.CrossRef Skov AR, Toubro S, Ronn B, et al. Randomized trial on protein vs carbohydrate in ad libitum fat reduced diet for the treatment of obesity. Int J Obes. 1999;23:528–36.CrossRef
55.
Zurück zum Zitat Due A, Toubro S, Skov AR, et al. Effect of normal-fat diets, either medium or high in protein, on body weight in overweight subjects: a randomised 1-year trial. Int J Obes. 2004;28:1283–90.CrossRef Due A, Toubro S, Skov AR, et al. Effect of normal-fat diets, either medium or high in protein, on body weight in overweight subjects: a randomised 1-year trial. Int J Obes. 2004;28:1283–90.CrossRef
56.
Zurück zum Zitat Weigle DS, Breen PA, Matthys CC, et al. A high protein diet induces sustained reductions in appetite, ad libitum calorie intake, and body weight despite compensatory changes in diurnal plasma leptin and ghrelin concentrations. Am J Clin Nutr. 2005;82:41–8.PubMed Weigle DS, Breen PA, Matthys CC, et al. A high protein diet induces sustained reductions in appetite, ad libitum calorie intake, and body weight despite compensatory changes in diurnal plasma leptin and ghrelin concentrations. Am J Clin Nutr. 2005;82:41–8.PubMed
57.
Zurück zum Zitat Margriet S, Westerterp-Platenga MS. The significance of protein in food intake and body weight regulation. Opin Clin Nutr Metab Care. 2003;6:635–8.CrossRef Margriet S, Westerterp-Platenga MS. The significance of protein in food intake and body weight regulation. Opin Clin Nutr Metab Care. 2003;6:635–8.CrossRef
58.
Zurück zum Zitat Dumesnil JG, Turgeon J, Tremblay A. Effect of a low-glycaemic index–low-fat–high protein diet on the atherogenic metabolic risk profile of abdominally obese men. Br J Nutr. 2001;86:557–68.PubMedCrossRef Dumesnil JG, Turgeon J, Tremblay A. Effect of a low-glycaemic index–low-fat–high protein diet on the atherogenic metabolic risk profile of abdominally obese men. Br J Nutr. 2001;86:557–68.PubMedCrossRef
59.
Zurück zum Zitat Westerterp KR, Wilson SAJ, Rolland A. Diet-induced thermogenesis measured over 24 h in a respiration chamber: effect of diet composition. Int J Obes. 1999;23:287–92.CrossRef Westerterp KR, Wilson SAJ, Rolland A. Diet-induced thermogenesis measured over 24 h in a respiration chamber: effect of diet composition. Int J Obes. 1999;23:287–92.CrossRef
60.
Zurück zum Zitat Feinman RD, Fine EJ. Thermodynamics and metabolic advantage of weight loss diets. Metab Syn Relat Dis. 2003;1:209–19.CrossRef Feinman RD, Fine EJ. Thermodynamics and metabolic advantage of weight loss diets. Metab Syn Relat Dis. 2003;1:209–19.CrossRef
61.
Zurück zum Zitat Scopinaro N, Gianetta E, Adami GF, et al. Biliopancreatic diversion. World J Surg. 1998;22:936–40.PubMedCrossRef Scopinaro N, Gianetta E, Adami GF, et al. Biliopancreatic diversion. World J Surg. 1998;22:936–40.PubMedCrossRef
62.
Zurück zum Zitat Layman DK. The role of leucine in weight loss diets and glucose homeostasis. J Nutr. 2003;133:261S–7.PubMed Layman DK. The role of leucine in weight loss diets and glucose homeostasis. J Nutr. 2003;133:261S–7.PubMed
63.
Zurück zum Zitat Kimball SR, Jefferson LS. Regulation of protein synthesis by branched-chain amino acids. Curr Opin Clin Nutr Metab Care. 2001;4:39–43.PubMedCrossRef Kimball SR, Jefferson LS. Regulation of protein synthesis by branched-chain amino acids. Curr Opin Clin Nutr Metab Care. 2001;4:39–43.PubMedCrossRef
64.
Zurück zum Zitat Phillips SM. Protein requirements and supplementation in strength sports. Nutrition. 2004;20:689–95.PubMedCrossRef Phillips SM. Protein requirements and supplementation in strength sports. Nutrition. 2004;20:689–95.PubMedCrossRef
65.
Zurück zum Zitat Millward DJ, Layman DK, Tomé D, et al. Protein quality assessment: impact of expanding understanding of protein and amino acid needs for optimal health. Am J Clin Nutr. 2008;87(suppl):1576S–81.PubMed Millward DJ, Layman DK, Tomé D, et al. Protein quality assessment: impact of expanding understanding of protein and amino acid needs for optimal health. Am J Clin Nutr. 2008;87(suppl):1576S–81.PubMed
66.
Zurück zum Zitat FAO/WHO/UNU: Energy and protein requirements. Report of a joint FAO/WHO/UNU expert consultation. WHO tech Pep Ser. 1985;724:1–206. FAO/WHO/UNU: Energy and protein requirements. Report of a joint FAO/WHO/UNU expert consultation. WHO tech Pep Ser. 1985;724:1–206.
67.
Zurück zum Zitat Layman DK. Protein quantity and quality at levels above RDA improves adult weight loss. J Am Coll Nutr. 2004;23(6):631S.PubMed Layman DK. Protein quantity and quality at levels above RDA improves adult weight loss. J Am Coll Nutr. 2004;23(6):631S.PubMed
Metadaten
Titel
Dietary Protein Intake and Bariatric Surgery Patients: A Review
verfasst von
Silvia Leite Faria
Orlando Pereira Faria
Cynthia Buffington
Mariane de Almeida Cardeal
Marina Kiyomi Ito
Publikationsdatum
01.11.2011
Verlag
Springer-Verlag
Erschienen in
Obesity Surgery / Ausgabe 11/2011
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-011-0441-y

Weitere Artikel der Ausgabe 11/2011

Obesity Surgery 11/2011 Zur Ausgabe

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

23.04.2024 Ablationstherapie Nachrichten

Nach der Katheterablation von Vorhofflimmern kommt es bei etwa einem Drittel der Patienten zu Rezidiven, meist binnen eines Jahres. Wie sich spätere Rückfälle auf die Erfolgschancen einer erneuten Ablation auswirken, haben Schweizer Kardiologen erforscht.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Ureterstriktur: Innovative OP-Technik bewährt sich

19.04.2024 EAU 2024 Kongressbericht

Die Ureterstriktur ist eine relativ seltene Komplikation, trotzdem bedarf sie einer differenzierten Versorgung. In komplexen Fällen wird dies durch die roboterassistierte OP-Technik gewährleistet. Erste Resultate ermutigen.

Update Chirurgie

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

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
Berufsverband der Deutschen Chirurgie e.V.

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
Berufsverband der Deutschen Chirurgie e.V.

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
Berufsverband der Deutschen Chirurgie e.V.