Nutrition, Physical Activity, and Prescription of Supplements in Pre- and Post-bariatric Surgery Patients: An Updated Comprehensive Practical Guideline

Tabesh, Mastaneh Rajabian; Eghtesadi, Maryam; Abolhasani, Maryam; Maleklou, Faezeh; Ejtehadi, Fatemeh; Alizadeh, Zahra

doi:10.1007/s11695-023-06703-2

Cited by 17 publications

(5 citation statements)

References 164 publications

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“…TeenLYFT guided patients through gradual activity increases as they recovered, 22 adhering to the FITT principle (frequency, intensity, time, type) and emphasizing the development of self-e cacy. The DPP/GLB aims to help participants develop exercise skills throughout the year and includes several sessions reinforcing the importance of physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…They are also encouraged to start exercising a few days after surgery by walking, and then to move on to weight training, stretching and core exercises once cleared by their clinical surgery medical providers, often about six weeks after their surgery date. 22 The motivation and stress management modules support ongoing adherence to nutrition and physical activity recommendations by providing tips to manage stress and stay motivated across time. A short quiz is available for every four weeks, or for each set of eight videos, of content.…”

Section: Healthy Eatingmentioning

confidence: 99%

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Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients

Misserian,

Wheelington,

King

et al. 2023

Preprint

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Background: Metabolic and bariatric surgery (MBS) is safe and efficacious in treating adolescents with severe obesity. Behavioral/lifestyle programs can support successful preparation for surgery and post-MBS weight loss, but no standardized lifestyle intervention exists for adolescents. Here we describe the process of developing and adapting the Diabetes Prevention Program Group Lifestyle Balance (DPP/GLB) curriculum to support adolescents pre- and post-MBS. Methods: We collected both qualitative and quantitative data from a diverse group of adolescents (N=19, mean age 15.2 years, range 13-17, 76.0% female, 42.1% non-Hispanic Black, 42.1% non-Hispanic White, 15.8% Other, 59% Hispanic). Additionally, we included data from 13 parents, all of whom were mothers. These participants were recruited from an adolescent MBS program at Children’s Health System of Texas. In an online survey, we asked participants to rank their preferences and interests in DPP/GLB content topics. We complemented these results with in-depth interviews from a subset of 10 participants. This qualitative data triangulation informed the development of the TeenLYFT lifestyle intervention program, designed to support adolescents who were completing MBS. This program was adapted from the DPP/GLB, incorporating the social cognitive model (SCM) and the socioecological model (SEM) constructs to better cater to the needs of adolescent MBS patients. Results: Adolescents’ top 3 ranked areas of content were: (1) steps to adopt better eating habits and healthier foods; (2) healthy ways to cope with stress; and (3) steps to stay motivated and manage self-defeating thoughts. Nearly all adolescent participants preferred online delivery of content (versus in-person). Mothers chose similar topics with the addition of information on eating healthy outside the home. Key themes from the adolescent qualitative interviews included familial support, body image and self-confidence, and comorbidities as key motivating factors in moving forward with MBS. Conclusions: The feedback provided by both adolescents and parents informed the development of TeenLYFT, an online support intervention for adolescent MBS candidates. The adapted program may reinforce healthy behaviors and by involving parents, help create a supportive environment, increasing the likelihood of sustained behavior change. Understanding adolescent/parent needs to support weight management may also help healthcare providers improve long-term health outcomes for this patient population.

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Section: Discussionmentioning

confidence: 99%

Section: Healthy Eatingmentioning

confidence: 99%

Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients

Misserian,

Wheelington,

King

et al. 2023

Preprint

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“…General rules include small but frequent meals, long chewing, drinking between (not during) meals, and avoiding simple carbohydrates. According to some studies, pregnant patients who have had BS may require an additional 200 kcal per day [21]. GWG is the preferred indicator for the adequacy of calorie intake [19].…”

Section: Dietary Supplementation In Pregnancies After Bariatric Surgerymentioning

confidence: 99%

“…If the necessary protein intake is not fulfilled by the diet, it has to be supplemented [15]. Protein malnutrition is defined by serum albumin <25 g/L and is more common after MS, although there is a risk of protein malnutrition after both RS and MS [21].…”

Section: Dietary Supplementation In Pregnancies After Bariatric Surgerymentioning

confidence: 99%

Nutritional Implications of Bariatric Surgery on Pregnancy Management—A Narrative Review of the Literature

Różańska-Walędziak,

Walędziak,

Mierzejewska

et al. 2023

Medicina

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One in three women of reproductive age is obese. The mainstay treatment for obesity is bariatric surgery, and the following weight reduction results in a decrease in pregnancy adverse effects, including gestational diabetes mellitus, pregnancy-induced hypertension, and macrosomia. However, nutritional and vitamin deficiencies due to changes in the gastrointestinal tract after bariatric surgery are associated with an increase in the risk of fetal growth retardation and small for gestational-age neonates. The purpose of this review was to analyze the available recent literature on the subject of the management of pregnancy after bariatric surgery. We searched for available articles from 2007 to 2023 and chose articles of the greatest scientific and clinical value. Micronutrient, vitamin, and protein supplementation is recommended in the prenatal period and throughout the pregnancy. It is advised that pregnant women with a history of bariatric surgery should be provided with regular specialist dietary care. There is still a lack of recommendations about the optimum gestational weight gain after different types of bariatric surgery and for patients of different metabolic statuses. Women of reproductive age undergoing bariatric procedures should be provided with appropriate counseling about adequate contraception, the recommended time-to-conception interval, and the positive and negative influence of bariatric surgery on perinatal outcomes.

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“…Bariatric treatment requires lasting lifestyle changes. Thus, current post-surgery approaches prioritize lifestyle modi cations, including regular physical activity and dietary adjustments to achieve optimal weight loss and health bene ts balancing caloric intake and energy expenditure (10) . However, other dimensions of physical activity and eating habits could be important for successful weight loss after bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

Weight loss in patients with severe obesity after bariatric surgery – The potential role of the chrono-nutrition, chronotype and the circadian misalignment: a study protocol of the ChronoWise prospective Cohort

Rodrigues,

Magalhães,

Santos

et al. 2024

Preprint

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Background Despite the potential effectiveness of bariatric surgery in promoting weight loss, a considerable proportion of patients still face the challenge of achieving optimal post-surgery outcomes. The timing of eating, in addition to the content of what is eaten, as well as chronotype and social jetlag (a marker of circadian misalignment), have been implicated in weight regulation. However, the current understanding of these chrono-related behaviours in individuals undergoing bariatric surgery is still scarce. Thus, this study aims to evaluate the role of chrono-nutrition, chronotype, and circadian misalignment in the weight-loss trajectory among individuals living with severe obesity who underwent bariatric surgery. Methods The ChronoWise project is a prospective single-centre cohort study designed to follow patients experiencing bariatric surgery at the Santo António Local Health Unit (ULSSA), Porto, Portugal. Participants will be recruited and evaluated at pre-surgery and followed-up over 3 and 6 months after surgery. The baseline evaluation will be conducted face-to-face during the hospital stay and by telephone or video call on the subsequent evaluations, following standard procedures. Data collection includes sociodemographics, food intake, chrono-nutrition behaviours, sleep time behaviour, sleep quality, screen time, physical activity and exercise behaviours, anthropometric measurements, and biochemical parameters. The ‘Munich Chronotype Questionnaire’ will be used to assess chronotype and social jet lag. Chrono-nutrition dimensions will be measured by the ‘Chrononutrition Profile - Questionnaire' in all evaluations. Weight and height will be self-reported and retrieved from medical registries. trajectories of weight-loss will be obtained. Discussion This study will add important evidence on the role of chrono-nutrition, chronotype and social jetlag profile in weight-loss outcomes after bariatric surgery. Identifying novel approaches to change the paradigm of post-surgical weight management towards a tailored treatment aligned with circadian rhythm may be useful to strengthen the existing treatments and improve patients’ response to bariatric surgery.

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Nutrition, Physical Activity, and Prescription of Supplements in Pre- and Post-bariatric Surgery Patients: An Updated Comprehensive Practical Guideline

Cited by 17 publications

References 164 publications

Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients

Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients

Nutritional Implications of Bariatric Surgery on Pregnancy Management—A Narrative Review of the Literature

Weight loss in patients with severe obesity after bariatric surgery – The potential role of the chrono-nutrition, chronotype and the circadian misalignment: a study protocol of the ChronoWise prospective Cohort

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