Role of the Dietitian in a Multidisciplinary Bariatric Program

Yeager, Stephanie

doi:10.1089/bar.2008.9980

Cited by 5 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Due to the increased risk of nutritional deficiencies following bariatric procedures, it is recommended that the patient’s biochemistry or pathology is checked every 3–6 months postoperatively for the first 2 years and then monitored annually thereafter. 20 , 22 , 50 , 51 This will minimize nutritional deficiencies causing fatigue, and minimize food cravings to improve long-term weight loss, as well as providing increased quality of life.…”

Section: Dietary Considerationsmentioning

confidence: 99%

Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions

McGrice¹,

Paul²

2015

DMSO

127

View full text Add to dashboard Cite

Bariatric surgery aims to provide long-term weight loss and improvement in weightrelated comorbidities. Unfortunately, some patients do not achieve predicted weight loss targets and many regain a portion of their lost weight within 2-10 years postsurgery. A review of the literature found that behavioral, dietary, psychological, physical, and medical considerations can all play a role in suboptimal long-term weight loss. Recommendations to optimize long-term weight loss include ensuring that the patient understands how the procedure works, preoperative and postoperative education sessions, tailored nutritional supplements, restraint with liquid kilojoules, pureed foods, grazing and eating out of the home, an average of 60 minutes of physical activity per day, and lifelong annual medical, psychological, and dietary assessments.

show abstract

Section: Dietary Considerationsmentioning

confidence: 99%

Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions

McGrice¹,

Paul²

2015

DMSO

127

View full text Add to dashboard Cite

show abstract

“…Intolerances are more common in the first year after surgery and the tendency is to decrease in the long term, thanks to physiological adaptations of the digestive process [23,24]. A common phenomenon observed in post-bariatric patients is a tendency to return to habitual unbalanced eating [25]. Although the quality of the food has improved in the first six postoperative months, there is a decline after this period, with gradual consumption of more caloric foods and avoidance of the basic diet [26].…”

Section: Resultsmentioning

confidence: 99%

“…The Food Guide used in bariatric patients until today is based on the bariatric pyramid, proposed by Violet Moizé in 2013 [28]. There is a consensus on the determination of nutritional phases in the postoperative period of bariatric surgery, these need to be followed step by step by a multidisciplinary team and by a trained professional focused on human nutrition, such as nutritionists and nutritionists [24,25]. According to the Brazilian society of bariatric surgery, four stages of food progression after bariatric surgery are numbered, starting in the immediate postoperative period until the establishment of a regular diet that the person will carry for the rest of his life, so it is also phases of nutritional learning where follow-up and follow-up become essential.…”

Section: Resultsmentioning

confidence: 99%

Nutrological Management in Bariatric Surgery: A Narrative Review

Rocha¹,

Filho

2021

MedNEXT

View full text Add to dashboard Cite

Nutrology based on the analysis of benefits and harms generated by the ingestion of nutrients and assessing individual organic needs promotes the maintenance of health and the reduction of disease risk, as well as the treatment of manifestations of deficiency or excess. Obesity is defined by a body mass index greater than 30 kg/m². Its manifestation is the sum of genetic and environmental factors, this through sedentary lifestyle and caloric intake greater than energy consumption. There are many ways to deal with obesity, from behavioral changes such as a balanced diet and physical exercises, pharmacological and even surgical measures of different modalities, with Roux-en-Y gastric bypass surgery being the most used technique in Brazil. The most common postoperative nutritional deficiencies are iron, protein, calcium, folate, thiamine, zinc, copper, and vitamins D, B12, A, C, and K. In this case, we present the importance of nutrology in monitoring patients after bariatric surgery. This research made use of a bibliographic survey, giving priority to articles dated from the last 5 years, using the databases Lilacs, Medline, bireme, where articles, dissertations, and theses were consulted, in search of the following keywords, obesity, bariatric surgery, and nutritional deficiency, post-bariatric feeding.

show abstract

“…Although there is no conclusive evidence to show that conception during the first postoperative year is associated with adverse outcomes. 37 Delayed conception also has the advantage in allowing the woman to lose sufficient weight to benefit from reduction of the obesity related risks in pregnancy. One concern is that pregnancy during the period of rapid loss of maternal weight may result in poor fetal growth or that deficiency in key nutrients might adversely affect fetal development.…”

Section: Pre-pregnancy Managementmentioning

confidence: 99%

Bariatric Surgery in Pregnancy: Benefits, Risks and Obstetric Management

Gidiri

Greer

2011

Fet. Matern. Med. Rev.

View full text Add to dashboard Cite

Obesity is a growing problem in obstetric practice. A recent study from Glasgow (UK) showed that 50% of women of childbearing age are either overweight (Body Mass Index [BMI] = 24.9–29.9kg/m2) or obese with 18% starting pregnancy as obese. Obesity prevalence has doubled over a decade from the early 1990’s. In the US it is estimated that 30% of reproductive-age women have a BMI greater than 30 kg/m while 7% have a BMI > 40 kg/m2. A recent report from the UK found that 5% of women had a BMI >35 kg/m2, 2% > 40 kg/m2 and 0.2% >50 kg/m2 with an association not only with social deprivation, but also with a higher prevalence of pre-existing medical disorders such as diabetes and hypertension and medical complications of pregnancy such as preeclampsia. Obesity was also associated with increased rates of macrosomia, operative delivery and postpartum haemorrhage. These data highlight the fact that obesity is an increasing health concern particularly in young women of childbearing age. Obesity will expose them to significant pregnancy complications ranging from miscarriage and fetal abnormality through to operative delivery and thromboembolism. There are also challenges for the delivery of maternity care to meet the needs of these women. As obesity is associated with significant pregnancy complications it is important that women enter pregnancy with an optimum body weight. Many complications, such as fetal abnormality occur in the first trimester and so pre-pregnancy weight reduction is preferred. Further, there is insufficient evidence to recommend specific dietary and/or physical activity interventions to reduce weight or moderate weight gain during pregnancy.

show abstract

Role of the Dietitian in a Multidisciplinary Bariatric Program

Cited by 5 publications

References 6 publications

Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions

Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions

Nutrological Management in Bariatric Surgery: A Narrative Review

Bariatric Surgery in Pregnancy: Benefits, Risks and Obstetric Management

Contact Info

Product

Resources

About