Nutritional profile and lifestyle of patients before and after bariatric surgery

Authors

  • Letícia Tomicki Zyger Universidade Regional Integrada do Alto Uruguai e das Missões - URI Erechim.
  • Vivian Polachini Skzypek Zanardo Universidade Regional Integrada do Alto Uruguai e das Missões - URI Erechim.
  • Camila Tomicki Universidade Federal de Santa Catarina - UFSC.

DOI:

https://doi.org/10.15448/1980-6108.2016.3.23707

Keywords:

obesity, bariatric surgery, nutritional status, deficiency diseases.

Abstract

Aims: To analyze the nutritional profile and the lifestyle of patients before and after bariatric surgery by Roux-en-Y gastric bypass.

Methods: Retrospective cohort study carried out in the period from 2010 to 2014, including data on patients submitted to bariatric surgery by Roux-en-Y gastric bypass in a private hospital located in the northern region of Rio Grande do Sul, Brazil. Sociodemographic data, lifestyle, anthropometric measurements, and the intake of calories, nutrients, vitamins, and mineral salts before surgery and one year thereafter were analyzed. The results for biochemical tests (vitamin B12, hemoglobin, albumin, hematocrit, and ferritin) performed six months to one year after surgery were also assessed.

Results: Fifty patients were included in the study, and 44 (88%) were female. Thirty-five patients (70%) presented with some conditions before surgery, among which high blood pressure (35%) and diabetes mellitus (20%) were the most frequent. Between the preoperative evaluation and one year after the surgery, physical activity level increased (18.0% vs. 90.0%; p=0.001) whereas weight (118.51±21.88 vs. 80.30±15.74), body mass index (43.55±5.52 vs. 29.55±4.21), and abdominal circumference (123.06±16.21 vs. 92.36±11.62) decreased significantly (p<0.001). The intake of calories and of vitamin B12 also decreased significantly (p<0.05). The tests performed within six months to one year after the surgery indicated one patient with vitamin B12 deficiency, seven patients with anemia, and three with ferritin deficiency.

Conclusions: After bariatric surgery by Roux-en-Y gastric bypass there was weight loss, reduction in body mass index and abdominal circumference, and a decrease in sedentary lifestyle. Some nutritional deficiencies were observed, which indicates the need for nutritional management after bariatric surgery in order to ensure a successful outcome. 

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Author Biographies

Letícia Tomicki Zyger, Universidade Regional Integrada do Alto Uruguai e das Missões - URI Erechim.

Mestra em Engenharia de Alimentos; Especialista em Nutrição Clínica com Ênfase em Transtornos Alimentares e Doenças Crônicas e; Graduada em Nutrição pela Universidade Regional Integrada do Alto Uruguai e das Missões – URI Erechim.  

Vivian Polachini Skzypek Zanardo, Universidade Regional Integrada do Alto Uruguai e das Missões - URI Erechim.

Doutora e Mestra em Gerontologia Biomédica pelo Instituto de Geriatria e Gerontologia da PUCRS; Especialista em Nutrição e Dietética pela Federação das Faculdades Metodistas do Sul - IMEC; Graduada em Administração pela Universidade Regional Integrada do Alto Uruguai e das Missões - URI Erechim; Graduada em Nutrição pela Federação das Faculdades Metodistas do Sul - IMEC. Docente do Curso de Nutrição da Universidade Regional Integrada do Alto Uruguai e das Missões – URI Erechim.

Camila Tomicki, Universidade Federal de Santa Catarina - UFSC.

Doutoranda do Programa de Pós-Graduação em Educação Física da Universidade Federal de Santa Catarina – UFSC; Mestra em Envelhecimento Humano pela Universidade de Passo Fundo - UPF; Graduada em Educação Física Bacharelado pela Universidade Regional Integrada do Alto Uruguai e das Missões - URI Erechim.

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Published

2016-10-30

How to Cite

Zyger, L. T., Zanardo, V. P. S., & Tomicki, C. (2016). Nutritional profile and lifestyle of patients before and after bariatric surgery. Scientia Medica, 26(3), ID23707. https://doi.org/10.15448/1980-6108.2016.3.23707

Issue

Vol. 26 No. 3 (2016): Special issue on Metabolic Syndrome

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Original Articles

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