Nutritional monitoring for weight loss in obese patients with diabetes mellitus post bariatric surgery
Nutritional monitoring for weight loss in obese patients with diabetes mellitus post bariatric surgery
Keywords:
nutritional status, weight loss, obese patients, diabetes mellitus, post bariatric surgery
Abstract
In order to monitor the nutritional status for wei-ght loss in obese patients with diabetes mellitus af-ter bariatric surgery performed at the Dr. Theodore Maldonado Carbo Hospital in Guayaquil, Ecuador, a descriptive, correlated observational study was developed. The population census was made up of a total of 60 patients with morbid obesity, fema-le and male, aged between 20 to 60 years, and a body mass index (BMI) of 35 kg / m2, with comor-bidity associated with Type diabetes mellitus. 2. For data collection, the clinical history and dietary history were prepared, using a TANITA scale mo-del BC-418-MA, Lufkin Executive Thinline brand tape measure, blood pressure monitor, stethosco-pe, laboratory instruments certified under ISO 9001 - 2000 standards. In the results, it was observed that 100% of the patients were subjected to strict nutritional control from the beginning of the surgery until 12 months after the intervention. Significant di-fferences (p <0.05) were obtained between weight, body mass index and waist circumference, in the same way the energy consumption pattern of the diet does not usually exceed 800 kcal / day. From 6 to 12 months, the patients ingested 1,000 to 1,200 kcal / day, improving their quality of life. It is sug-gested to control the metabolism of iron and vitamin B12 in these patients
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References
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Campoverde M., Añez R., SalazarJ., Rojas J., Bermúdez V. (2014). Factores de riesgo para obesidad en adultos de la ciudad de Cuenca, Ecuador. Revista Latinoamericana de Hipertensión. 9 (1):1-11.
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Herrera M., García García E., Arellano Ramos J., Madero M., Aldrete Velasco J., Corvalá J. (2018). Metabolic Surgery for the Treatment of Diabetes Mellitus Positioning of Leading Medical Associations in Mexico. Obes Surg, Vol 28, 3474-3489 Disponible en: doi: 10.1007/s11695-018-3357-y.
Isom K., Andromalos L., Ariagno M., Hartman K., Mogensen K., Stephanides K., Scott N (2014). Nutrition and Metabolic Support Recommendations for the Bariatric Patient. Nutr Clin Pract, 29(6): 718-39.
Jastrzębska Mierzyńska M., Ostrowska L., Hady H., Dadan J., Konarzewska Duchnowska E. (2015). The impact of bariatric surgery on nutritional status of patients. Wideochir Inne Tech Maloinwazyjne,10(1):115-24. Disponible en: doi: 10.5114/ wiitm.2014.47764. Epub 2015 Jan 14.
Leyba J., Aulestia S., Llopis S. (2011). Laparosco pic Roux en Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity. A prospective study of 117 patients. Obes Surg, 21: 212-6.
Martín M. (2014). Adaptación y validación española de cuestionario de calidad de vida de Moorehead Ardelt II en pacientes obesos mórbidos e intervenidos de obesidad mórbida. Tesis doctoral. Universidad Complutense de Madrid. Disponible en http://eprints.ucm.es/24519/1/T35090.pdf.
Menezes de Souza N., Cavalcanti de Lima D. (2018) Estado nutricional de ferro e anemia ferropriva em pacientes submetidos à cirurgia bariátrica em um hospital universitário Nutr. clín. diet. Hosp, 38(1):97-101. Disponible en: DOI: 10.12873/381NSouza.
Mechanick J., Hurley D., Garvey W. (2017). Adiposity based chronic disease as a new diagnostic term: The American Association of Clinical Endocrinologists and American College of Endocrinology Position Statement. Endocr. Pract. Mar, 23(3):372-378. Disponible en: doi: 10.4158/ EP161688.PS.
Moreno G. (2012). Definición y clasificación de la obesidad. Rev. Med. Clin. Condes, 23(2) 124-128.
Moizé V., Pi Sunyer X., Mochari H., Vidal J. (2010). Nutritional pyramid for post gastric bypass patients. Obesity Surgery, 20(8):1133-1141.
Navarrete S., Leyba J., Navarrete L., García M., Sánchez N., Pulgar V., Vivas V (2012). Bypass gástrico en Y de Roux para el tratamiento de pacientes con diabetes mellitus tipo II con IMC de 30 a 35 kg/m². Nutr. Hosp. 27(4): 1160-1165.
Organization Mundial de la Salud (2019) Obesidad y sobrepeso clasificacion Disponible https://www.who.int/es/newsroom/factsheets/detail/obesityandoverweight
Parrott J., Frank L., Rabena R., Craggs Dino L., Isom K., Greiman L. (2017). American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surg Obes Relat Dis,13(5):727-741. Disponible en: doi: 10.1016/j.soard.2016.12.018. Epub 2017 Jan.
Ravelli M., Schoeller D., Crisp A., Racine N., Pfrimer K., Rasera I., Oliveira M. (2018). Accuracy of total energy expenditure predictive equations after a massive weight loss induced by bariatric surgery. Clin Nutr, 26:57-65. Disponible en: doi: 10.1016/j.clnesp.2018.04.013.
Rivera T., Téllez A., Serna Thomé M. (2017). Tratamiento nutricional en el paciente con super obesidad y bypass gástrico en Y de Roux. Nutr. Clin. Med, XI (1): 42-58. Disponible en: DOI: 10.7400/ NCM.2017.11.1.5049.
Sartorius K., Sartorius B., Madiba T., Stefan C. (2018). Does high carbohydrate intake lead to increased risk of obesity?. A systematic review and meta-analysis. Grupo editorial de revistas britanicas BMJ Open, 8(2): e 018449. Disponible en: doi: 10.1136/bmjopen-2017-018449.
Shankar P, Boylan M, Sriram K (2010). Micronutrient deficiencies after bariatric surgery. Nutrition, 26:1031–7.
Schauer P., Mingrone G, Ikramuddin S, Wolfe B. (2016). Clinical outcomes of metabolic surgery: efficacy of glycaemic control, weight loss, and remission of diabetes. Diabetes Care, 39:902–911.
Sherf S., Goldenshluger A., Globus I., Schweiger Ch., Kessler Y., Kowen G., Ben Porat T., Sinai T. (2017). Nutritional Recommendations for Adult Bariatric Surgery Patients: Clinical Practice. American Society for Nutrition. Adv Nutr, 8:382–94. Disponible en: doi:10.3945/an.116.014258.
Wadden T., Sarwer D. (2006). Behavioral assessment of candidates for bariatric surgery: a patient oriented approach. Surg. Obes. Relat. Dis, 2(2):171–9.
Zaparolli M., Reichmann M., Da Cruz M., Madolozzo M., Pereira G., Taconeli C., Radominski R., Ligocki A. (2018). Ingestão alimentar após cirurgia bariátrica: uma análise dos macronutrientes e adequação dos grupos alimentares à pirâmide específica. Nutr. clín. diet. Hosp, 38(1):36-39. Disponible en: DOI: 10.12873/381MReichmann.
Aron Wisnewsky J., Verger E., Bounaix C., Dao M., Oppert J., Bouillot J., Chevallier JM, Karine C (2016). Nutritional and Protein Deficiencies in the Short Term following Both Gastric Bypass and Gastric Banding. PLoS ONE, 11(2): e0149588 Disponible en: e0149588. doi:10.1371/journal. pone.0149588.
Barquissau V., Léger B., Beuzelin D., Martins F., Amri E., Pisani D., Saris WHM, Astrup A, Maoret JJ, Iacovoni J, Déjean S, Moro C, Viguerie N, Langin D. (2018). Caloric Restriction and Diet Induced Weight Loss Do Not Induce Browning of Human Subcutaneous White Adipose Tissue in Women and Men with Obesity. Cell Rep, 2(4):1079-1089. Disponible en: doi: 10.1016/j.celrep.2017.12.102. Epub 2018 Jan 28.
Buchwald H., Oien D. (2013). Cirugía metabólic/ bariátrica a nivel mundial 2011. Obes Surg 24: 427-36.
British Obesity and Metabolic Surgery Society (BOMSS) (2014). Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery [Internet]. Disponible en: http:// www.bomss.org.uk/wpcontent/uploads/2014/09/BOMSSguidelinesFinalversion1Oct14.pdf.
Chobot A., Górowska Kowolik K., Sokołowska M., Jarosz Chobot P. (2018) Obesity and diabetes not only a simple link between two epidemics. Diabetes Metab Res Rev, 34 (7): e3042. Disponible en: e3042. doi: 10.1002/dmrr.3042.
Cummings D., Rubino F. (2018). Metabolic surgery for the treatment of type 2 diabetes in obese individuals. Diabetologia.61(2):257-264. Disponible en: doi: 10.1007/s00125-017-4513-y.
Campoverde M., Añez R., SalazarJ., Rojas J., Bermúdez V. (2014). Factores de riesgo para obesidad en adultos de la ciudad de Cuenca, Ecuador. Revista Latinoamericana de Hipertensión. 9 (1):1-11.
De Cleva R., Mota F., Gadducci A., Cardia L., D’Andréa Greve J., Santo M. (2018). Resting metabolic rate and weight loss after bariatric surgery. Surg Obes Relat Dis, 14(6):803-807. Disponible en: doi: 10.1016/j.soard.2018.02.02.
El Salam M. (2018). Obesity, An Enemy of Male Fertility: A Mini Review. Oman Med J, 33(1):3-6. Disponible en: doi: 10.5001/omj.2018.02-.
Eriksson D., Rydén M., Bäckdahl J., Thorell A., Arner P., Andersson D. (2018). Body fat mass and distribution as predictors of metabolic outcome and weight loss after Rouxen Y gastric bypass. Surg Obes Relat Dis, Vol 14, 936-942 Disponible en: doi: 10.1016/j.soard.2018.03.012.
Fernández M., Guerra P., Martín E., Fernández C. (2016) Calidad de vida en pacientes intervenidos de cirugía bariátrica. Nutr.clín. diet. Hosp, 36(3):106-113. Disponible en: DOI: 10.12873/363fernandezrodriguez.
Fuchs T., Loureiro M., Both G., Skraba H., Costa Casagrande T. (2017). The role of the sleeve gastrectomy and the management of type 2 diabetes. Arq Bras Cir Dig.Oct-Dec, 30(4): 283-286. Disponible en: doi: 10.1590/0102-6720201700040013
Frame Peterson L., Megill R., Carobrese S., Schweitzer M. (2017). Nutrient Deficiencies Are Common Prior to Bariatric Surgery. Nutr Clin Pract, 32(4):463-469. Disponible en: doi: 10.1177/0884533617712701. Epub 2017 Jun 21.
Review.
Garcia Garcia E., Llata Romero M., Kaufer Horwitz M., Tusié Luna M. (2008). La obesidad y el síndrome metabólico como problema de salud pública. Una reflexión. Salud Pública Mex, 50(6): 530–47.
Garvey W., Garber A., Mechanick J., Bray G., Dagogo Jack S., Einhorn D., Grunberger G., Handelsman Y., Hennekens C., Hurley D., McGill J., Palumbo P., Umpierrez G.,The Aace Obesity Scientific Committee.(2014). American Association of Clinical Endocrinologists and American College of Endocrinology consensus conference on obesity: building an evidence base for comprehensive action. Endocr Pract, 20(9): 956-976.
Goni L., Cuervo M., Milagro F., Martínez J. (2015). A genetic risk tool for obesity predisposition assessment and personalized nutrition implementation based on macronutrient intake. Genes. Nutr, 10 (1):445. Disponible en: 10.1007/s12263-014-
0445-z.
Guilbert L., Joo P., Ortiz C, Sepúlveda E., Alabi F., León A., Piña T., Zerrweck C. (2018). Safety and efficacy of bariatric surgery in Mexico: A detailed analysis of 500 surgeries performed at a high volume center. Rev Gastroenterol Mex, S0375- 0906(18): 30128-9. Disponible en: doi: 10.1016/j. rgmx.2018.05.002.
Guzmán S., Manrique M., Raddatz A., Norero E., Salinas J., Achurrab P., Funke R., Boza C., Crovari F., Escalona A., Pérez G., Pimentel F., Klassen J., Ibáñez L. (2013). Experiencia de 18 años de cirugía de obesidad en la Pontificia D Universidad Católica de Chile. Rev Med chile, 141: 553-561.
Guilbert L., Joo P., Ortiz C., Sepúlveda E., Alabi F., León A., Pia T., Zerrweck C. (2018). Seguridad y eficacia de la cirugía bariátrica en México: análisis detallado de 500 cirugías en un centro de alto volumen. Revista de Gastroenterología de México, Vol 84, 1-7. Disponible en: https://doi.or- g/10.1016/j.rgmx.2018.05.002.
Herrera M., García García E., Arellano Ramos J., Madero M., Aldrete Velasco J., Corvalá J. (2018). Metabolic Surgery for the Treatment of Diabetes Mellitus Positioning of Leading Medical Associations in Mexico. Obes Surg, Vol 28, 3474-3489 Disponible en: doi: 10.1007/s11695-018-3357-y.
Isom K., Andromalos L., Ariagno M., Hartman K., Mogensen K., Stephanides K., Scott N (2014). Nutrition and Metabolic Support Recommendations for the Bariatric Patient. Nutr Clin Pract, 29(6): 718-39.
Jastrzębska Mierzyńska M., Ostrowska L., Hady H., Dadan J., Konarzewska Duchnowska E. (2015). The impact of bariatric surgery on nutritional status of patients. Wideochir Inne Tech Maloinwazyjne,10(1):115-24. Disponible en: doi: 10.5114/ wiitm.2014.47764. Epub 2015 Jan 14.
Leyba J., Aulestia S., Llopis S. (2011). Laparosco pic Roux en Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity. A prospective study of 117 patients. Obes Surg, 21: 212-6.
Martín M. (2014). Adaptación y validación española de cuestionario de calidad de vida de Moorehead Ardelt II en pacientes obesos mórbidos e intervenidos de obesidad mórbida. Tesis doctoral. Universidad Complutense de Madrid. Disponible en http://eprints.ucm.es/24519/1/T35090.pdf.
Menezes de Souza N., Cavalcanti de Lima D. (2018) Estado nutricional de ferro e anemia ferropriva em pacientes submetidos à cirurgia bariátrica em um hospital universitário Nutr. clín. diet. Hosp, 38(1):97-101. Disponible en: DOI: 10.12873/381NSouza.
Mechanick J., Hurley D., Garvey W. (2017). Adiposity based chronic disease as a new diagnostic term: The American Association of Clinical Endocrinologists and American College of Endocrinology Position Statement. Endocr. Pract. Mar, 23(3):372-378. Disponible en: doi: 10.4158/ EP161688.PS.
Moreno G. (2012). Definición y clasificación de la obesidad. Rev. Med. Clin. Condes, 23(2) 124-128.
Moizé V., Pi Sunyer X., Mochari H., Vidal J. (2010). Nutritional pyramid for post gastric bypass patients. Obesity Surgery, 20(8):1133-1141.
Navarrete S., Leyba J., Navarrete L., García M., Sánchez N., Pulgar V., Vivas V (2012). Bypass gástrico en Y de Roux para el tratamiento de pacientes con diabetes mellitus tipo II con IMC de 30 a 35 kg/m². Nutr. Hosp. 27(4): 1160-1165.
Organization Mundial de la Salud (2019) Obesidad y sobrepeso clasificacion Disponible https://www.who.int/es/newsroom/factsheets/detail/obesityandoverweight
Parrott J., Frank L., Rabena R., Craggs Dino L., Isom K., Greiman L. (2017). American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surg Obes Relat Dis,13(5):727-741. Disponible en: doi: 10.1016/j.soard.2016.12.018. Epub 2017 Jan.
Ravelli M., Schoeller D., Crisp A., Racine N., Pfrimer K., Rasera I., Oliveira M. (2018). Accuracy of total energy expenditure predictive equations after a massive weight loss induced by bariatric surgery. Clin Nutr, 26:57-65. Disponible en: doi: 10.1016/j.clnesp.2018.04.013.
Rivera T., Téllez A., Serna Thomé M. (2017). Tratamiento nutricional en el paciente con super obesidad y bypass gástrico en Y de Roux. Nutr. Clin. Med, XI (1): 42-58. Disponible en: DOI: 10.7400/ NCM.2017.11.1.5049.
Sartorius K., Sartorius B., Madiba T., Stefan C. (2018). Does high carbohydrate intake lead to increased risk of obesity?. A systematic review and meta-analysis. Grupo editorial de revistas britanicas BMJ Open, 8(2): e 018449. Disponible en: doi: 10.1136/bmjopen-2017-018449.
Shankar P, Boylan M, Sriram K (2010). Micronutrient deficiencies after bariatric surgery. Nutrition, 26:1031–7.
Schauer P., Mingrone G, Ikramuddin S, Wolfe B. (2016). Clinical outcomes of metabolic surgery: efficacy of glycaemic control, weight loss, and remission of diabetes. Diabetes Care, 39:902–911.
Sherf S., Goldenshluger A., Globus I., Schweiger Ch., Kessler Y., Kowen G., Ben Porat T., Sinai T. (2017). Nutritional Recommendations for Adult Bariatric Surgery Patients: Clinical Practice. American Society for Nutrition. Adv Nutr, 8:382–94. Disponible en: doi:10.3945/an.116.014258.
Wadden T., Sarwer D. (2006). Behavioral assessment of candidates for bariatric surgery: a patient oriented approach. Surg. Obes. Relat. Dis, 2(2):171–9.
Zaparolli M., Reichmann M., Da Cruz M., Madolozzo M., Pereira G., Taconeli C., Radominski R., Ligocki A. (2018). Ingestão alimentar após cirurgia bariátrica: uma análise dos macronutrientes e adequação dos grupos alimentares à pirâmide específica. Nutr. clín. diet. Hosp, 38(1):36-39. Disponible en: DOI: 10.12873/381MReichmann.
Published
2021-03-13
How to Cite
Plua, W., Anderson, H., Jarrin, K., González, D., & Malan, D. (2021). Nutritional monitoring for weight loss in obese patients with diabetes mellitus post bariatric surgery: Nutritional monitoring for weight loss in obese patients with diabetes mellitus post bariatric surgery. REDIELUZ, 10(2), 35-43. Retrieved from https://mail.produccioncientificaluz.org/index.php/redieluz/article/view/35515
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Health Sciences
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