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Bariatric Nutrition Guidelines for the Indian Population
Carlyne Remedios1, Aparna Govil Bhasker2,3, Neha Dhulla3
1Centre for Obesity and Digestive Surgery, CODS, ground floor, Shiv Tapi building, H. Goregaonkar Road, Opp. Motor House, Opera House, 400007, Mumbai, India. carlyne@codsindia.com.
Indian bariatric surgery patients require tailored nutritional guidelines due to unique dietary habits and deficiencies. Lifelong nutritional follow-up and post-operative supplementation are crucial for managing bariatric patients effectively.
Area of Science:
- Bariatric Nutrition
- Metabolic Surgery
- Obesity Management
Background:
- Rising obesity and type 2 diabetes rates in India necessitate specialized bariatric care.
- Western dietary influences contrast with traditional Indian food practices, impacting nutritional needs.
- Existing bariatric guidelines are often based on Caucasian populations, not suiting Indian patients.
Framework:
- A nutrition round table convened experts to address Indian bariatric patient needs.
- Reviewed current data on nutritional deficiencies in morbidly obese individuals.
- Formulated India-specific nutritional recommendations for bariatric/metabolic surgery.
Implementation:
- Identified specific nutritional deficiencies prevalent in the Indian population.
- Developed tailored recommendations to address these deficiencies.
- Emphasized the need for India-centric bariatric nutrition strategies.
Implications:
- Compulsory pre-operative counseling and investigations are recommended.
- Lifelong nutritional follow-up is essential for long-term patient health.
- Post-operative supplementation is mandatory, alongside management of hypoglycemia, dumping syndrome, and weight regain.
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