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Prevalent bariatric dietary practices: Is India on the same page?
Ishitaa N Bhatia1, Amrit M Nasta1, Madhu R Goel1
1Department of Bariatric and Metabolic Surgery, Wockhardt Hospitals, Mumbai, Maharashtra, India.
Indian bariatric professionals commonly prescribe low-calorie pre-surgery diets, often liquid-based. Post-surgery, liquid and soft diets are prevalent, with protein shakes used extensively in the initial months.
Area of Science:
- Bariatric Surgery
- Dietary Practices
- Clinical Nutrition
Background:
- Increasing bariatric procedures in India necessitate monitoring current practices.
- Understanding dietary protocols is crucial for patient outcomes.
Purpose of the Study:
- To identify prevalent pre- and post-operative dietary practices.
- To survey bariatric professionals across India.
Main Methods:
- Internet-based survey of 33 bariatric professionals (25 dietitians, 8 surgeons).
- Analysis of collected data on dietary practices.
- Identification of prevalent pre- and post-surgery dietary recommendations.
Main Results:
- 70% of professionals use low-calorie pre-surgery diets, favoring liquids.
- Post-surgery, liquid (1-2 weeks) and soft diets (2-4 weeks) are common.
- Protein shakes are primary protein sources for 3 months; 30% report whey protein aversions.
- 84% use portion control; 71% advocate low-carbohydrate meals (<30%) for up to a year.
Conclusions:
- Prevalent dietary practices among Indian bariatricians align with national and international guidelines.
- Standardization of dietary protocols may improve patient management.
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