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减肥手术后的前6个月营养成分和饮食质量的变化:观察性队列研究
Laura Heusschen1,2, Agnes A M Berendsen2, Michiel G J Balvers2
1Vitalys Obesity Clinic, Rijnstate Hospital, Arnhem, The Netherlands.
概括
腹部外科手术 (BS) 会导致能量和营养摄入量显著下降,以及饮食质量的不利变化. 了解这些营养变化对于改善手术后的饮食指导至关重要.
科学领域:
- 腹腔外科手术的结果
- 营养科学 营养科学
- 饮食评估 饮食评估
背景情况:
- 减肥手术 (BS) 可以对营养摄入量和饮食质量产生负面影响,可能导致营养并发症.
- 评估这些变化对于手术后的患者管理至关重要.
研究的目的:
- 评估宏观和微量营养素组成的变化.
- 在减肥手术后的前6个月评估饮食质量.
主要方法:
- 107名参与者 (87名Roux-en-Y胃绕道,20名袖子胃切除术) 完成了手术前后3天的食物记录 (6个月).
- 评估了能量,宏观营养素 (碳水化合物,蛋白质,脂肪,纤维) 和微量营养素 (叶酸,B12,D,,铁) 的变化.
- 通过遵守荷兰基于食品的饮食指南来评估饮食质量.
主要成果:
- 在BS后,能量和大多数宏观/微量营养素摄入量显著下降 (p < 0.01),除外.
- 蛋白质和单/分糖的相对摄入量增加.
- 手术后观察到减少蔬菜,全谷物,和不健康的食物选择的消费.
结论:
- 腹部外科手术在6个月内诱导营养摄入量和饮食质量的有益和有害变化.
- 研究结果强调,需要改善减肥患者的饮食咨询.
- 需要进一步的研究来了解长期的饮食变化及其原因.
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