Relation between the use of nutritional supplements and nutritional status of women in late post-operatory of bariatric surgery

  • Manuela Maria de Lima Carvalhal Universidade Federal do Pará, Belém, Pará, Brasil.
  • Jullyana Vago de Vilhena Universidade Federal do Pará, Belém, Pará, Brasil.
  • Vandemberg Ramos Viana Universidade Federal do Pará, Belém, Pará, Brasil.
  • Daniela Lopes Gomes Universidade Federal do Pará, Belém, Pará, Brasil.
Keywords: Bariatric surgery, Dietary supplements., Deficiency diseases, Nutritional status

Abstract

Introduction: Individuals undergoing bariatric surgery may have nutritional deficiencies in the postoperative period, therefore, they need nutritional supplementation to prevent physiological changes. Objective: To analyze the relation between the use of nutritional supplements, the presence of clinical signs of nutritional deficiencies and the nutritional status in women 24 months after bariatric surgery. Materials and methods: Cross-sectional analytical and descriptive study with patients who was submitted gastric bypass procedure in Roux-en-Y and gastric sleeve. Sociodemographic data and anformation about use of nutritional supplements were collected. Physical examination was realized and weight and height were measured to calculate the preoperative and current Body Mass Index (BMI) (kg/m²), excess weight loss (%) and weight regain (kg and %). Results and Discussion: 50 participants with mean age of 40.9 ± 11.4 years and a current BMI of 29.7 ± 5.4 kg/m². The most frequent clinical signs of deficiency were brittle nails, hair loss and bleached conjunctivae. 58% of the participants used polyvitamins. There were statistically significant correlations between sociodemographic data, clinical signs and use of supplements, demonstrating the influence of these variables on treatment adherence. In addition, significant correlations were observed between the use of supplements, the presence of clinical signs and nutritional status, indicating the importance of supplementation for obtaining and maintaining good results after bariatric surgery. Conclusion: The results reinforce the importance of nutritional monitoring, in order to reduce post-surgical complications and obtain the nutritional needs of these individuals.

References

-Alfawaz, H.; Khan, N.; Alfaifi, A.; Shahrani, F.M.; Al Tameem, H.M.; Al Otaibi, S.F. Prevalence of dietary supplement use and associated factors among female college students in Saudi Arabia. BMC Womens Health. Vol. 22. Num. 17. 2017.

-Andriolli, C.; Kuntz, M.G.F.; Meurer, V.; Gonçalves, A.N. Avaliação da redução de excesso de peso e de carências nutricionais em pacientes pré e pós cirurgia bariátrica. Vol. 11. Num. 68. 2017. p. 738-745.

-Antoniewicz, A.; Kalinowski, P.; Kotulecka, K.J.; Kocoń, P.; Paluszkiewicz, R.; Remiszewski, P. Nutritional Deficiencies in Patients after Roux-en-Y Gastric Bypass and Sleeve Gastrectomy during 12-Month Follow-Up. Obes Surg. Vol. 29. Num. 10. 2019. p. 3277-3284.

-Bailly, L.; Schiavo, L.; Sebastianelli, L.; Fabre, R.; Pradier, C.; Iannelli, A. Anemia and Bariatric Surgery: Results of a National French Survey on Administrative Data of 306,298 Consecutive Patients Between 2008 and 2016. Obes Surg. Vol. 28. Num. 8. 2018. p. 2313-2320.

-Bal, B.S.; Finelli, F.C.; Shope, T.R.; Koch, T.R. Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol. Vol. 8. Num. 9. 2012. p. 544-556.

-Bardal, A.G.; Ceccatto, V.; Mezzomo, T.R. Risk factors for weight regain in the late postoperative of bariatric surgery. Sci Med. Vol. 26. Num. 4. 2016.

-Bordalo, L.A.; Teixeira, T.F.; Bressan, J.; Mourão, D.M. Cirurgia bariátrica: como e por que suplementar [Bariatric surgery: how and why to supplement]. Rev Assoc Med Bras (1992). Vol. 57. Num. 1. 2011. p. 113-120.

-Cabral, J.A.; Souza, G.P.; Nascimento, J.A.; Simoneti, L.F.; Marchese, C.; Sales-Peres, S.H. Impact of vitamin d and calcium deficiency in the bones of patients undergoing bariatric surgery: a systematic review. Arq Bras Cir Dig. Vol. 29. Num. 1. 2016. p. 120-123.

-Caldeira, T.P.D.; Domingos, N.A.M.; Miyazaki, C.O.S. Factors associated with weight regain after bariatric surgery. Braz. J. Hea. Rev. Vol. 3. Num. 1. 2020. p. 883-900.

-Cambi, M.P.; Marchesini, S.D.; Baretta, G.A. Post-bariatric surgery weight regain: evaluation of nutritional profile of candidate patients for endoscopic argon plasma coagulation. Arq Bras Cir Dig. Vol. 28. Num. 1. 2015. p. 40-43.

-Carvalho, A.D.S.; Rosa, R.D.S. Bariatric surgeries performed by the Brazilian National Health System in the period 2010-2016: a descriptive study of hospitalizations. Epidemiol Serv Saude. Vol. 28. Num. 1. 2019.

-Coppini, L.Z; Burgos, G.P.A.; Lima, D.S.C.; Coelho, P.B.P. Avaliação nutricional no pré e pós-operatório de cirurgia bariátrica. Nutrição em cirurgia bariátrica. Rio de Janeiro. Rubio. 2011. p. 91-100.

-Cleva, R.; Cardia, L.; Riccioppo, D.; Kawamoto, M.; Kanashiro, N.; Santo, M.A. Anemia Before and After Roux-en-Y Gastric Bypass: Prevalence and Evolution on Long-Term Follow-up. Obes Surg. Vol. 29. Num. 9. 2019. p. 2790-2794.

-Faé, C.; Liberali, R.; Coutinho, V.F. Deficiência de nutrientes a longo prazo no pós-operatório de cirurgia bariátrica-revisão sistemática. SaBios - Revista de Saúde e Biologia. Vol. 10. Num. 2. 2015. p. 46-53.

-Goddard, A.F.; James, M.W.; McIntyre, A.S.; Scott B.B. Guidelines for the management of iron deficiency anaemia. Vol. 60. Num. 10. 2010. p. 1309-1316.

-International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Sleeve Gastrectomy. IFSO. 2019. Available from: https://www.ifso.com/sleeve-gastrectomy/.

-Karmali, S.; Brar, B.; Shi, X.; Sharma, A.M.; De Gara, C.; Birch, D.W. Weight recidivism post-bariatric surgery: a systematic review. Obes Surg. Vol. 23. Num. 11. 2013. p. 1922-1933.

-Kelles, S.M.; Diniz, M. F.; Machado, C.J.; Barreto, S.M. The profile of patients undergoing bariatric surgery in the Brazilian Unified National Health System: a systematic review. Cad Saúde Publica. Vol. 31. Num. 8. 2015. p. 1587-1601.

-Komorniak, N.; Szczuko, M.; Kowalewski, B.; Stachowska, E. Nutritional Deficiencies, Bariatric Surgery, and Serum Homocysteine Level: Review of Current Literature. Obes Surg. Vol. 29. Num. 11. 2019. p. 3735-3742.

-Kotkiewicz, A.; Donaldson, K.; Dye, C.; Rogers, A.M.; Mauger, D.; Kong, L. Anemia and the Need for Intravenous Iron Infusion after Roux-en-Y Gastric Bypass. Clin Med Insights Blood Disord. Vol. 8. 2015. p. 9-17.

-Ledoux, S.; Flamant, M.; Calabrese, D.; Bogard, C.; Sami, O.; Coupaye, M. What Are the Micronutrient Deficiencies Responsible for the Most Common Nutritional Symptoms After Bariatric Surgery. Obes Surg. Vol. 30. Num. 5. 2020. p. 1891-1897.

-Mahawar, K.K.; Clare, K.; O'Kane, M.; Graham, Y.; Callejas-Diaz, L.; Carr, W.R.J. Patient Perspectives on Adherence with Micronutrient Supplementation After Bariatric Surgery. Obes Surg. Vol. 29. Num. 5. 2019.

-McGrice, M.; Don Paul, K. Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions. Diabetes Metab Syndr Obes. Vol. 8. 2015. p. 263-274.

-Mechanick, J.I.; Apovian, C.; Brethauer, S.; Timothy Garvey, W.; Joffe, A.M.; Kim, J. Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures - 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Obesity (Silver Spring). Vol. 28. Num. 4. 2020.

-Melissas, J.; Stavroulakis, K.; Tzikoulis, V. Sleeve Gastrectomy vs Roux-en-Y Gastric Bypass. Data from IFSO-European Chapter Center of Excellence Program. Obes Surg. Vol. 27. Num. 4. 2017. p. 847-855.

-Ministério da Saúde. Conselho Nacional de Saúde do Ministério da Saúde. Resolução Num. 466, de 12 de dezembro de 2012. Brasília. 2012.

-Nascimento Santos, R.L.; Motta, F.J.T.; Coelho, L.V.; Rocha, M.C.M.; Coelho, R.V.; Melo E.M.V. Quality of life of patients undergoing bariatric surgery-teaching hospital, Pernambuco-Brazil. Mundo da Saúde. Vol. 42. Num. 4. 2018. p. 917-923.

-Osland, E.; Powlesland, H.; Guthrie, T.; Lewis, C.A.; Memon, M.A. Micronutrient management following bariatric surgery: the role of the dietitian in the postoperative period. Ann Transl Med. Vol. 8. Num. 1. 2020.

-Panteliou, E.; Miras, A.D. What is the role of bariatric surgery in the management of obesity. Climacteric. Vol. 20. Num. 2. 2017. p. 97-102.

-Rolim, F.F.A.; Cruz, F.S.; Campos, J.M.; Ferraz, Á.A.B. Long-term repercussions of Roux-en-Y gastric bypass in a low-income population: assessment ten years after surgery. Repercussões em longo prazo da derivação gástrica em Y de Roux em população de baixa renda: avaliação após dez anos de cirurgia. Rev Col Bras Cir. Vol. 45. Num. 4. 2018.

-Silva, F.B.L.; Gomes, D.L.; Carvalho, K.M.B. Poor diet quality and postoperative time are independente risk factors for weight regain after Roux-en-Y gastric bypass. Nutrition. Vol. 2016.

-Schaaf, C.; Gugenheim, J.; Impact of Preoperative Serum Vitamin D Level on Postoperative Complications and Excess Weight Loss After Gastric Bypass. Obes Surg. Vol. 27. Num. 8. 2017. p. 1982-1985.

-Smith, E.M.; Tangpricha, V. Vitamin D and anemia: insights into an emerging association. Curr Opin Endocrinol Diabetes Obes. Vol. 22. Num. 6. 2015. p. 432-438.

-Sociedade Brasileira de Cirurgia Bariátrica e Metabólica (SBCBM). Cirurgia bariátrica cresce 84,73% entre 2011 e 2018. 17 de agosto de 2020. 2019. Available from: https://www.sbcbm.org.br/cirurgia-bariatrica-cresce-8473-entre-2011-e-2018/.

-Stroh, C.; Manger, T.; Benedix, F. Metabolic surgery and nutritional deficiencies. Minerva Chir. Vol. 72. Num. 5. 2017. p. 432-441.

-Sunil, S. Santiago, V.A.; Gougeon, L.; Warwick, K.; Okrainec, A.; Hawa, R. Predictors of Vitamin Adherence After Bariatric Surgery. Obes Surg. Vol. 27. Num. 2. 2017. p. 416-423.

-Tavares, N.U.; Bertoldi, A.D.; Mengue, S.S.; Arrais, P.S. Luiza, V.L.; Oliveira, M.A. Factors associated with low adherence to medicine treatment for chronic diseases in Brazil. Rev Saúde Publica. Vol. 50. Num. 2. 2016.

-Trindade, E.M.; Gebara, T.S.E.S.; Cambi, M.P.C.; Baretta, G.A.P. nutritional aspects and the use of nutritional supplements by women who underwent gastric bypass. Arq Bras Cir Dig. Vol. 30. Num. 1. 2017. p. 11-13.

-Via, M.A.; Mechanick, J.I. Nutritional and Micronutrient Care of Bariatric Surgery Patients: Current Evidence Update. Curr Obes Rep. Vol. 6. Num. 3. 2017. p. 286-296. doi: 10.1007/s13679-017-0271-x.

-Wedin, S.; Madan, A.; Correll, J.; Crowley, N.; Malcolm, R.; Karl Byrne, T. Emotional eating, marital status and history of physical abuse predict 2-year weight loss in weight loss surgery patients. Eat Behav. Vol. 15. Num. 4. 2014. p. 619-624.

Published
2022-02-07
How to Cite
Carvalhal, M. M. de L., Vilhena, J. V. de, Viana, V. R., & Gomes, D. L. (2022). Relation between the use of nutritional supplements and nutritional status of women in late post-operatory of bariatric surgery. Brazilian Journal of Obesity, Nutrition and Weight Loss, 14(90), 1210-1221. Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/1541
Section
Scientific Articles - Original

Most read articles by the same author(s)