Eastern Health, 5 Arnold Street, Box Hill, VIC, 3128, Australia.
Obes Surg. 2012 Dec;22(12):1855-8. doi: 10.1007/s11695-012-0741-x.
There is a paucity of evidence-based dietary management guidelines for patients post-laparoscopic adjustable gastric banding, including no consensus recommendations for macronutrient intake. We examined the macronutrient intake across a multi-centre cohort of post-bariatric surgery patients and compared these intakes to post-bariatric surgery and population-based dietary guidelines.
Two hundred and fifteen patients from three bariatric surgery centres in Melbourne, Australia were invited to complete a validated Food Frequency Questionnaire 12 months post-operatively.
Energy intakes of the 52 participants ranged from 1,140 to 13,200 kJ/day, with an average of 4,890 kJ/day (±2,360 kJ/day). Many patients did not meet minimum population recommendations for macronutrients. The average fibre intake was only 14 g/day (compared to the recommendations of 25 g for women and 30 g for men). The average diet 1 year post-operatively was 36% total fat compared to the recommendations of 20-25%, with 14% of intake from saturated fat.
Patients' dietary intakes vary significantly 1 year post-laparoscopic adjustable band surgery, with many patients not meeting recommendations. These results suggest that patients decrease their total energy intake; however, eating habits may not improve as they consume a diet high in saturated fat. It is recommended that all patients receive dietary education about diet quality post-laparoscopic adjustable gastric band surgery to assist them in improving their diet quality as well as quantity for optimal health and weight loss. Specific international guidelines for nutrient intakes for people undergoing bariatric surgery are needed.
腹腔镜可调节胃束带手术后患者的循证医学饮食管理指南很少，包括对宏量营养素摄入量没有共识建议。我们检查了多中心肥胖手术后患者队列的宏量营养素摄入量，并将这些摄入量与肥胖手术后和基于人群的饮食指南进行了比较。
邀请澳大利亚墨尔本的三个减肥手术中心的 215 名患者在手术后 12 个月完成经过验证的食物频率问卷。
52 名参与者的能量摄入量范围为 1140 至 13200kJ/天，平均为 4890kJ/天（±2360kJ/天）。许多患者不符合宏量营养素的最低人群建议。平均纤维摄入量仅为 14g/天（而女性推荐 25g，男性推荐 30g）。手术后 1 年的平均饮食为总脂肪 36%，而推荐值为 20-25%，其中 14%的摄入量来自饱和脂肪。
腹腔镜可调节带手术后 1 年患者的饮食摄入量差异很大，许多患者不符合建议。这些结果表明，患者减少了总能量摄入；然而，由于他们摄入高脂肪的饮食，饮食习惯可能不会改善。建议所有患者在腹腔镜可调节胃束带手术后接受关于饮食质量的教育，以帮助他们改善饮食质量和数量，以达到最佳健康和减肥效果。需要为接受减肥手术的人制定具体的国际营养素摄入量指南。
