Department of Human Nutrition, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS-SGGW), 159C Nowoursynowska Str, 02-776, Warsaw, Poland.
Obes Surg. 2021 Oct;31(10):4502-4510. doi: 10.1007/s11695-021-05639-9. Epub 2021 Aug 4.
Most of the research indicated that daily dietary intake of minerals in SG patients was lower than the current recommendations. The aim of the study was to assess the need and safety of a mineral supplementation practice in adults with obesity, at 3, 6, and 9 months post bariatric surgery-sleeve gastrectomy (SG).
The study included 24 women and 6 men. Based on a 4-day food record questionnaire, mineral and calorie intake was calculated at 3, 6, and 9 months after bariatric surgery (SG). Furthermore, an interview on supplement intake was also conducted.
It was found that in both men and women, there was a dietary intake deficiency of calcium (97% of respondents), potassium (97%), magnesium (83%), sodium (60%), and zinc (53%). In women, the deficiencies also included iron (50%) and copper (29%). Only 72% of the patients took dietary supplements. The applied supplementation did not adjust for the required intake of calcium in all of the patients, as well as the intake of magnesium in the male patients. Low intake of sodium and potassium were not supplemented and should be corrected by diet modification. The patients did not require supplementation of phosphorus or manganese, while male patients did not require iron or copper supplementation. The dietary and/or supplemental intake of minerals did not exceed the tolerable upper intake level (UL).
The results of the study confirm the need to implement personalized mineral supplementation for bariatric surgery patients.
大多数研究表明,SG 患者的日常矿物质摄入量低于当前建议量。本研究旨在评估肥胖成年人在接受减重手术后(袖状胃切除术,SG)3、6 和 9 个月时进行矿物质补充的必要性和安全性。
该研究纳入了 24 名女性和 6 名男性。根据 4 天的食物记录问卷,在减重手术后(SG)3、6 和 9 个月时计算矿物质和热量摄入。此外,还进行了关于补充剂摄入的访谈。
研究发现,男性和女性均存在钙(97%的受访者)、钾(97%)、镁(83%)、钠(60%)和锌(53%)的饮食摄入不足。女性还存在铁(50%)和铜(29%)摄入不足。只有 72%的患者服用了膳食补充剂。所应用的补充剂并未调整所有患者的钙需求量,也未调整男性患者的镁需求量。低钠和低钾的摄入未得到补充,应通过饮食调整来纠正。患者不需要补充磷或锰,而男性患者则不需要补充铁或铜。矿物质的饮食和/或补充摄入量未超过可耐受的最高摄入量(UL)。
研究结果证实,需要为减重手术患者实施个性化的矿物质补充。