Department of Medicine, Surgery, and Dentistry, "Scuola Medica Salernitana", University of Salerno, Baronissi, 84081 Salerno, Italy.
Center of Excellence of Bariatric Surgery of the Italian Society of Obesity Surgery and Metabolic Disease (SICOB), Unit of General and Emergency Surgery, University Hospital San Giovanni di Dio e Ruggi d'Aragona, Mercato San Severino, 84085 Salerno, Italy.
Nutrients. 2022 Apr 2;14(7):1488. doi: 10.3390/nu14071488.
To evaluate the effect of the SARS-CoV-2 lockdown on dietary habits, body weight, left hepatic lobe volume, use of micronutrient supplements, micronutrient status, frequency of physical activity, and evolution of comorbidities in patients undergoing preoperative care for BS.
We prospectively evaluated the dietary habits (including use of micronutrient supplements and frequency of physical activity) of 36 patients who were candidates for BS from March to May 2020; 7-day food dietary records, body weight, left hepatic lobe volume by ultrasound, micronutrient status, and evolution of comorbidities were assessed.
All patients completed the study. Of the participants, 44.4% (16/36), 47.2% (17/36), and 27.8% (10/36) followed the preoperative indications for vegetables, fruits, and legumes, respectively, whereas over 50% did not. Furthermore, 30.6% (11/36) and 55.6% (20/36) of participants followed the prescribed recommendations for carbohydrates/sweets products and alcohol, respectively. A total of 61.1% (22/36) of participants experienced new foods and new culinary preparations. In addition, at the time of the study, we found that only 11.1% (4/36) were engaged in prescribed physical activity and only 36.1% (13/36) were taking prescribed micronutrient supplements. Compared to the initial weight, we observed an increased body weight and body mass index (+4.9%, = 0.115; +1.89%, = 0.0692, respectively), and no improvement in left hepatic lobe volume, micronutrient status, or comorbidities was recorded for any patient in the anamnesis.
Lockdown determined by the SARS-CoV-2 pandemic has negatively affected the preoperative program of BS candidates, resulting in a postponement to the resumption of bariatric surgical activity.
评估 SARS-CoV-2 封锁对饮食习惯、体重、左肝叶体积、微量营养素补充剂使用、微量营养素状况、身体活动频率以及接受减重手术（BS）术前护理患者合并症演变的影响。
我们前瞻性评估了 2020 年 3 月至 5 月间 36 名 BS 候选患者的饮食习惯（包括使用微量营养素补充剂和身体活动频率）；评估了 7 天饮食记录、体重、超声测量的左肝叶体积、微量营养素状况和合并症的演变。
所有患者均完成了研究。参与者中，分别有 44.4%（16/36）、47.2%（17/36）和 27.8%（10/36）遵循了术前蔬菜、水果和豆类的指示，但超过 50%的患者没有遵循。此外，分别有 30.6%（11/36）和 55.6%（20/36）的参与者遵循了碳水化合物/甜食产品和酒精的规定建议。共有 61.1%（22/36）的参与者尝试了新的食物和新的烹饪方法。此外，在研究时，我们发现只有 11.1%（4/36）的患者进行了规定的身体活动，只有 36.1%（13/36）的患者服用了规定的微量营养素补充剂。与初始体重相比，我们观察到所有患者的体重和体重指数均增加（+4.9%，=0.115；+1.89%，=0.0692），且病史中无任何患者的左肝叶体积、微量营养素状况或合并症得到改善。
由 SARS-CoV-2 大流行引起的封锁对 BS 候选者的术前计划产生了负面影响，导致减重手术活动的恢复被推迟。
