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减重手术后蛋白质补充剂的耐受性和患者满意度。

Protein Supplement Tolerability and Patient Satisfaction after Bariatric Surgery.

机构信息

Department of Medical BioSciences (Route 928), Radboud University Medical Center, P.O. box 1901, 6500 HB, Nijmegen, The Netherlands.

Nederlandse Obesitas Kliniek (Dutch Obesity Clinic), Amersfoortseweg 43, 3712 BA, Huis Ter Heide, The Netherlands.

出版信息

Obes Surg. 2024 Oct;34(10):3866-3875. doi: 10.1007/s11695-024-07462-4. Epub 2024 Sep 7.


DOI:10.1007/s11695-024-07462-4
PMID:39243332
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11481670/
Abstract

PURPOSE: Disproportional fat-free mass loss often occurs post-bariatric surgery, partly due to insufficient protein intake during the post-surgery recovery phase. We compared five protein-enhancing strategies (PES) on patient tolerability, satisfaction and protein intake. MATERIALS AND METHODS: Ninety-four participants, scheduled for bariatric surgery, were enrolled and allocated to either of the following: (1) whey powder, (2) hydrolysed collagen powder, (3) plant-based powder, (4) protein-rich products, (5) protein gel, or control. PES groups were instructed to add 30 g of powder or 2 gels or protein products to their diet. Patient satisfaction and tolerability were evaluated with questionnaires. Dietary intake was assessed prior to and during PES use. RESULTS: Seven patients dropped out (i.e. loss of contact, personal reasons or post-surgery complications) yielding an analytical cohort of 87 participants. The majority of patients (61%) did not experience dietary complaints from PES and could use PES ≥ 5 days of the week. PES non-usage was mainly related to taste dislike (58%). Hydrolysed collagen scored highest on tolerability and satisfaction: 86% of the participants could use HC ≥ 5 days and 71% were satisfied with the product. PES increased protein intake from 54.7 ± 21.5 g/day to 64.7 ± 23.4 g/day during the intervention (p = 0.002), which differed from the control group (+ 10.1 ± 24.5 g/day vs. - 6.3 ± 23.8 g/day for controls, p = 0.019). Whey showed the highest increase, namely + 18.3 ± 16.3 g/day (p = 0.009). CONCLUSION: PES were tolerated by the majority of participants, and an improved protein intake with PES use was seen. However, the taste of the products could be improved to further enhance satisfaction and tolerability.

摘要

目的:减重手术后常发生非脂肪组织大量丢失,部分原因是术后康复期蛋白质摄入不足。我们比较了五种蛋白质增强策略(PES)在患者耐受性、满意度和蛋白质摄入方面的效果。 材料与方法:94 名计划接受减重手术的患者被纳入研究并随机分配到以下组别之一:(1)乳清蛋白粉,(2)水解胶原蛋白粉,(3)植物蛋白粉,(4)高蛋白产品,(5)蛋白质凝胶,或对照组。PES 组被要求在饮食中添加 30 克粉末或 2 个凝胶或高蛋白产品。通过问卷评估患者的满意度和耐受性。在使用 PES 前后评估饮食摄入情况。 结果:7 名患者(即失去联系、个人原因或术后并发症)退出研究,最终分析队列包含 87 名参与者。大多数患者(61%)没有出现 PES 相关的饮食不适,可以每周使用 PES≥5 天。不使用 PES 主要与口味不佳有关(58%)。水解胶原蛋白在耐受性和满意度方面得分最高:86%的参与者可以使用 HC≥5 天,71%的参与者对产品满意。PES 使蛋白质摄入量从干预前的 54.7±21.5 g/天增加到干预后的 64.7±23.4 g/天(p=0.002),与对照组相比(对照组增加+10.1±24.5 g/天,对照组减少-6.3±23.8 g/天,p=0.019)。乳清显示出最高的增加量,即+18.3±16.3 g/天(p=0.009)。 结论:大多数参与者耐受 PES,并且使用 PES 可增加蛋白质摄入。然而,产品的口味可以进一步改进,以提高满意度和耐受性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/be68e26947be/11695_2024_7462_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/8c1b071eb6a7/11695_2024_7462_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/d53b70ed3acc/11695_2024_7462_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/e8b57739033d/11695_2024_7462_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/aa66c62ee452/11695_2024_7462_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/be68e26947be/11695_2024_7462_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/8c1b071eb6a7/11695_2024_7462_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/d53b70ed3acc/11695_2024_7462_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/e8b57739033d/11695_2024_7462_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/aa66c62ee452/11695_2024_7462_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4e/11481670/be68e26947be/11695_2024_7462_Fig5_HTML.jpg

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引用本文的文献

[1]
The Impact of Sleeve Gastrectomy Combined With Lifestyle Interventions on Anthropometric and Health Outcomes in Adults: A Systematic Review and Meta-Analysis.

Cureus. 2025-6-9

本文引用的文献

[1]
Changes in Fat-Free Mass, Protein Intake and Habitual Physical Activity Following Roux-en-Y Gastric Bypass Surgery: A Prospective Study.

Obes Surg. 2023-7

[2]
Collagen Protein Ingestion during Recovery from Exercise Does Not Increase Muscle Connective Protein Synthesis Rates.

Med Sci Sports Exerc. 2023-10-1

[3]
Validation of the smartphone-based dietary assessment tool "Traqq" for assessing actual dietary intake by repeated 2-h recalls in adults: comparison with 24-h recalls and urinary biomarkers.

Am J Clin Nutr. 2023-6

[4]
Protein Supplementation with Short Peptides Prevents Early Muscle Mass Loss after Roux-en-Y-Gastric Bypass.

Nutrients. 2022-12-1

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Amino Acids. 2021-10

[6]
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Nutr J. 2021-3-14

[7]
Provision of ready-to-drink protein following bariatric surgery: An evaluation of tolerability, body composition, and metabolic rate.

Clin Nutr. 2021-4

[8]
Rate and Determinants of Excessive Fat-Free Mass Loss After Bariatric Surgery.

Obes Surg. 2020-8

[9]
Comparative analysis of weight loss and resolution of comorbidities between laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass: A systematic review and meta-analysis based on 18 studies.

Int J Surg. 2020-3-6

[10]
A meta-analysis of the medium- and long-term effects of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass.

BMC Surg. 2020-2-12

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