Afsar Nagehan, Ozdogan Yahya
Healthy Nutrition and Life Center, Ankara, Türkiye.
Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Türkiye.
Front Nutr. 2024 Oct 9;11:1476258. doi: 10.3389/fnut.2024.1476258. eCollection 2024.
Sleeve gastrectomy surgery can lead to deficiencies in both macro and micronutrients, with protein being particularly crucial due to its role in muscle mass, physiological, and metabolic functions. Inadequate protein intake due to physiological, psychological, or financial reasons may prevent achieving the recommended intake levels. The significance of this issue is often underappreciated.
This study evaluates the impact of protein supplementation on muscle mass in individuals undergoing sleeve gastrectomy and emphasizes the need for more comprehensive dietary training by expert dietitians.
Data were collected from 60 participants (15 male, 45 female, aged 20-54) who visited the surgery clinic. Participants were divided into two groups: those receiving the recommended protein supplement (15 g/day) with post-bariatric surgery diet training (BSD + PS), and those receiving only the post-bariatric surgery diet (BSD). A pre-surgery questionnaire gathered health and general information. Daily energy and nutrient intakes were recorded using 24-h food consumption logs on the day before surgery and at 7 days, 1 month, and 3 months postoperatively. Anthropometric measurements, including muscle and fat mass, and International Physical Activity Questionnaire (IPAQ) data were also collected.
The characteristics of participants in both groups were similar, although there were more females in the BSD + PS group (86.7%) compared to the BSD group (63.3%). Despite an increase in energy and nutrient intake over time, levels remained below the recommended amounts in both groups. A significant difference was found in protein supplement consumption between the groups ( = 0.000). Repeated measures showed significant differences in body muscle mass percentage over time ( = 202.784; = 0.000).
In individuals who underwent sleeve gastrectomy surgery, deficiencies in macro and micronutrient intake were observed below reference levels. For this reason, the first approach in the treatment of obesity should always be medical nutrition therapy accompanied by a dietician. When designing post-bariatric surgery nutrition programs, it should be taken into consideration that nutrition protocols and trainings should be followed more closely and given in more detail under the supervision of a specialist before supplements are considered.
袖状胃切除术可导致宏量营养素和微量营养素缺乏，由于蛋白质在肌肉量、生理和代谢功能方面的作用，蛋白质尤为关键。由于生理、心理或经济原因导致蛋白质摄入不足，可能无法达到推荐摄入量水平。这个问题的重要性常常未得到充分认识。
本研究评估蛋白质补充对接受袖状胃切除术患者肌肉量的影响，并强调专业营养师进行更全面饮食训练的必要性。
收集了60名到外科诊所就诊的参与者（15名男性，45名女性，年龄20 - 54岁）的数据。参与者分为两组：一组接受推荐的蛋白质补充剂（15克/天）并接受减重手术后饮食训练（BSD + PS），另一组仅接受减重手术后饮食（BSD）。术前问卷收集健康和一般信息。使用术前一天以及术后7天、1个月和3个月的24小时食物消耗记录来记录每日能量和营养素摄入量。还收集了人体测量数据，包括肌肉和脂肪量，以及国际体力活动问卷（IPAQ）数据。
两组参与者的特征相似，尽管BSD + PS组中的女性比例（86.7%）高于BSD组（63.3%）。尽管随着时间推移能量和营养素摄入量有所增加，但两组的摄入量仍低于推荐量。两组之间在蛋白质补充剂消耗量方面存在显著差异（= 0.000）。重复测量显示，随着时间推移，身体肌肉量百分比存在显著差异（= 202.784；= 0.000）。
在接受袖状胃切除术的个体中，观察到宏量营养素和微量营养素摄入量低于参考水平。因此，肥胖治疗的首要方法应始终是由营养师陪同的医学营养治疗。在设计减重手术后的营养方案时，应考虑到在考虑补充剂之前，应在专家监督下更密切地遵循营养方案并进行更详细的培训。
