在减肥手术患者中，高度遵循营养建议可使蛋白质和矿物质流失最小化，同时使内脏脂肪流失最大化。

A high adherence level to nutritional recommendations minimizes protein and minerals loss while maximizes visceral fat loss in bariatric surgery patients.

作者信息

Subih Hadil, Batayneh Shirin, Obeidat Belal, Rashdan Mohammad, Obeidat Firas, Abuhmeidan Jareer Heider, Galyean Shannon, Obeidat Leen B, Hadri Zouheyr, Alyahya Linda

机构信息

Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Surg Obes Relat Dis. 2025 Mar;21(3):301-310. doi: 10.1016/j.soard.2024.10.011. Epub 2024 Oct 12.

DOI:10.1016/j.soard.2024.10.011

PMID:39706719

Abstract

BACKGROUND

Metabolic bariatric surgeries are considered the finest and most appropriate treatment option for patients with severe obesity. Besides the surgical procedure, many factors appear to be associated with improved postoperative outcomes such as compliance to the postoperative diet and supplementation, regular physical activity, medical and nutritional follow-up, and modifications in dietary habits.

OBJECTIVES

The objectives of this study were to investigate the effect of adherence to postoperative recommendations on anthropometric measurements and body composition and assess the percentage of total weight loss (%TWL) and excess weight loss (%EWL) 3 months postoperative.

SETTINGS

Fifty-two participants who underwent a Roux-en-Y gastric bypass or sleeve gastrectomy in the University of Jordan Hospital were included.

METHODS

Participants have filled out a preoperative questionnaire. Anthropometric measurements were obtained preoperative and 3 months postoperative using a Body Impedance Analyzer (Inbody 270). The adherence to postoperative recommendations was assessed by the Bariatric Surgery Self-management Questionnaire 3 months postoperative and classified to 3 adherence levels.

RESULTS

Most anthropometric measurements decreased 3 months postoperative in the 3 adherence groups (P ≤ .05). No significant differences were observed between groups in anthropometric measurements and body composition, except for minerals and visceral fat levels. The mineral loss has decreased in both the high and intermediate adherence groups (-.09 ± .22 kg, and -.09 ± .18 kg, respectively). Also, the high adherence group showed less loss in protein amount postoperatively (P = .06). Visceral fat level decreased in the high adherence group (P ≤ .05).

CONCLUSIONS

Adherence to postoperative behavioral and nutritional recommendations was associated with less protein and mineral loss and enhanced visceral fat reduction postoperatively.

摘要

背景

代谢性减肥手术被认为是重度肥胖患者最佳且最合适的治疗选择。除了手术操作外，许多因素似乎与术后改善的结果相关，如对术后饮食和补充剂的依从性、规律的体育活动、医学和营养随访以及饮食习惯的改变。

目的

本研究的目的是调查遵守术后建议对人体测量指标和身体成分的影响，并评估术后3个月的总体重减轻百分比（%TWL）和超重减轻百分比（%EWL）。

地点

纳入了在约旦大学医院接受 Roux-en-Y 胃旁路手术或袖状胃切除术的52名参与者。

方法

参与者填写了术前问卷。术前和术后3个月使用人体阻抗分析仪（Inbody 270）进行人体测量。术后3个月通过减肥手术自我管理问卷评估对术后建议的依从性，并分为3个依从水平。

结果

在3个依从性组中，大多数人体测量指标在术后3个月有所下降（P≤0.05）。除矿物质和内脏脂肪水平外，各依从性组在人体测量指标和身体成分方面未观察到显著差异。高依从性组和中等依从性组的矿物质流失均有所减少（分别为-0.09±0.22 kg和-0.09±0.18 kg）。此外，高依从性组术后蛋白质流失较少（P=0.06）。高依从性组的内脏脂肪水平降低（P≤0.05）。