Benson-Davies Sue, Frederiksen Kirsten, Patel Rutuja
Sanford School of Medicine, University of South Dakota, 1400 W 22nd St, Sioux Falls, SD 57105, USA.
Obesia Health, Inc., 2248 Meridian Blvd, Suite H, Minden, NV, 89423, USA.
Obes Pillars. 2024 Dec 5;13:100154. doi: 10.1016/j.obpill.2024.100154. eCollection 2025 Mar.
In 2022, the Obesity Medicine Association (OMA) published a Clinical Practice Statement (CPS) which provided an overview of bariatric surgery and related procedures, a discussion on gastrointestinal hormones and a review of the microbiome as it relates to patients with obesity. This update to the 2022 OMA CPS provides a focus on nutrition as it relates to the adult bariatric surgery patient, incorporating a detailed discussion on how to conduct a bariatric nutrition assessment and manage patients seeking metabolic and bariatric surgery (MBS) and postoperative nutrition care. In particular, the section on macronutrients, micronutrients, and bariatric surgery has been updated, highlighting practical approaches to nutrient deficiencies typically encountered in the bariatric surgery patient. Also included is a section on how to envision and develop an interdisciplinary team of medical providers with evidence-based nutrition knowledge and consistent information that improves the quality of nutrition care provided to MBS patients. This CPS adds to the series of OMA CPSs meant to provide guidance to clinicians in their care of patients with obesity.
The foundation of this paper is supported by scientific evidence in the medical literature and expert opinion derived from several bariatric nutrition resources, as well as from the 2022 OMA CPS focused on bariatric surgery.
This OMA Clinical Practice Statement provides an overview of the current bariatric nutrition clinical guidelines and nutrition tools adapted for clinicians who may not have access to an MBS team or a registered dietitian knowledgeable about bariatric nutrition.
This evidence-based review of the literature includes an overview of current bariatric nutrition recommendations. It is intended to provide clinicians with more advanced knowledge and skills in nutrition assessment and management of the preoperative and post-surgical MBS patients. This CPS also addresses macronutrient and micronutrient deficiencies common in MBS patients, and treatment recommendations designed to help the clinician with clinical decision making.
2022年，肥胖医学协会（OMA）发布了一份临床实践声明（CPS），概述了减肥手术及相关手术程序，讨论了胃肠激素，并综述了与肥胖患者相关的微生物群。此次对2022年OMA CPS的更新聚焦于与成年减肥手术患者相关的营养，纳入了关于如何进行减肥营养评估以及管理寻求代谢和减肥手术（MBS）的患者及术后营养护理的详细讨论。特别是，关于宏量营养素、微量营养素和减肥手术的部分已更新，突出了减肥手术患者中常见营养素缺乏的实用处理方法。还包括一部分内容，介绍如何构想和组建一支由具备循证营养知识且能提供一致信息的医疗服务提供者组成的跨学科团队，以提高为MBS患者提供的营养护理质量。这份CPS是OMA CPS系列的一部分，旨在为临床医生护理肥胖患者提供指导。
本文的基础得到了医学文献中的科学证据以及来自多个减肥营养资源的专家意见的支持，还有2022年聚焦于减肥手术的OMA CPS。
这份OMA临床实践声明概述了当前的减肥营养临床指南和营养工具，适用于那些无法获得MBS团队或不具备了解减肥营养知识的注册营养师服务的临床医生。
这份基于证据的文献综述包括了当前减肥营养建议的概述。其目的是为临床医生提供在术前和术后MBS患者营养评估和管理方面更先进的知识和技能。这份CPS还阐述了MBS患者中常见的宏量营养素和微量营养素缺乏情况，以及旨在帮助临床医生进行临床决策的治疗建议。
