Hojaji Elham, Veysi Zahra, Fe'li Shadi Naderyan, Shalbaf Neda, Arian Moslem, Clark Cain C T, Dorosty Motlagh Ahmad Reza
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC Surg. 2025 Jan 25;25(1):41. doi: 10.1186/s12893-025-02773-4.
Metabolic and bariatric surgery (MBS) is a suitable solution for the treatment of morbid obesity. Investigating an MBS method that has the best outcomes has always been the main concern of physicians. The current study aimed to compare nutritional, anthropometric, and psychological complications of individuals undergoing various MBS Techniques.
A total of 96 subjects, who had been already referred to the obesity clinic of Firoozgar Hospital, Tehran, Iran, for MBS, were selected for the study and were followed for one year after MBS. The dietary intakes of the participants were assessed using a Food Frequency Questionnaire (FFQ) on a daily, weekly, monthly, or yearly basis. The mental health of participants was done via the Symptom Checklist 90 Revised. Furthermore, the In-Body 720 bioelectrical impedance device was used to obtain the body composition of the participants at the beginning and the end of the study.
The mean age of the participants was 39.5 ± 9.5 years. All anthropometric indices including weight, Body Mass Index (BMI), protein content, fat mass, and fat mass percentage decreased after Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), and sleeve gastrectomy (SG) surgeries (P < 0.05). After adjustments for confounders, no significant difference was observed in the magnitude of the changes in body composition between the three Techniques (p > 0.05). Energy and carbohydrate intake significantly decreased after surgeries in all three groups (p < 0.05), but comparing the methods no significant difference was revealed (p > 0.05). Furthermore, the results indicated that there was a significant relationship between the mental health of patients before and after surgeries (p < 0.05).
Overall, all three methods of surgery contributed to the improvement of the nutritional, anthropometric, and psychological complications. Further complementary studies are needed to determine the least complicated MBS method.
代谢与减重手术（MBS）是治疗病态肥胖的合适解决方案。探寻具有最佳疗效的MBS方法一直是医生们主要关注的问题。本研究旨在比较接受各种MBS技术的个体的营养、人体测量学和心理并发症情况。
总共96名已转诊至伊朗德黑兰菲罗兹加尔医院肥胖门诊接受MBS的受试者被选入本研究，并在MBS后随访一年。通过食物频率问卷（FFQ）按每日、每周、每月或每年的频率评估参与者的饮食摄入量。通过症状自评量表90修订版评估参与者的心理健康状况。此外，在研究开始和结束时使用In - Body 720生物电阻抗设备获取参与者的身体成分。
参与者的平均年龄为39.5 ± 9.5岁。在接受Roux - en - Y胃旁路术（RYGB）、单吻合口胃旁路术（OAGB）和袖状胃切除术（SG）后，所有人体测量指标，包括体重、体重指数（BMI）、蛋白质含量、脂肪量和脂肪量百分比均下降（P < 0.05）。在对混杂因素进行调整后，三种技术之间身体成分变化的幅度未观察到显著差异（p > 0.05）。三组手术后能量和碳水化合物摄入量均显著下降（p < 0.05），但比较这些方法时未发现显著差异（p > 0.05）。此外，结果表明手术前后患者的心理健康之间存在显著关系（p < 0.05）。
总体而言，所有三种手术方法都有助于改善营养、人体测量学和心理并发症。需要进一步的补充研究来确定并发症最少的MBS方法。
