Nutritional Management in Bariatric Surgery Patients

The obesity epidemic, mainly due to lifestyle changes in recent decades, leads to serious comorbidities that reduce life expectancy. This situation is affecting the health policies of many nations around the world. Traditional measures such as diet, physical activity, and drugs are often not enough...

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Autores principales:	Andrea Deledda, Stefano Pintus, Andrea Loviselli, Michele Fosci, Giovanni Fantola, Fernanda Velluzzi
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	obesity bariatric surgery metabolic surgery nutritional deficiencies nutrition pre-habilitation nutrition care Medicine R
Acceso en línea:	https://doaj.org/article/812338fa012f47aa90d344e0bca751b8
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spelling	oai:doaj.org-article:812338fa012f47aa90d344e0bca751b82021-11-25T17:50:38ZNutritional Management in Bariatric Surgery Patients10.3390/ijerph1822120491660-46011661-7827https://doaj.org/article/812338fa012f47aa90d344e0bca751b82021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12049https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The obesity epidemic, mainly due to lifestyle changes in recent decades, leads to serious comorbidities that reduce life expectancy. This situation is affecting the health policies of many nations around the world. Traditional measures such as diet, physical activity, and drugs are often not enough to achieve weight loss goals and to maintain the results over time. Bariatric surgery (BS) includes various techniques, which favor rapid and sustained weight loss. BS is a useful and, in most cases, the best treatment in severe and complicated obesity. In addition, it has a greater benefit/risk ratio than non-surgical traditional therapies. BS can allow the obese patient to lose weight quickly compared with traditional lifestyle changes, and with a greater probability of maintaining the results. Moreover, BS promotes improvements in metabolic parameters, even diabetes remission, and in the quality of life. These changes can lead to an increase of life expectancy by over 6 years on average. The nutrition of people before and after BS must be the subject of indications from a trained staff, and patients must be followed in the subsequent years to reduce the risk of malnutrition and the associated problems. In particular, it is still debated whether it is necessary to lose weight prior to surgery, a procedure that can facilitate the surgeon’s work reducing the surgical risk, but at the same time, lengthens preparation times increasing the risks associated with concomitant pathologies. Furthermore, preventing nutritional deficiencies prior to the intervention can improve the results and reduce short- and long-term mortality.Andrea DeleddaStefano PintusAndrea LoviselliMichele FosciGiovanni FantolaFernanda VelluzziMDPI AGarticleobesitybariatric surgerymetabolic surgerynutritional deficienciesnutrition pre-habilitationnutrition careMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12049, p 12049 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	obesity bariatric surgery metabolic surgery nutritional deficiencies nutrition pre-habilitation nutrition care Medicine R
spellingShingle	obesity bariatric surgery metabolic surgery nutritional deficiencies nutrition pre-habilitation nutrition care Medicine R Andrea Deledda Stefano Pintus Andrea Loviselli Michele Fosci Giovanni Fantola Fernanda Velluzzi Nutritional Management in Bariatric Surgery Patients
description	The obesity epidemic, mainly due to lifestyle changes in recent decades, leads to serious comorbidities that reduce life expectancy. This situation is affecting the health policies of many nations around the world. Traditional measures such as diet, physical activity, and drugs are often not enough to achieve weight loss goals and to maintain the results over time. Bariatric surgery (BS) includes various techniques, which favor rapid and sustained weight loss. BS is a useful and, in most cases, the best treatment in severe and complicated obesity. In addition, it has a greater benefit/risk ratio than non-surgical traditional therapies. BS can allow the obese patient to lose weight quickly compared with traditional lifestyle changes, and with a greater probability of maintaining the results. Moreover, BS promotes improvements in metabolic parameters, even diabetes remission, and in the quality of life. These changes can lead to an increase of life expectancy by over 6 years on average. The nutrition of people before and after BS must be the subject of indications from a trained staff, and patients must be followed in the subsequent years to reduce the risk of malnutrition and the associated problems. In particular, it is still debated whether it is necessary to lose weight prior to surgery, a procedure that can facilitate the surgeon’s work reducing the surgical risk, but at the same time, lengthens preparation times increasing the risks associated with concomitant pathologies. Furthermore, preventing nutritional deficiencies prior to the intervention can improve the results and reduce short- and long-term mortality.
format	article
author	Andrea Deledda Stefano Pintus Andrea Loviselli Michele Fosci Giovanni Fantola Fernanda Velluzzi
author_facet	Andrea Deledda Stefano Pintus Andrea Loviselli Michele Fosci Giovanni Fantola Fernanda Velluzzi
author_sort	Andrea Deledda
title	Nutritional Management in Bariatric Surgery Patients
title_short	Nutritional Management in Bariatric Surgery Patients
title_full	Nutritional Management in Bariatric Surgery Patients
title_fullStr	Nutritional Management in Bariatric Surgery Patients
title_full_unstemmed	Nutritional Management in Bariatric Surgery Patients
title_sort	nutritional management in bariatric surgery patients
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/812338fa012f47aa90d344e0bca751b8
work_keys_str_mv	AT andreadeledda nutritionalmanagementinbariatricsurgerypatients AT stefanopintus nutritionalmanagementinbariatricsurgerypatients AT andrealoviselli nutritionalmanagementinbariatricsurgerypatients AT michelefosci nutritionalmanagementinbariatricsurgerypatients AT giovannifantola nutritionalmanagementinbariatricsurgerypatients AT fernandavelluzzi nutritionalmanagementinbariatricsurgerypatients
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Nutritional Management in Bariatric Surgery Patients

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