Evaluation of the nutritional status of morbid obesity patients in the first six months after sleeve gastrectomy

Özdoğan Y., Elibol E., Avlanmış Ö., Çelebi Acungan A.

NUTRICIÓN HOSPITALARIA, cilt.41, sa.5, ss.976-983, 2024 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 41 Sayı: 5
  • Basım Tarihi: 2024
  • Doi Numarası: 10.20960/nh.05243
  • Dergi Adı: NUTRICIÓN HOSPITALARIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Fuente Academica Plus, CINAHL, Food Science & Technology Abstracts, MEDLINE, Directory of Open Access Journals, DIALNET
  • Sayfa Sayıları: ss.976-983
  • Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet

Özet

Objective: in recent years, bariatric surgery has gained popularity as a treatment for obesity worldwide. While patients do experience weight loss

after surgery, it is important to be aware that serious nutritional deficiencies may also occur. This study was conducted to evaluate the nutritional

status of morbidly obese patients in the first six months after sleeve gastrectomy.

Methods: the study was planned as a retrospective study. The data of 76 patients aged 19-64 years who had undergone bariatric surgery

and were followed by a dietitian for at least 6 months were included in the study. Preoperative and postoperative biochemical parameters and

anthropometric measurements of the patients were taken.

Results: the lowest body weight of the patients was found at postoperative month 6 (81.74 ± 14.83 kg), the body weight at the preoperative

period (115.86 ± 21.28 kg) and postoperative month 1 (100.39 ± 18.28 kg), and the body weight at postoperative month 1 was statistically

lower than at the preoperative period. The preoperative body weights and BMI values of the patients were higher than at postoperative months 1

and 6, and the postoperative month 1 values were higher than at postoperative month 6 (p < 0.05). The lowest fasting blood glucose (83.48 ±

8.44 mg/dL), HbA1c (4.96 ± 0.95 %), and Homa-IR (3.34 ± 0.92) were observed at the postoperative month 6. Compared with the preoperative

period, the iron level of the patients increased from 69.54 ± 29.82 μg/dL to 96.52 ± 25.39 μg/dL in postoperative month 6, vitamin D levels from

14.48 ± 8.70 μg/dL to 23.96 ± 4.79 μg/dL. While preoperative blood triglyceride and LDL values were statistically higher than in postoperative

months 1 and 6, the HDL value was lower (p < 0.05).

Conclusion: as a result, after sleeve gastrectomy, patient body weight decreased, and blood lipid profile and diabetes symptoms improved.