title: Nutritional pyramid for post-gastric bypass patients.
abstract: BACKGROUND
  Life-long nutrition education and diet evaluation are key to the long-term success of surgical treatment of obesity. Diet guidelines provided for bariatric surgery patients generally focus on a progression through dietary stages, from the immediate post-surgical period to 6 months after surgery. However, long-term dietary guidelines for those surgically treated for obesity are not readily available. Therefore, there is a need for dietary recommendations for meal planning and nutritional supplementation for bariatric surgery patients beyond the short-term, post-operative period. The purpose of this paper is to construct an educational tool to provide long-term nutritional and behavioral advice for the post-bariatric patient.
  
  
  METHODS
  The manuscript summarizes the current knowledge on dietary strategies and behaviors associated with beneficial nutritional outcomes in the long term of post-bariatric surgery patients.
  
  
  RESULTS
  Dietary and nutritional recommendations are presented in the form of a "bariatric food pyramid" designed to be easily disseminated to patients.
  
  
  CONCLUSIONS
  The development of educational tools that are easy to understand and follow is essential for effective patient management during the surgery follow-up period. The pyramid can be used as a tool to help both therapists and patients to understand nutrition recommendations and thus promote a healthy long-term post-op dietary pattern based on high-quality protein, balanced with nutrient-dense complex carbohydrates and healthy sources of essential fatty acids.
authors.affiliation: Obesity Unit, Hospital Clinic i Universitari, Barcelona, Spain. vmoize@clinic.ub.es
authors.forename: Violeta L
authors.initials: VL
authors.lastname: Moizé
authors.forename: Xavier
authors.initials: X
authors.lastname: Pi-Sunyer
authors.forename: Heidi
authors.initials: H
authors.lastname: Mochari
authors.forename: Josep
authors.initials: J
authors.lastname: Vidal
mesh_terms: D015390:Gastric Bypass / Q000009:adverse effects; D006801:Humans; D044342:Malnutrition / Q000209:etiology / Q000517:prevention & control*; D008612:Menu Planning; D018673:Nutrition Policy; D009751:Nutritional Requirements; D052756:Nutritional Sciences / Q000193:education; D009767:Obesity, Morbid / Q000601:surgery*; D010353:Patient Education as Topic; D011183:Postoperative Complications / Q000517:prevention & control
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