Nutritional pyramid for post-gastric bypass patients.
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.
Moizé
Violeta L
VL
Obesity Unit, Hospital Clinic i Universitari, Barcelona, Spain. vmoize@clinic.ub.es
Pi-Sunyer
Xavier
X
Mochari
Heidi
H
Vidal
Josep
J
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
Obes Surg. 2010 Feb;20(2):135-9
18575942
J Am Diet Assoc. 2004 Mar;104(3):487-8
14993876
Eur J Clin Nutr. 2002 Jun;56(6):551-6
12032656
Obes Surg. 2009 Jun;19(6):708-16
18618210
Am J Clin Nutr. 2008 Feb;87(2):362-9
18258626
Diabetes Care. 2005 Feb;28(2):481-4
15677821
Am J Surg. 2002 Dec;184(6B):38S-41S
12527349
Nutr Metab Cardiovasc Dis. 2009 May;19(4):253-63
18722096
Ann Surg. 1992 Apr;215(4):387-95
1558421
Surgery. 1992 Feb;111(2):137-42
1736382
Med Clin North Am. 2007 May;91(3):499-514, xii
17509392
Annu Rev Nutr. 2009;29:21-41
19400750
Am J Med Sci. 2006 Apr;331(4):207-13
16617236
Obes Surg. 1993 Aug;3(3):233-238
10757925
Am J Clin Nutr. 2007 Jun;85(6):1465-77
17556681
Obesity (Silver Spring). 2009 Apr;17 Suppl 1:S1-70, v
19319140
Surg Obes Relat Dis. 2008 Sep-Oct;4(5 Suppl):S73-108
18490202
Gastroenterology. 1977 Aug;73(2):215-7
873118
Int J Obes Relat Metab Disord. 2000 May;24(5):573-9
10849578
Am J Clin Nutr. 1990 Jul;52(1):87-92
2360554
Obes Surg. 1999 Feb;9(1):17-21
10065575
Obes Surg. 2004 Sep;14(8):1070-9
15479596
Crit Care Nurs Q. 2003 Apr-Jun;26(2):133-8
12744593
Obes Surg. 2008 Jul;18(7):833-40
18408982
Obes Surg. 2006 May;16(5):671-2
16687041
Surg Obes Relat Dis. 2008 Jul-Aug;4(4):492-9
18656831
Nutr Clin Pract. 2005 Oct;20(5):517-25
16207692
N Engl J Med. 2004 Dec 23;351(26):2683-93
15616203
Obes Surg. 2009 Jan;19(1):56-65
18542847
J Surg Res. 2007 Oct;142(2):308-13
17631904
Obesity (Silver Spring). 2009 Jan;17(1):78-83
18997679
Int J Obes. 1991 Aug;15(8):555-60
1938099
J Am Diet Assoc. 2009 Feb;109(2):330-46
19244669
Obes Surg. 1999 Feb;9(1):80-2
10065592
Obes Surg. 2003 Feb;13(1):23-8
12630609
Endocrinol Metab Clin North Am. 2003 Jun;32(2):437-57
12800540
Obes Surg. 2010 Jun;20(6):716-21
18931884
Ann Surg. 1994 Dec;220(6):782-90
7986146
Surg Obes Relat Dis. 2008 Sep-Oct;4(5):640-6
18586571
Eur J Clin Nutr. 1998 May;52(5):316-22
9630380
J Am Diet Assoc. 2002 Jan;102(1):109-18
11794490
Int J Obes (Lond). 2008 Apr;32(4):619-28
18180786
Obes Surg. 2009 Oct;19(10):1377-83
18542846
Obes Surg. 2009 Sep;19(9):1293-6
18830780
Obes Surg. 2008 Feb;18(2):187-91
18163192
Obes Surg. 2005 Feb;15(2):145-54
15802055
Endocr Pract. 2007 May-Jun;13(3):277-82
17599860