Food quality in the late postoperative period of bariatric surgery: an evaluation using the bariatric food pyramid.
Bariatric surgery is an effective intervention in the treatment of obesity, but lifestyle and diet should be monitored after this procedure to ensure success. The Bariatric Food Pyramid was created basing on long-term nutritional care that proposes a standard of healthy living and eating habits considering gastric capacity and specific nutritional needs. The purpose of the current study is to evaluate the life habits and diet quality of patients who have undergone bariatric surgery (who have been recovering for at least 6 months) based on the specific food pyramid. Retrospective data analysis was performed using medical records of patients who had been followed for at least 6 months after bariatric surgery. The following data were collected from patient records: age, gender, education level (years), BMI (preoperative and postoperative), percentage of excess weight loss (EWL) relative to the time of surgery, frequency of physical activity, use of nutritional supplements, usual dietary intake history, and fluid intake. Results were analyzed using descriptive statistics. We evaluated 172 patient records. In this study, there was a low prevalence of physical activity, use of vitamin-mineral supplements, and water intake. There also was low consumption of protein, fruit, vegetables, and vegetable oils. In addition, intake of carbohydrates, sugars, and fats were higher than the recommendations established by the pyramid. The results indicate that patients who have undergone bariatric surgery have an inadequate diet according to food evaluation with the specific pyramid. In the long term, this may lead to weight gain and vitamin and mineral deficiencies.
Nutrition Department, Health and Biosciences School, Pontifical Catholic University of Parana, 1155 Imaculada Conceição Street, Prado Velho, Curitiba, Paraná, 80215-901, Brazil, f_lucasoares@yahoo.com.br.
Fernando Lucas
FL
Soares
Larissa
L
Bissoni de Sousa
Carla
C
Corradi-Perini
Magda Rosa
MR
Ramos da Cruz
Mario Gilberto Jesus
MG
Nunes
Alcides José
AJ
Branco-Filho
D000328:Adult; D050110:Bariatric Surgery / Q000379:methods; D004032:Diet; D019587:Dietary Supplements; D005247:Feeding Behavior; D005260:Female; D063427:Food Quality; D005638:Fruit; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000601:surgery*; D011184:Postoperative Period; D012189:Retrospective Studies; D014675:Vegetables; D015431:Weight Loss; D055815:Young Adult