title: [Pre and postoperative adherence to Mediterranean-like diet and its effect on weight loss and cardiovascular risk factors after sleeve gastrectomy].
abstract: OBJECTIVE
  Even in the Mediterranean countries, the adherence to the Mediterranean diet is every day smaller. The aim of this study was to evaluate the adherence to Mediterranean diet of morbidly obese patients before and after undergoing a sleeve gastrectomy.
  
  
  METHODS
  A prospective observational study of all the patients undergoing Laparoscopic Sleeve Gastrectomy (LSG) as bariatric technique between October 2010 and May 2012 was performed. All the patients completed the KIDMED index, before surgery and 1 year after the intervention. KIDMED index assessed the adherence to the Mediterranean diet.
  
  
  RESULTS
  A total of 50 patients were included in the study. Before surgery, 30% of patients presented a poor adherence to Mediterranean diet, 64% an average adherence and 6% a good adherence, whereas 1 year after surgery 2% showed poor adherence, 58% an average adherence and 40% good adherence (p=0.02). A significant inverse correlation could be established between KIDMED score changes and weight loss (Spearman -0.357; p=0.008), total cholesterol (Spearman -0.442; p=0.003) and LDL-cholesterol (Spearman -0.464 p=0.002). A direct correlation could be established between KIDMED score and HDL-cholesterol increases (Spearman 0.562; p=0.001).
  
  
  CONCLUSIONS
  Patients with better adherence to a Mediterranean diet showed greater weight loss and improvement of lipid profile 1 year after surgery.
authors.affiliation: Servicio de Cirugía. Unidad de Obesidad. Hospital General Universitario de Elche (Alicante - España).. jruiztovar@gmail.com.
authors.forename: Jaime
authors.initials: J
authors.lastname: Ruiz-Tovar
authors.affiliation: Servicio de Endocrinología. Unidad de Obesidad. Hospital General Universitario de Elche (Alicante - España)..
authors.forename: Evangelina
authors.initials: E
authors.lastname: Boix
authors.affiliation: Departmento de Patología y Cirugía. Universidad Miguel Hernández (Alicante-España)..
authors.forename: Maryana
authors.initials: M
authors.lastname: Bozhychko
authors.affiliation: Departmento de Patología y Cirugía. Universidad Miguel Hernández (Alicante-España)..
authors.forename: Jone
authors.initials: J
authors.lastname: Miren Del Campo
authors.affiliation: Servicio de Psiquiatría. Unidad de Obesidad. Hospital General Universitario de Elche (Alicante - España)..
authors.forename: Rosana
authors.initials: R
authors.lastname: Martínez
authors.affiliation: Servicio de Psiquiatría. Unidad de Obesidad. Hospital General Universitario de Elche (Alicante - España)..
authors.forename: José María
authors.initials: JM
authors.lastname: Bonete
authors.affiliation: Servicio de Cirugía. Unidad de Obesidad. Hospital General Universitario de Elche (Alicante - España)..
authors.forename: Rafael
authors.initials: R
authors.lastname: Calpena
authors.affiliation: Unidad de Obesidad. Hospital General Universitario de Elche (Alicante - España). A OBELCHE pertenecen: Maria Remedios Alpera; Antonio Arroyo; María Diez; Elena Miranda; Jose Luis Muñoz; Ana Murcia; Jose Maria Rico; Javier Sola-Vera; Luis Fernando Vences y Lorea Zubiaga. España.
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control; D038441:Diet, Mediterranean; D005260:Female; D005743:Gastrectomy / Q000379:methods; D015391:Gastroplasty; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011182:Postoperative Care; D011300:Preoperative Care; D011446:Prospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D015431:Weight Loss