Diet quality and anthropometric indices of patients undergone bariatric surgery: the prospective Tehran obesity treatment study

Abstract Background Patients undergone bariatric surgery (BS) has long-term risks including decrease in diet quality, nutritional deficiencies and weight regain. This study focus on assessing dietary quality and food group components in patients one year after BS, the relationship between dietary qu...

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Main Authors: Firoozeh Hosseini-Esfahani, Mona Kazemi-Aliakbar, Glareh koochakpoor, Maryam Barzin, Alireza Khalaj, Majid Valizadeh, Parvin Mirmiran
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-023-02032-4
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author Firoozeh Hosseini-Esfahani
Mona Kazemi-Aliakbar
Glareh koochakpoor
Maryam Barzin
Alireza Khalaj
Majid Valizadeh
Parvin Mirmiran
author_facet Firoozeh Hosseini-Esfahani
Mona Kazemi-Aliakbar
Glareh koochakpoor
Maryam Barzin
Alireza Khalaj
Majid Valizadeh
Parvin Mirmiran
author_sort Firoozeh Hosseini-Esfahani
collection DOAJ
description Abstract Background Patients undergone bariatric surgery (BS) has long-term risks including decrease in diet quality, nutritional deficiencies and weight regain. This study focus on assessing dietary quality and food group components in patients one year after BS, the relationship between dietary quality score and anthropometric indices, and also evaluating the trend of body mass index (BMI) of these patients three years after BS. Methods A total of 160 obese patients (BMI ≥ 35 kg/m2) were undergone sleeve gastrectomy (SG) (n = 108) or gastric bypass (GB) (n = 52), participated in this study. They were assessed for dietary intakes using three 24-hour dietary recalls one year after surgery. Dietary quality was assessed using food pyramid for post BS patients and healthy eating index (HEI). Anthropometric measurements were taken pre-surgery and 1, 2 and 3 years after operation. Results The mean age of patients was 39.9 ± 11 years (79% female). The mean ± SD percentage of excess weight loss was 76.6 ± 21.0 one year after surgery. Intake patterns are generally (up to 60%) not consistent with the food pyramid. The mean total HEI score was 64 ± 12 out of 100. More than %60 of participants is exceeding the recommendations for saturated fat and sodium. The HEI score did not show significant relationship with anthropometric indices. The mean of BMI in SG group increased over three years of follow up, while in GB group, there were no significant differences in BMI during three years of follow up. Conclusions These findings showed that patients had not healthy pattern intake one year after BS. Diet quality did not show significant relationship with anthropometric indices. The trend of BMI three years after surgery was different based on surgery types.
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spelling doaj.art-0b6c33a252344e8b9c30cb0e33529ac72023-05-14T11:07:03ZengBMCBMC Surgery1471-24822023-05-012311910.1186/s12893-023-02032-4Diet quality and anthropometric indices of patients undergone bariatric surgery: the prospective Tehran obesity treatment studyFiroozeh Hosseini-Esfahani0Mona Kazemi-Aliakbar1Glareh koochakpoor2Maryam Barzin3Alireza Khalaj4Majid Valizadeh5Parvin Mirmiran6Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesNutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesMaragheh University of Medical SciencesObesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesDepartment of Surgery, Faculty of Medicine, Tehran Obesity Treatment Center, Shahed UniversityObesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesNutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesAbstract Background Patients undergone bariatric surgery (BS) has long-term risks including decrease in diet quality, nutritional deficiencies and weight regain. This study focus on assessing dietary quality and food group components in patients one year after BS, the relationship between dietary quality score and anthropometric indices, and also evaluating the trend of body mass index (BMI) of these patients three years after BS. Methods A total of 160 obese patients (BMI ≥ 35 kg/m2) were undergone sleeve gastrectomy (SG) (n = 108) or gastric bypass (GB) (n = 52), participated in this study. They were assessed for dietary intakes using three 24-hour dietary recalls one year after surgery. Dietary quality was assessed using food pyramid for post BS patients and healthy eating index (HEI). Anthropometric measurements were taken pre-surgery and 1, 2 and 3 years after operation. Results The mean age of patients was 39.9 ± 11 years (79% female). The mean ± SD percentage of excess weight loss was 76.6 ± 21.0 one year after surgery. Intake patterns are generally (up to 60%) not consistent with the food pyramid. The mean total HEI score was 64 ± 12 out of 100. More than %60 of participants is exceeding the recommendations for saturated fat and sodium. The HEI score did not show significant relationship with anthropometric indices. The mean of BMI in SG group increased over three years of follow up, while in GB group, there were no significant differences in BMI during three years of follow up. Conclusions These findings showed that patients had not healthy pattern intake one year after BS. Diet quality did not show significant relationship with anthropometric indices. The trend of BMI three years after surgery was different based on surgery types.https://doi.org/10.1186/s12893-023-02032-4Bariatric surgerySleeve gastrectomyGastric bypassDietary intakeDietary qualityObesity
spellingShingle Firoozeh Hosseini-Esfahani
Mona Kazemi-Aliakbar
Glareh koochakpoor
Maryam Barzin
Alireza Khalaj
Majid Valizadeh
Parvin Mirmiran
Diet quality and anthropometric indices of patients undergone bariatric surgery: the prospective Tehran obesity treatment study
BMC Surgery
Bariatric surgery
Sleeve gastrectomy
Gastric bypass
Dietary intake
Dietary quality
Obesity
title Diet quality and anthropometric indices of patients undergone bariatric surgery: the prospective Tehran obesity treatment study
title_full Diet quality and anthropometric indices of patients undergone bariatric surgery: the prospective Tehran obesity treatment study
title_fullStr Diet quality and anthropometric indices of patients undergone bariatric surgery: the prospective Tehran obesity treatment study
title_full_unstemmed Diet quality and anthropometric indices of patients undergone bariatric surgery: the prospective Tehran obesity treatment study
title_short Diet quality and anthropometric indices of patients undergone bariatric surgery: the prospective Tehran obesity treatment study
title_sort diet quality and anthropometric indices of patients undergone bariatric surgery the prospective tehran obesity treatment study
topic Bariatric surgery
Sleeve gastrectomy
Gastric bypass
Dietary intake
Dietary quality
Obesity
url https://doi.org/10.1186/s12893-023-02032-4
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