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Effect of Nutrient Intake on Some Biochemical Parameters in the First Six Months After Sleeve Gastrectomy

Yıl 2019, Cilt: 21 Sayı: 3, 223 - 232, 30.12.2019

Nazlı Batar Müveddet Emel Alphan

https://doi.org/10.18678/dtfd.596227

Öz

Aim: The aim of this study is to determine the possible nutrient and protein deficiency in the first six months after sleeve gastrectomy and to determine its effect on some biochemical parameters.

Material and Methods: This study is an intervention study including 102 patients (75 female and 27 male) aged between 18-65 years, who had undergone sleeve gastrectomy operation at the General Surgery Clinic of Şişli Florence Nightingale Hospital between 13.07.2017 and 06.01.2018 and been followed up by a dietician for at least six months postoperatively. Anthropometric measurements, three-day food intake, and biochemical parameters were followed pre-operatively and during the first six months.

Results: There was a 27.4% decrease in body weight of the patients in first six months after surgery. Both decrease in body weight, and decrease in body fat ratio and body mass index were found statistically significant (p<0.001). A statistically significant difference was found between preoperative and postoperative 6th month biochemical parameters; serum HbA1c, insulin, uric acid, total protein, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglyceride, iron, iron binding capacity, ferritin, zinc, vitamin D, calcium, parathormone, folate and vitamin B12 levels of the patients (p<0.001). The difference between 6th month serum total protein levels of patients using and not using whey protein powder in the first month after sleeve gastrectomy was found statistically significant (p=0.002).

Conclusion: It should be kept in mind that regulating patients’ lifestyle with post-operative multidisciplinary team and regular follow-up, and supporting with active life are necessary for obesity treatment to be sustainable.

Anahtar Kelimeler

bariatric surgery nutrition sleeve gastrectomy

Kaynakça

  • Akindele MO, Phillips JS, Igumbor EU. The relationship between body fat percentage and body mass index in overweight and obese individuals in an urban African setting. J Public Health Afr. 2016;7(1):515.
  • World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation. Geneva: WHO; 2000. p.7-17.
  • Guzel R, Kozanoglu E, Guler-Uysal F, Soyupak S, Sarpel T. Vitamin D status and bone mineral density of veiled and unveiled Turkish women. J Womens Health Gend Based Med. 2001;10(8):765-70.
  • Klein S, Burke LE, Bray GA, Blair S, Allison DB, Pi-Sunyer X, et al. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation. 2004;110(18):2952-67.
  • Tremmel M, Gerdtham UG, Nilsson PM, Saha S. Ecomonic burden of obesity: a systematic literature review. Int J Environ Res Public Health. 2017;14(4):e435.
  • Wolfe BM, Kvach E, Eckel RH. Treatment of obesity: weight loss and bariatric surgery. Circ Res. 2016;118(11):1844-55.
  • Pekcan G, Alphan E, Köksal E, Küçükerdönmez Ö, Bayrak M, Kızıltan G, ve ark. Baysal A, Baş M, editörler. Yetişkinlerde ağırlık yönetimi. 1 Baskı. İstanbul: Ekspress Baskı; 2008.
  • Jastrzębska-Mierzyńska M, Ostrowska L, Hady HR, Dadan J, Konarzewska-Duchnowska E. The impact of bariatric surgery on nutritional status of patients. Videosurgery Miniinv. 2015;10(1):115-24.
  • Morgenstern LB, Hemphill JC 3rd, Anderson C, Becker K, Broderick JP, Connolly ES Jr, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2010;41(9):2108-29.
  • Moizé V, Ibarzabal A, Sanchez Dalmau B, Flores L, Andreu A, Lacy A, et al. Nystagmus: an uncommon neurological manifestation of thiamine deficiency as a serious complication of sleeve gastrectomy. Nutr Clin Pract. 2012;27(6):788-92.
  • Schweiger C, Weiss R, Keidar A. Effect of different bariatric operations on food tolerance and quality of eating. Obes Surg. 2010;20(10):1393-9.
  • Park HL, Shim SH, Lee EY, Cho W, Park S, Jeon HJ, et al. Obesity-induced chronic inflammation is associated with the reduced efficacy of influenza vaccine. Hum Vaccin Immunother. 2014;10(5):1181-6.
  • Akman M, Budak Ş, Kendir M. Genel dahiliye polikliniğine başvuran hastalarda obezite sıklığı ve ilişkili sağlık problemleri. Marmara Med J. 2004;17(3);113-20.
  • Onat A. Türkiye'de obezitenin kardiyovasküler hastalıklara etkisi. Turk Kardiyol Dern Ars. 2003;31(5): 279-89.
  • Pérez Pérez A, Ybarra Muñoz J, Blay Cortés V, de Pablos Velasco P. Obesity and cardiovascular disease. Public Health Nutr. 2007;10(10A):1156-63.
  • Rubenstein AH. Obesity: a modern epidemic. Trans Am Clin Climatol Assoc. 2005;116:103-13.
  • Emerging Risk Factors Collaboration, Wormser D, Kaptoge S, Di Angelantonio E, Wood AM, Pennells L, et al. Separate and combined associations of body-mass index and abdominal adiposity with cardiovascular disease: collaborative analysis of 58 prospective studies. Lancet. 2011; 377(9771):1085-95.
  • de Barros F, Setúbal S, Martinho JM, Monteiro AB. Early endocrine and metabolic changes after bariatric surgery in grade III morbidly obese patients: a randomized clinical trial comparing sleeve gastrectomy and gastric bypass. Metab Syndr Relat Disord. 2015;13(6):264-71.
  • Sjöström L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683-93.
  • Dias MC, Ribeiro AG, Scabim VM, Faintuch J, Zilberstein B, Gama-Rodrigues JJ. Dietary intake of female bariatric patients after anti-obesity gastroplasty. Clinics (Sao Paulo). 2006;61(2):93-8.
  • O'brien PE. Bariatric surgery: mechanisms, indications and outcomes. J Gastroenterol Hepatol. 2010;25(8):1358-65.
  • Via MA, Mechanick JI. Nutritional and micronutrient care of bariatric surgery patients: current evidence update. Curr Obes Rep. 2017;6(3):286-96.
  • Parrott J, Frank L, Rabena R, Craggs-Dino L, Isom KA, Greiman L. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surg Obes Relat Dis. 2017;13(5):727-41.
  • Muir KB, Rice WV. Weight-loss outcomes of SPIDER(®) sleeve gastrectomy at 6 months compared to traditional laparoscopic technique. Surg Endosc. 2016;30(5):2043-8.
  • Bettini S, Bordigato E, Fabris R, Serra R, Dal Pra C, Belligoli A, et al. Modifications of resting energy expenditure after sleeve gastrectomy. Obes Surg. 2018;28(8):2481-6.
  • Browning MG, Franco RL, Cyrus JC, Celi F, Evans RK. Changes in resting energy expenditure in relation to body weight and composition following gastric restriction: a systematic review. Obes Surg. 2016;26(7):1607-15.
  • Westerterp KR, Saris WH, Soeters PB, Hoor F. Determinants of weight loss after vertical banded gastroplasty. Int J Obes. 1991;15(8):529-34.
  • H.Ü. Beslenme ve Diyetetik Bölümü ve T.C. Sağlık Bakanlığı. Türkiye Besin ve Beslenme Rehberi (TÜBER) 2015. Ankara: T.C. Sağlık Bakanlığı; 2016.
  • Verger EO, Aron-Wisnewsky J, Dao MC, Kayser BD, Oppert JM, Bouillot JL, et al. Micronutrient and protein deficiencies after gastric bypass and sleeve gastrectomy: a 1 year follow-up. Obes Surg. 2016;26(4):785-96.
  • Costa T, Paganotto M, Radominski R, Kulak C, Borba V. Calcium metabolism, vitamin D and bone mineral density after bariatric surgery. Osteoporos Int. 2015;26(2):757-64.
  • Aksoy EK, Göktaş Z, Albuz Ö, Akpınar MY, Öztürk D, Buluş H, ve ark. Sleeve gastrektomi uygulanan hastalarda ağırlık kaybının nonalkolik yağlı karaciğer ile ilgili bazı yeni parametreler üzerine etkisi. Bes Diy Derg. 2018;46(3):240-7.
  • Lopes Gomes D, Moehlecke M, Lopes da Silva FB, Dutra ES, D'Agord Schaan B, Baiocchi de Carvalho KM. Whey protein supplementation enhances body fat and weight loss in women long after bariatric surgery: a randomized controlled trial. Obes Surg. 2017;27(2):424-31.
  • Al-Mutawa A, Al-Sabah S, Anderson AK, Al-Mutawa M. Evaluation of nutritional status post laparoscopic sleeve gastrectomy-5-year outcomes. Obes Surg. 2018:28(6);1473-83.
  • Ito MK, Gonçalves VSS, Faria SLCM, Moizé V, Porporatti AL, Guerra ENS, et al. Effect of protein intake on the protein status and lean mass of post-bariatric surgery patients: a systematic review. Obes Surg. 2017;27(2):502-12.
  • Pitombo C, Jones K, Higa K, Pareja JC. Possible hormonal mechanisms mediating the effects of bariatric surgery. In: Pitombo C, Jones K, Higa K, Pareja JC, editors. Obesity surgery principles and practice. 1st ed. New York: McGraw-Hill Education; 2007. p.138-47.
  • Shannon C, Gervasoni A, Williams T. The bariatric surgery patient--nutrition considerations. Aust Fam Physician. 2013;42(8):547-52.
  • Hady HR, Olszewska M, Czerniawski M, Groth D, Diemieszczyk I, Pawluszewicz P, et al. Different surgical approaches in laparoscopic sleeve gastrectomy and their influence on metabolic syndrome: A retrospective study. Medicine (Baltimore). 2018;97(4):e9699.
  • Carr MC, Brunzell JD. Abdominal obesity and dyslipidemia in the metabolic syndrome: importance of type 2 diabetes and familial combined hyperlipidemia in coronary artery disease risk. J Clin Endocrinol Metab. 2004;89(6):2601-7.
  • Wing RR, Lang W, Wadden TA, Safford M, Knowler WC, Bertoni AG, et al. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care. 2011;34(7):1481-6.
  • Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med. 2012;366(17):1567-76.
  • Jiang X, Fan X, Wu R, Geng F, Hu C. The effect of care intervention for obese patients with type II diabetes. Medicine (Baltimore). 2017;96(42):e7524.
  • Karslıoğlu H. Obezite, tip 2 diyabet ve beslenme. Klinik Tıp Bilimleri Dergisi. 2019;7(3):36-43.
  • Woelnerhanssen B, Peterli R, Steinert RE, Peters T, Borbély Y, Beglinger C. Effects of postbariatric surgery weight loss on adipokines and metabolic parameters: comparison of laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy--a prospective randomized trial. Surg Obes Relat Dis. 2011;7(5):561-8.
  • Şanlıer N. Gençlerde biyokimyasal bulgular, antropometrik ölçümler, vücut bileşimi, beslenme ve fiziksel aktivite durumlarının değerlendirilmesi. Gazi Eğitim Fakültesi Dergisi. 2005;25(3):47-73.
  • Aarts E, van Groningen L, Horst R, Telting D, van Sorge A, Janssen I, et al. Vitamin D absorption: consequences of gastric bypass surgery. Eur J Endocrinol. 2011;164(5):827-32.
  • Costa TM, Paganoto M, Radominski RB, Borba VZC. Impact of deficient nutrition in bone mass after bariatric surgery. Arq Bras Cir Dig. 2016;29(1):38-42.
  • Elias E, Casselbrant A, Werling M, Abegg K, Vincent R, Alaghband‐Zadeh J, et al. Bone mineral density and expression of vitamin D receptor‐dependent calcium uptake mechanisms in the proximal small intestine after bariatric surgery. Br J Surg. 2014;101(12):1566-75.
  • Adamczyk P, Bužga M, Holéczy P, Švagera Z, Zonča P, Sievänen H, et al. Body size, bone mineral density, and body composition in obese women after laparoscopic sleeve gastrectomy: a 1 year longitudinal study. Horm Metab Res. 2015;47(12):873-9.
  • Cândido FG, Bressan J. Vitamin D: link between osteoporosis, obesity, and diabetes? Int J Mol Sci. 2014;15(4):6569-91.
  • Mai XM, Chen Y, Camargo CA Jr, Langhammer A. Cross-sectional and prospective cohort study of serum 25-hydroxyvitamin D level and obesity in adults: the HUNT study. Am J Epidemiol. 2012;175(10):1029-36.
  • Yıldız A. Obezitede Fiziksel Aktivite ve Egzersiz. Turkiye Klinikleri J Physiother Rehabil-Special Topics. 2016;2(1):68-72.
  • Lanzarini E, Nogués X, Goday A, Benaiges D, de Ramón M, Villatoro M, et al. High-dose vitamin D supplementation is necessary after bariatric surgery: a prospective 2-year follow-up study. Obes Surg. 2015;25(9):1633-8.
  • Villa-González E, Barranco-Ruiz Y, Rodríguez-Pérez MA, Carretero-Ruiz A, García-Martínez JM, Hernández-Martínez A, et al. Supervised exercise following bariatric surgery in morbid obese adults: CERT-based exercise study protocol of the EFIBAR randomised controlled trial. BMC Surg. 2019;19(1):127.
  • Ouellette KA, Mabey JG, Eisenman PA, Shaw JM, Brusseau TA, Hatfield DL, et al. Physical activity patterns among individuals before and soon after bariatric surgery. Obes Surg. 2019;[Epub ahead of print]. doi: 10.1007/s11695-019-04186-8.

Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi

Yıl 2019, Cilt: 21 Sayı: 3, 223 - 232, 30.12.2019

Nazlı Batar Müveddet Emel Alphan

https://doi.org/10.18678/dtfd.596227

Öz

Amaç: Bu çalışmanın amacı sleeve gastrektomi sonrası ilk altı ayda olası besin ögesi ve protein yetersizliğini belirlemek ve bazı biyokimyasal parametrelere etkisini saptamaktır.

Gereç ve Yöntemler: Bu çalışma, 13.07.2017 ve 06.01.2018 tarihleri arasında, Şişli Florence Nightingale Hastanesi Genel Cerrahi kliniğinde sleeve gastrektomi ameliyatı olan ve ameliyat sonrası en az altı ay uzman diyetisyen takibini sürdüren, 18-65 yaş arasında 102 hasta (75 kadın ve 27 erkek) ile yapılmış bir müdahale çalışmasıdır. Hastaların ameliyat öncesi ve ilk altı ay boyunca antropometrik ölçümleri, üç günlük besin tüketimleri ve biyokimyasal parametreleri takip edilmiştir.

Bulgular: Ameliyat sonrası ilk altı ayda hastaların vücut ağırlıklarında %27,4 oranında azalma görülmüştür. Hem vücut ağırlığındaki azalma hem de vücut yağ oranındaki ve beden kütle indeksindeki düşüş istatistiksel olarak anlamlı bulunmuştur (p<0,001). Hastaların ameliyat öncesi ve post-op 6.ayda biyokimyasal parametreleri; serum HbA1c, insülin, ürik asit, total protein, total kolesterol, HDL-kolesterol, LDL-kolesterol, trigliserit, demir, demir bağlama kapasitesi, ferritin, çinko, D vitamini, kalsiyum, parathormon, folat ve B12 vitamini arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0,001). Sleeve gastrektomi sonrası ilk ay protein tozu desteği kullanan ve kullanmayan hastaların 6. aydaki serum total protein seviyeleri arasındaki farklılık istatistiksel olarak anlamlı bulunmuştur (p=0,002).

Sonuç: Obezite tedavisinin sürdürülebilir olması için ameliyat sonrası multidisipliner ekip ve düzenli takip ile hastaların yaşam tarzının düzenlenmesi ve aktif yaşamla desteklenmesinin gerekli olduğu unutulmamalıdır.

Anahtar Kelimeler

bariatrik cerrahi beslenme sleeve gastrektomi

Kaynakça

  • Akindele MO, Phillips JS, Igumbor EU. The relationship between body fat percentage and body mass index in overweight and obese individuals in an urban African setting. J Public Health Afr. 2016;7(1):515.
  • World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation. Geneva: WHO; 2000. p.7-17.
  • Guzel R, Kozanoglu E, Guler-Uysal F, Soyupak S, Sarpel T. Vitamin D status and bone mineral density of veiled and unveiled Turkish women. J Womens Health Gend Based Med. 2001;10(8):765-70.
  • Klein S, Burke LE, Bray GA, Blair S, Allison DB, Pi-Sunyer X, et al. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation. 2004;110(18):2952-67.
  • Tremmel M, Gerdtham UG, Nilsson PM, Saha S. Ecomonic burden of obesity: a systematic literature review. Int J Environ Res Public Health. 2017;14(4):e435.
  • Wolfe BM, Kvach E, Eckel RH. Treatment of obesity: weight loss and bariatric surgery. Circ Res. 2016;118(11):1844-55.
  • Pekcan G, Alphan E, Köksal E, Küçükerdönmez Ö, Bayrak M, Kızıltan G, ve ark. Baysal A, Baş M, editörler. Yetişkinlerde ağırlık yönetimi. 1 Baskı. İstanbul: Ekspress Baskı; 2008.
  • Jastrzębska-Mierzyńska M, Ostrowska L, Hady HR, Dadan J, Konarzewska-Duchnowska E. The impact of bariatric surgery on nutritional status of patients. Videosurgery Miniinv. 2015;10(1):115-24.
  • Morgenstern LB, Hemphill JC 3rd, Anderson C, Becker K, Broderick JP, Connolly ES Jr, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2010;41(9):2108-29.
  • Moizé V, Ibarzabal A, Sanchez Dalmau B, Flores L, Andreu A, Lacy A, et al. Nystagmus: an uncommon neurological manifestation of thiamine deficiency as a serious complication of sleeve gastrectomy. Nutr Clin Pract. 2012;27(6):788-92.
  • Schweiger C, Weiss R, Keidar A. Effect of different bariatric operations on food tolerance and quality of eating. Obes Surg. 2010;20(10):1393-9.
  • Park HL, Shim SH, Lee EY, Cho W, Park S, Jeon HJ, et al. Obesity-induced chronic inflammation is associated with the reduced efficacy of influenza vaccine. Hum Vaccin Immunother. 2014;10(5):1181-6.
  • Akman M, Budak Ş, Kendir M. Genel dahiliye polikliniğine başvuran hastalarda obezite sıklığı ve ilişkili sağlık problemleri. Marmara Med J. 2004;17(3);113-20.
  • Onat A. Türkiye'de obezitenin kardiyovasküler hastalıklara etkisi. Turk Kardiyol Dern Ars. 2003;31(5): 279-89.
  • Pérez Pérez A, Ybarra Muñoz J, Blay Cortés V, de Pablos Velasco P. Obesity and cardiovascular disease. Public Health Nutr. 2007;10(10A):1156-63.
  • Rubenstein AH. Obesity: a modern epidemic. Trans Am Clin Climatol Assoc. 2005;116:103-13.
  • Emerging Risk Factors Collaboration, Wormser D, Kaptoge S, Di Angelantonio E, Wood AM, Pennells L, et al. Separate and combined associations of body-mass index and abdominal adiposity with cardiovascular disease: collaborative analysis of 58 prospective studies. Lancet. 2011; 377(9771):1085-95.
  • de Barros F, Setúbal S, Martinho JM, Monteiro AB. Early endocrine and metabolic changes after bariatric surgery in grade III morbidly obese patients: a randomized clinical trial comparing sleeve gastrectomy and gastric bypass. Metab Syndr Relat Disord. 2015;13(6):264-71.
  • Sjöström L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683-93.
  • Dias MC, Ribeiro AG, Scabim VM, Faintuch J, Zilberstein B, Gama-Rodrigues JJ. Dietary intake of female bariatric patients after anti-obesity gastroplasty. Clinics (Sao Paulo). 2006;61(2):93-8.
  • O'brien PE. Bariatric surgery: mechanisms, indications and outcomes. J Gastroenterol Hepatol. 2010;25(8):1358-65.
  • Via MA, Mechanick JI. Nutritional and micronutrient care of bariatric surgery patients: current evidence update. Curr Obes Rep. 2017;6(3):286-96.
  • Parrott J, Frank L, Rabena R, Craggs-Dino L, Isom KA, Greiman L. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surg Obes Relat Dis. 2017;13(5):727-41.
  • Muir KB, Rice WV. Weight-loss outcomes of SPIDER(®) sleeve gastrectomy at 6 months compared to traditional laparoscopic technique. Surg Endosc. 2016;30(5):2043-8.
  • Bettini S, Bordigato E, Fabris R, Serra R, Dal Pra C, Belligoli A, et al. Modifications of resting energy expenditure after sleeve gastrectomy. Obes Surg. 2018;28(8):2481-6.
  • Browning MG, Franco RL, Cyrus JC, Celi F, Evans RK. Changes in resting energy expenditure in relation to body weight and composition following gastric restriction: a systematic review. Obes Surg. 2016;26(7):1607-15.
  • Westerterp KR, Saris WH, Soeters PB, Hoor F. Determinants of weight loss after vertical banded gastroplasty. Int J Obes. 1991;15(8):529-34.
  • H.Ü. Beslenme ve Diyetetik Bölümü ve T.C. Sağlık Bakanlığı. Türkiye Besin ve Beslenme Rehberi (TÜBER) 2015. Ankara: T.C. Sağlık Bakanlığı; 2016.
  • Verger EO, Aron-Wisnewsky J, Dao MC, Kayser BD, Oppert JM, Bouillot JL, et al. Micronutrient and protein deficiencies after gastric bypass and sleeve gastrectomy: a 1 year follow-up. Obes Surg. 2016;26(4):785-96.
  • Costa T, Paganotto M, Radominski R, Kulak C, Borba V. Calcium metabolism, vitamin D and bone mineral density after bariatric surgery. Osteoporos Int. 2015;26(2):757-64.
  • Aksoy EK, Göktaş Z, Albuz Ö, Akpınar MY, Öztürk D, Buluş H, ve ark. Sleeve gastrektomi uygulanan hastalarda ağırlık kaybının nonalkolik yağlı karaciğer ile ilgili bazı yeni parametreler üzerine etkisi. Bes Diy Derg. 2018;46(3):240-7.
  • Lopes Gomes D, Moehlecke M, Lopes da Silva FB, Dutra ES, D'Agord Schaan B, Baiocchi de Carvalho KM. Whey protein supplementation enhances body fat and weight loss in women long after bariatric surgery: a randomized controlled trial. Obes Surg. 2017;27(2):424-31.
  • Al-Mutawa A, Al-Sabah S, Anderson AK, Al-Mutawa M. Evaluation of nutritional status post laparoscopic sleeve gastrectomy-5-year outcomes. Obes Surg. 2018:28(6);1473-83.
  • Ito MK, Gonçalves VSS, Faria SLCM, Moizé V, Porporatti AL, Guerra ENS, et al. Effect of protein intake on the protein status and lean mass of post-bariatric surgery patients: a systematic review. Obes Surg. 2017;27(2):502-12.
  • Pitombo C, Jones K, Higa K, Pareja JC. Possible hormonal mechanisms mediating the effects of bariatric surgery. In: Pitombo C, Jones K, Higa K, Pareja JC, editors. Obesity surgery principles and practice. 1st ed. New York: McGraw-Hill Education; 2007. p.138-47.
  • Shannon C, Gervasoni A, Williams T. The bariatric surgery patient--nutrition considerations. Aust Fam Physician. 2013;42(8):547-52.
  • Hady HR, Olszewska M, Czerniawski M, Groth D, Diemieszczyk I, Pawluszewicz P, et al. Different surgical approaches in laparoscopic sleeve gastrectomy and their influence on metabolic syndrome: A retrospective study. Medicine (Baltimore). 2018;97(4):e9699.
  • Carr MC, Brunzell JD. Abdominal obesity and dyslipidemia in the metabolic syndrome: importance of type 2 diabetes and familial combined hyperlipidemia in coronary artery disease risk. J Clin Endocrinol Metab. 2004;89(6):2601-7.
  • Wing RR, Lang W, Wadden TA, Safford M, Knowler WC, Bertoni AG, et al. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care. 2011;34(7):1481-6.
  • Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med. 2012;366(17):1567-76.
  • Jiang X, Fan X, Wu R, Geng F, Hu C. The effect of care intervention for obese patients with type II diabetes. Medicine (Baltimore). 2017;96(42):e7524.
  • Karslıoğlu H. Obezite, tip 2 diyabet ve beslenme. Klinik Tıp Bilimleri Dergisi. 2019;7(3):36-43.
  • Woelnerhanssen B, Peterli R, Steinert RE, Peters T, Borbély Y, Beglinger C. Effects of postbariatric surgery weight loss on adipokines and metabolic parameters: comparison of laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy--a prospective randomized trial. Surg Obes Relat Dis. 2011;7(5):561-8.
  • Şanlıer N. Gençlerde biyokimyasal bulgular, antropometrik ölçümler, vücut bileşimi, beslenme ve fiziksel aktivite durumlarının değerlendirilmesi. Gazi Eğitim Fakültesi Dergisi. 2005;25(3):47-73.
  • Aarts E, van Groningen L, Horst R, Telting D, van Sorge A, Janssen I, et al. Vitamin D absorption: consequences of gastric bypass surgery. Eur J Endocrinol. 2011;164(5):827-32.
  • Costa TM, Paganoto M, Radominski RB, Borba VZC. Impact of deficient nutrition in bone mass after bariatric surgery. Arq Bras Cir Dig. 2016;29(1):38-42.
  • Elias E, Casselbrant A, Werling M, Abegg K, Vincent R, Alaghband‐Zadeh J, et al. Bone mineral density and expression of vitamin D receptor‐dependent calcium uptake mechanisms in the proximal small intestine after bariatric surgery. Br J Surg. 2014;101(12):1566-75.
  • Adamczyk P, Bužga M, Holéczy P, Švagera Z, Zonča P, Sievänen H, et al. Body size, bone mineral density, and body composition in obese women after laparoscopic sleeve gastrectomy: a 1 year longitudinal study. Horm Metab Res. 2015;47(12):873-9.
  • Cândido FG, Bressan J. Vitamin D: link between osteoporosis, obesity, and diabetes? Int J Mol Sci. 2014;15(4):6569-91.
  • Mai XM, Chen Y, Camargo CA Jr, Langhammer A. Cross-sectional and prospective cohort study of serum 25-hydroxyvitamin D level and obesity in adults: the HUNT study. Am J Epidemiol. 2012;175(10):1029-36.
  • Yıldız A. Obezitede Fiziksel Aktivite ve Egzersiz. Turkiye Klinikleri J Physiother Rehabil-Special Topics. 2016;2(1):68-72.
  • Lanzarini E, Nogués X, Goday A, Benaiges D, de Ramón M, Villatoro M, et al. High-dose vitamin D supplementation is necessary after bariatric surgery: a prospective 2-year follow-up study. Obes Surg. 2015;25(9):1633-8.
  • Villa-González E, Barranco-Ruiz Y, Rodríguez-Pérez MA, Carretero-Ruiz A, García-Martínez JM, Hernández-Martínez A, et al. Supervised exercise following bariatric surgery in morbid obese adults: CERT-based exercise study protocol of the EFIBAR randomised controlled trial. BMC Surg. 2019;19(1):127.
  • Ouellette KA, Mabey JG, Eisenman PA, Shaw JM, Brusseau TA, Hatfield DL, et al. Physical activity patterns among individuals before and soon after bariatric surgery. Obes Surg. 2019;[Epub ahead of print]. doi: 10.1007/s11695-019-04186-8.
Toplam 54 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Nazlı Batar 0000-0001-9527-5709

Müveddet Emel Alphan 0000-0002-9702-1881

Yayımlanma Tarihi 30 Aralık 2019
Gönderilme Tarihi 24 Temmuz 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 21 Sayı: 3

Kaynak Göster

APA Batar, N., & Alphan, M. E. (2019). Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi. Duzce Medical Journal, 21(3), 223-232. https://doi.org/10.18678/dtfd.596227
AMA Batar N, Alphan ME. Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi. Duzce Med J. Aralık 2019;21(3):223-232. doi:10.18678/dtfd.596227
Chicago Batar, Nazlı, ve Müveddet Emel Alphan. “Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi”. Duzce Medical Journal 21, sy. 3 (Aralık 2019): 223-32. https://doi.org/10.18678/dtfd.596227.
EndNote Batar N, Alphan ME (01 Aralık 2019) Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi. Duzce Medical Journal 21 3 223–232.
IEEE N. Batar ve M. E. Alphan, “Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi”, Duzce Med J, c. 21, sy. 3, ss. 223–232, 2019, doi: 10.18678/dtfd.596227.
ISNAD Batar, Nazlı - Alphan, Müveddet Emel. “Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi”. Duzce Medical Journal 21/3 (Aralık 2019), 223-232. https://doi.org/10.18678/dtfd.596227.
JAMA Batar N, Alphan ME. Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi. Duzce Med J. 2019;21:223–232.
MLA Batar, Nazlı ve Müveddet Emel Alphan. “Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi”. Duzce Medical Journal, c. 21, sy. 3, 2019, ss. 223-32, doi:10.18678/dtfd.596227.
Vancouver Batar N, Alphan ME. Sleeve Gastrektomi Sonrası İlk Altı Ayda Besin Ögeleri Alımının Bazı Biyokimyasal Parametrelere Etkisi. Duzce Med J. 2019;21(3):223-32.
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