| Nutritional assessment of bariatric surgery patients presenting for plastic surgery: a prospective analysis. | |
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MedLine Citation:
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PMID: 20679842 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Assessment of nutritional status in the growing postbariatric patient population remains controversial. Previous literature suggests that these patients have poor nutrition that may have adverse effects on surgical outcomes. The authors sought to determine the optimal method of nutritional assessment in postbariatric patients. METHODS: One hundred patients presenting for body contouring after bariatric surgery were consecutively enrolled in an institutional review board-approved prospective study. A trained nutritionist assessed protein and calorie intake. All patients underwent baseline laboratory assessment. RESULTS: Eighteen percent of subjects had less than the recommended daily protein intake. Hypoalbuminemia was observed in 13.8 percent of subjects, with hypoprealbuminemia in 6.5 percent. Nearly forty percent of all patients had evidence of iron deficiency, with vitamin B12 deficiency present in 14.5 percent. Ten percent of subjects (all women) were confirmed to have iron deficiency anemia. Impaired fasting glucose was seen in 6.2 percent of subjects, whereas 3.6 percent had hemoglobin A1c levels greater than 6.5. Increasing age (odds ratio, 1.07) and greater change in body mass index (odds ratio, 1.11) were predictors of low protein intake. Dumping syndrome led to 13.3 times increased odds of low albumin levels. CONCLUSIONS: The results suggest that inadequate nutrition is common among postbariatric patients presenting for body contouring. The lack of correlation between methods of nutritional assessment supports the combination of multiple methods in determining overall nutritional status. The presence of dumping syndrome, a large change in body mass index, and advanced age may help to identify patients with an increased risk of nutritional deficiency. |
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Authors:
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Nima Naghshineh; Devin O'Brien Coon; Kathleen McTigue; Anita P Courcoulas; Madelyn Fernstrom; J Peter Rubin |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Plastic and reconstructive surgery Volume: 126 ISSN: 1529-4242 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-03 Completed Date: 2010-09-15 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 1306050 Medline TA: Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 602-10 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Analysis of Variance Anemia / diagnosis, etiology Avitaminosis / diagnosis, etiology Bariatric Surgery / adverse effects*, methods Body Mass Index Cohort Studies Female Follow-Up Studies Humans Male Malnutrition / diagnosis*, etiology Middle Aged Nutrition Assessment* Nutritional Requirements Obesity, Morbid / diagnosis, surgery* Preoperative Care / methods Probability Prospective Studies Risk Assessment Sex Factors Surgery, Plastic / methods* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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