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Post bariatric surgery complications, nutritional and psychological status
Asia Pacific journal of clinical nutrition, 2024-06, Vol.33 (2), p.162-175
[Peer Reviewed Journal]
ISSN: 0964-7058 ;EISSN: 1440-6047 ;DOI: 10.6133/apjcn.202406_33(2).0003 ;PMID: 38794976
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Title:
Post bariatric surgery complications, nutritional and psychological status
Author:
Ab Majid, Nor Latifah
;
Vanoh, Divya
;
Zainuddin, Nur Zetty Sofia
;
Md Hashim, Mohd Nizam
Subjects:
Adult
;
Bariatric Surgery
;
Female
;
Humans
;
Male
;
Middle Aged
;
Nutrition
;
Nutritional Status
;
Obesity
;
Obesity, Morbid - psychology
;
Obesity, Morbid - surgery
;
Postoperative Complications - epidemiology
;
Postoperative Complications - etiology
;
Psychological aspects
;
Requirements
;
Social aspects
;
Surgery
;
Weight loss
;
Well-being
Is Part Of:
Asia Pacific journal of clinical nutrition, 2024-06, Vol.33 (2), p.162-175
Description:
Background and Objectives: Bariatric surgery becomes the final option for managing severe obesity. This study aims to identify the complications, changes in anthropometry, adherence to dietary recommendations, and psychological well-being of post-bariatric surgery patients. Methods and Study Design: An observational study was conducted on 63 post-bariatric surgery patients who had undergone bariatric surgery between two weeks and five years after surgery. The participants were assessed for the complications experienced, current comorbidities, anthropometric changes, dietary intake, and psychological well-being. A three-day, 24-hour diet recall was done to assess the dietary intake of the patients. The mean macronutrient and micronutrient intakes were compared to several available recommendations. The DASS-21 questionnaire was administered to determine the psychological well-being of the participants. Results: The most common complications experienced by patients after bariatric surgery were hair loss (50.8%), gastroesophageal reflux disease (GERD) (49.2%), and vomiting (41.3%). There were significant differences in mean weight before (129.5 (33.0) kg/m2) and after (85.0 (32.0) kg/m2) bariatric surgery (p<0.001). The prevalence of clinically severe obesity declined by 55%. Overall, patients had insufficient intake of some nutrients such as protein, fat, calcium, and iron. Majority of the patients experienced a normal level of stress, anxiety, and depression, but some had mild (3.2%), moderate (4.8%), and severe anxiety (1.6%). Conclusions: There were drastic improvements in patients' weight following bariatric surgery. However, there were several complications including nutrient deficiencies. Due to the anatomical changes in the gastrointestinal tract, patients must comply with the dietary and lifestyle changes and follow up with the healthcare professional. A nutrition module will be helpful for patients to prepare for and adapt to the changes after bariatric surgery.
Publisher:
Clayton, Vic: HEC Press
Language:
English
Identifier:
ISSN: 0964-7058
EISSN: 1440-6047
DOI: 10.6133/apjcn.202406_33(2).0003
PMID: 38794976
Source:
MEDLINE
ProQuest Central
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