NUTRITIONAL DEFICIENCIES OF MICRONUTRIENTS IN POST-BARIATRIC PATIENTS AND THEIR MAIN FORMS OF TREATMENT

Authors

DOI:

https://doi.org/10.47820/recima21.v4i3.2819

Keywords:

Bariatric surgery, Nutritional deficiencies, Hypovitaminosis, Morbid obesity, Obesity treatmen

Abstract

Physiological changes can be observed in the post bariatric patient, one of these changes refers to nutritional deficiencies, mostly due to the surgical method used, also referring to the impact that this surgery can bring, where the absence of nutrients by feeding or supplementation lead to greater impacts on the health of these patients that is often necessary. These nutrient deficits, when untreated, can aggravate or generate several pathologies, such as iron deficiency anemia, megaloblastic anemia, bone diseases, among others. The study aims to analyze and understand the guidelines of bariatric surgery, evidencing the deficiencies that may occur after the procedure and also investigating the supplementation strategies that can be used. This is a narrative bibliographic review, where data collection took place through the Pubmed, Scielo and the Brazilian Association for the Study of Obesity and Metabolic Syndrome. Articles dating from the last 5 years were included, in addition to information collected in the Department of Gastroenterology of the School of Medicine of São Paulo (2014) and Brazilian Archives of Digestive Surgeries (2015). Using the following DeCS: bariatric; obesity; morbid obesity; hypovitaminosis; micronutrients; deficiencies in English, Portuguese and Spanish. Thus, it is necessary to supplement micronutrients to prevent and treat the possible nutritional inadequacies of the post bariatric patient.

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Author Biographies

  • Aline Maria Andrade do Nascimento

    Graduanda de Nutrição -Centro Universitário Maurício de Nassau(UNINASSAU)-Recife -PE.

  • Diego Ricardo da Silva Leite
    Master in Biochemistry and Physiology from the Federal University of Pernambuco - UFPE.

References

Gadde KM,Martin CK, Berthoud HR, Heymsfield SB.Obesity:Pathophysiology and management.J Am Coll Cardiol [Internet]. 2018 Jan 2;71(1):69-84.Disponível em:doi: 10.1016/j.jacc.2017.11.011.

Vranic L, MIkolaasenic I, MIlic S. Vitamin D deficiency :Consequence or cause of obesity? Medicina (Kaunas) [Internet].2019 Set 1 ;55(9):541.Disponível em:doi: 10.3390/medicina55090541.

Ferraz AAB, Carvalho MRC, Siqueira LT, Santa-Cruz F, Campos JM. Deficiências. de micronutrientes após cirurgia bariátrica: análise comparativa entre gastrectomia vertical e derivação gástrica em Y de Roux.Rev Col Bras Cir [Internet]. 2018 Dez 10;45(6):1-9.Disponível em:https://doi.org/10.1590/0100-6991e-20182016

Steenackers N, Van Der Schueren B, Mertens A, Lannoo M,Grauwet T, Augustijns P, et al.Iron deficiency after bariatric surgery:what is the real problem? Proc Nutr Soc.2018 Nov 1;77(4):1-11.Disponível em:doi: 10.1017/S0029665118000149.

Castanha CR,TCBC-PE, Castanha AR,Belo G de QMB ,Lacerda RMR ,Villar L.Avaliação da qualidade de vida, perda de peso e comorbidades de pacientes submetidos a cirurgia bariátrica.Rev Col Bras Circ [Internet]. 2018 Jul 16;45(3):1-9.Disponível em:https://doi.org/10.1590/0100-6991e-20181864

Oliveira CM de, Nassif AT , Branco AJ, Nassif LS , Wrubleski T de A, Cavassola AP , et al.Factibilidade da gastrectomia vertical aberta no Sistema Único de Saúde.Rev Col Bras Cir [Internet]. .2020 Jan 31;46(6):1-7.Disponível em:https://doi.org/10.1590/0100-6991e-20192351

Tonatto-Filho AJ, Gallotti FM, Chedid MF, Grezzana-Filho T de JM,Garcia AMSV.Bariatric surgery in brazilian public health system :The good ,the bad and the ugly,or a long way to go.ABCD,arq bras cir dig [Internet].2019 Dez 20;32(4):1-5.Disponível em: https://doi.org/10.1590/0102-672020190001e1470

Lin X , Li H.Obesity:Epidemiology,pathophysiology, and therapeutics.Front Endocrinol(Lausanne).2021 Set 6;12:1-9.Disponível em:doi: 10.3389/fendo.2021.706978. PMID: 34552557; PMCID: PMC8450866.

Conz CA,de Jesus MCP, Kortchmar E, Braga VAS, Machado RET, Merighi MAB.Path taken by morbidily obese people in search of bariatric surgery in the public health system.Rev Latino-Am [Internet].2020 Jul 15;28:1-9.Disponível em:DOI: 10.1590/1518-8345.3579.3294

Augusto NA,Loch MR, Dias DF, Silva AMR.Incidence of increase and decrease in Body Mass Index in middle-aged men and women: four-year follow-up. Ciênc &Saúde Coletiva.2022 Abril 28;27(4):1455-68. doi: 10.1590/1413-81232022274.03612021.PMID: 35475826.

Borges AC, Almeida PC, Furlan SMT, Cury MDS, Gaur S.Intragastric balloons in high-risk obese patients in a Brazilian center: initial experience.Rev Col Bras Cir [Internet].2018 Fev 15;45(1):1-8.Disponível em:https://doi.org/10.1590/0100-6991e-20181448

Christinelli HCB,Westphal G,Costa MAR,Okawa RTP,Nardo Junior N,Fernando CAM. Intervenção multiprofissional e telenfermagem no tratamento de pessoas obesas na pandemia de COVID-19: um ensaio clínico pragmático. Rev Bras de Enferm [Internet].2022 Abril 22;75(2):1-9.Disponível em:https://doi.org/10.1590/0034-7167-2021-0059

Oliveira RM e Souza MLR. A terapia comportamental e cognitiva como estratégia na redução e manutenção do peso corporal: uma revisão sistemática. Acta Port Nutr. 2021 Dez 29; ( 27 ):50-57.Disponível em: https://dx.doi.org/10.21011/apn.2021.2709

Garrido PB,Motta IF da.Psicanálise no tratamento multidisciplinar e cirúrgico da obesidade mórbida: estudo de caso *1 *1 . São Paulo – USP.Rev Latino-americana de Psicopatologia Fundamental [Internet]. 2021 Dez 24;24(4):638-658.Disponível em:https://doi.org/10.1590/1415-4714.2021v24n4p638.8

Pinheiro JA,Castro IRD de,Ribeiro IB,Ferreira MVQ,Fireman PA,Madeiro MAD et al. Repercussões da cirurgia bariátrica sobre parâmetros metabólicos. Experiência de 15 anos em hospital de Macéio - BRASIL. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) [Internet]]. 2021 Jan 31; 34(4):1-6.Disponível em:https://doi.org/10.1590/0102-672020210002e1627

Baretta GAP, Gambi MPC,Rodrigues AL,Menes SA. Hipertireoidismo secundário após cirurgia bariátrica: O tratamento é com carbonato de cálcio ou citrato de cálcio?. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) [Internet]. 2015, 28( 1):43-45.Disponível em:https://doi.org/10.1590/S0102-6720201500S100013

da Silva MM,Sala PC, Torrinhas RS, Waitzberg DL. Efficiency of the 24-hour food recall instrument for assessing nutrient intake before and after Roux-en-Y gastric bypass. Nutr. Hosp. [Internet]. 2014 Mayo 29 ; 30( 6 ): 1240-1247.Disponível em:doi: 10.3305/nh.2014.30.6.7828. PMID: 25433104.

Bautista RJH,Mahmound AM, Königsberg M,Guerrero NELD. Obesity: Pathophysiology, monosodium glutamate-induced model and anti-obesity medicinal plants,Biomedicine & Pharmacotherapy 2019 Mar ;(11):503-516.Disponível em:doi:10.1016/j.biopha.2018.12.108

Da Luz FQ, Hay P, Touyz S, Sainsbury A. Obesidade com Transtornos Alimentares Comórbidos: Riscos Associados à Saúde e Abordagens de Tratamento. Nutrientes . 2018 27 Jun ; 10(7):829.Disponível em:doi:10.3390/nu10070829

Mahan LK e Raymond JL.Krause : alimentos, nutrição e dietoterapia.14º ed.Rio de Janeiro:Elsevier,2018.Disponível em:Krause Alimentos, Nutrição e Dietoterapia 14ed. 2018.pdf

Fukai T,Ushio-Fukai M,Kaplan JH.Copper transporters and Copper chaperones:roles in cardiovascular physiology and disease. Am J Physiol :Cell Physiol.2018 Aug 1;315(2):186-201.Disponível em:doi:10.1152/ajpcell.00132.2018

Huany WC,Huang HY,Hsu YJ,Su WH,Shen SY,Lee MC,et al .The effects of thiamine tetrahydrofurfuryl disulfide on physiological adaptation and exercise performance improvement.Nutrients.2018 Jun 27;10(7):851.Disponível em: doi:10.3390/nu10070851

Paes-Silva RP, Gadelha PCFP, de Lemos M da CH, de Castro CMMB,de Arruda IKG, Diniz A da S. Adiposidade, inflamação e vitaminas lipossolúveis em adolescentes. J Pediatr (Rio J). 2019 set;95(5):575-83.Disponível em: https://doi.org/10.1016/j.jped.2018.05.008

Epub Oct 28, 2019

Sal E, Yenicesu I ,Celik N, Pasaoglu H, Celik B, Pasaoglu OT, et al .Relationship between obesity and iron deficiency anemia: is there a role of hepcidin?.2018 Jan 10; 23(8): 542-548.Disponível em:doi:10.1080/10245332.2018.1423671

Geiker NRW, Veller M, Kjoelbaek L,Jakobsen J,Ritz C,Raben A ,et al. Effect of low energy diet for eight weeks to adults with overweight or obesity on folate, retinol, vitamin B12, D and E status and the degree of inflammation: a post hoc analysis of a randomized intervention trial. Nutr Metab (Lond). 2018 Apr 10;15(24):1-9.Disponível em:doi:10.1186/s12986-018-0263-1

Deus AF,Vileigas DF,Silva DCT,Tomasi LC,Campos DHS,Okoshi K, et al. Cardiac function and intracellular Ca2+ handling proteins are not impaired by high-saturated-fat diet-induced obesity. Brazilian Journal of Medical and Biological Research [Internet]. 2019 May 27; 52( 6): 1-10.Disponível em: https://doi.org/10.1590/1414-431X20198085

Lima RD,Pereira RM,Muñoz VR,Canciglieri R dos S,Canciglieri PH.Occurrence of overweight in schoolchildren and analysis of agreement between anthropometric methods. Revista Brasileira de Cineantropometria & Desempenho Humano [Internet]. 2020 Mar 9; 22: 1-9.Disponível em:https://doi.org/10.1590/1980-0037.2020v22e67037

Cezaroni MG,Breda L,Kuga GK,Gaspar RC,Munoz VR,Campos TDP, et al. Analysis of body weight of adults by different indirect methods. Revista Brasileira de Cineantropometria & Desempenho Humano [Internet]. 2020 Mayo 18; 22:1-8.Disponível em:https://doi.org/10.1590/1980-0037.2020v22e60591

Kinlen D, Cody D , O’Shea D.Complications of obesity, QJM: An International Journal of Medicine.2018 July 1;111: 437–443.Disponível em:doi:10.1093/qjmed/hcx152

Nepomuceno P,Schmidt LM,Glanzel MH,Keckzeegel MB,Pohl HH,Reuter EM.Low back pain ,anthropometric indexes and range of motion of rural Workers.BRJP[Internet]. 2019 Jun 19;2(2):117-122.Disponível em:https://doi.org/10.5935/2595-0118.20190022

Zulin A,Rêgo A da S, Santos FGT dos ,Cardoso LCB,Santos JLG dos ,Salci MA , et al. Meanings attributed to changes occurring after bariatric surgery: an analysis in the light of Grounded Theory. Revista Brasileira de Enfermagem [Internet]. 2022 Abr 15;75(4):1-7.Disponível em:https://doi.org/10.1590/0034-7167-2021-0463

Denis P,Jacqueline R,Luiz B , Carina R. Guia para entender o tratamento com Cirurgia Bariátrica e Metabólica.ABESO,2022.Disponível em:https://abeso.org.br/wp-content/uploads/2022/04/Ebook-Cirurgia-Bariatrica_Abeso-1.pdf

Pepe RB,Lottenberg AMP,Fuyuwara CTH,Beyruti M,Cintra DEC,Machado RM,et al.Posicionamento sobre o tratamento nutricional do sobrepeso e da obesidade : departamento de nutrição da Associação Brasileira para o estudo da obesidade e da síndrome metabólica.ABESO,SP,2022.Disponívelem:https://abeso.org.br/wpcontent/uploads/2022/11/posicionamento_2022-alterado-nov-22-1.pdf

O'Kane M,Parretti HM,Pinkney J,Welbourn R,Hughes CA,Mok J,et al.British obesity and metabolic surgery Society guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery-2020 update.2020 Aug 2;21(11):13087.Disponível em:doi:10.1111/obr.13087

AI-Najim W,Docherty NG. ,Roux CW.Food Intake and Eating Behavior After Bariatric Surgery. Physiol Rev .2018 Jul 1 ;98(3):1113-1141.Disponível em:doi:10.1152/physrev.00021.2017

Pareek M, Schauer .R, Kaplan LM, Leiter LA,Rubino F,Bhatt DL.Metabolic Surgery: Weight Loss, Diabetes, and Beyond.Journal of the American College of Cardiology.2018 Feb 13; 71: 670-687.Disponível em: doi:10.1016/j.jacc.2017.12.014

Published

06/03/2023

How to Cite

NUTRITIONAL DEFICIENCIES OF MICRONUTRIENTS IN POST-BARIATRIC PATIENTS AND THEIR MAIN FORMS OF TREATMENT. (2023). RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 4(3), e432819. https://doi.org/10.47820/recima21.v4i3.2819