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The Effect of Dietary Counseling on Nutrient Intakes in Bariatric Surgery Patients
Author(s) -
Shah Meena,
AdamsHuet Beverley,
Rao Sneha,
Snell Peter,
Quittner Claudia,
Garg Abhimanyu
Publication year - 2011
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.25.1_supplement.989.26
Subject(s) - medicine , nutrient , riboflavin , dietary reference intake , multivitamin , obesity , vitamin c , vitamin , saturated fat , population , zoology , food science , environmental health , chemistry , biology , cholesterol , organic chemistry
There is paucity of data on the diet quality of bariatric surgery patients and whether dietary counseling improves nutrient intakes in this population. Thirty‐three post‐bariatric surgery patients (BMI: 41±6 kg/m 2 ) were randomized to an exercise training or control group for 12 wk. Both groups received intensive dietary counseling to limit energy intake and improve nutrient intakes. Food intake was assessed by 3‐d food record. Post‐intervention dietary data were available in 21 patients. Both groups made similar changes and the data on the two groups were combined. Over 12 wk, there was a significant (p<0.03) reduction in the intake of total energy, sodium, sugar, and % energy from trans fat, and an increase in % energy from protein. However, thiamin, riboflavin, zinc and potassium intakes declined (p<0.05). At baseline, K, fiber, Ca, Mg, vitamins B5, C, A, D, and E intakes were <75% of the dietary reference intake (DRI) and remained below that level at 12 wk. At 12 wk, linoleic acid, linolenic acid, Cu, and folate intakes were also <75% of the DRI. Vitamin K intake improved from <75% to >100% of DRI. Percent energy from saturated fat remained >10% and EPA and DHA intakes remained low. We conclude that dietary counseling improves intake of some nutrients in bariatric surgery patients while many other nutrients remain below DRI and require further intervention. The study was supported by NIH grants M01‐RR00633 and UL1‐RR‐024982.