Nutritional Status of Children from Women with Previously Bariatric Surgery
Number of pregnancies has been increasing in women of childbearing age after the gastric bypass.
The objective of this study was to evaluate the nutritional status of children of women submitted to gastric bypass.
We evaluated anthropometric, breastfeeding and biochemical profile, body composition, and dietary intake indicators of children of both sexes who were born alive after the surgery. For statistical analysis, were performed Shapiro-Wilk and ANOVA test (p < 0.05).
The sample consisted of 13 children (61.6% female, mean age of 46 ± 22.3 months, BMI of 18.9 ± 3.3 kg/m2). The classification of BMI index by age showed that 46.1% of the children were normal weight and 30.8% obese. We observed a large percentage of children with deficiency of iron and vitamin A. 7.6 and 30.7% of children presented carbohydrate and lipid, respectively, lower than the recommendation. Fiber intake was inadequate in all children, calcium in 61.5%, vitamin A in 30.7%, and folate in 76.9% of them. Also, 84.6% presented sodium intake higher than the recommendations. The blood glucose levels were lower in children with maternal breastfeeding (65.5 ± 2.1 mg/dL, p < 0.05); furthermore, children breastfed with artificial and breast milk presented lower fat mass (3.8 ± 1.9 kg; p < 0.05).
Children from women with previously gastric bypass presented low birth weight; however, they are currently underweight or overweight and present important deficiency of iron and vitamin A and inadequate alimentary intake mainly of sodium and fibers. Breastfeeding may play a protective role in the development of obesity in these children.
KeywordsObesity Gastric bypass Pregnancy Children
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflicts of interest.
All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
- 6.Bordalo LA, Mourão DM, Bressan J. Deficiências nutricionais após cirurgia bariátrica. Porque ocorrem? Acta Medica Port. 2011;24(S4):1021–8.Google Scholar
- 7.Uyoga MA, Karanja S, Paganini D, et al. Duration of exclusive breastfeeding is a positive predictor of iron status in 6- to 10-month-old infants in rural Kenya. Matern Child Nutr. 2017;13:e12386. https://doi.org/10.1111/mcn.12386.
- 11.Gimenes JC, Nicoletti CF, Pinhel MAS, et al. Pregnancy after roux en Y gastric bypass: nutritional and biochemical aspects. Obes Surg. 2017; https://doi.org/10.1007/s11695-017-2558-0.
- 16.Bergling D, Willmer M, Naslund E, et al. Differences in gestational weight gain between pregnancies before and after bariatric surgery: correlation with birth weight but not childhood BMI. Pediatr Obes. 2014;9(6):427–34. https://doi.org/10.1111/j.2047-6310.2013.00205.x.
- 17.Avcı ME, Sanlıkan F, Celik M, et al. Effects of maternal obesity on antenatal, perinatal and neonatal outcomes. J Matern Fetal Neonatal Med. 2015;28(17):2080–3. https://doi.org/10.3109/14767058.2014.978279.
- 21.Sociedade Brasileira de Pediatria. Avaliação nutricional da criança e do adolescente: manual de orientação. São Paulo: Departamento de Nutrologia; 2009.Google Scholar
- 23.World Health Organization. Center for Disease Control and Prevention. Worldwide prevalence of anemia1993–2005. In: de Benoist B, McLean E, Egli I, Cogswellm M, editors. WHO Global Database on Anaemia. Geneva: WHO; 2008.Google Scholar