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Effect of Protein Intake on the Protein Status and Lean Mass of Post-Bariatric Surgery Patients: a Systematic Review

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Abstract

Background

Post-bariatric surgery may compromise nutritional status due to energy and protein intake restriction.

Methods

Systematic review was performed to synthesize evidence on the amount of protein intake and its association with lean mass and serum proteins during at least 6 months following Roux-en-Y gastric bypass or sleeve gastrectomy.

Results

Twelve studies (n = 739) were identified in the search. Protein intake below 60 g/day and significant lean mass loss were observed in majority of these studies. Of the four studies that measured association between protein intake and lean mass retention, only two supported this hypothesis.

Conclusion

There is insufficient evidence of the effect of dietary protein on serum protein levels. Further studies are needed to better estimate the protein intake that supports a healthy nutritional status in this population.

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Acknowledgments

The authors would like to thank Prof. Mauricio G. Pereira for his valuable contribution to the EMBASE data search and discussion on study designs.

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Authors and Affiliations

  1. Department of Nutrition, Graduate Program in Human Nutrition, University of Brasilia, Brasilia, DF, Brazil

    Marina Kiyomi Ito, Vivian Siqueira Santos Gonçalves, Silvia Leite Campos Martins Faria & Kênia Mara Baiocchi de Carvalho

  2. Gastrocirurgia de Brasilia, Brasilia, DF, Brazil

    Silvia Leite Campos Martins Faria

  3. Obesity Unit, Hospital Clinic Universitari, Barcelona, Spain

    Violeta Moizé

  4. Brazilian Centre for Evidence-based Research, Federal University of Santa Catarina, Florianopolis, Brazil

    André Luís Porporatti & Graziela De Luca Canto

  5. Laboratory of Oral Histopathology, Health Science Faculty, University of Brasilia, Brasília, DF, Brazil

    Eliete Neves Silva Guerra

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  1. Marina Kiyomi Ito
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Correspondence to Silvia Leite Campos Martins Faria.

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Ito, M.K., Gonçalves, V.S.S., Faria, S.L.C.M. et al. Effect of Protein Intake on the Protein Status and Lean Mass of Post-Bariatric Surgery Patients: a Systematic Review. OBES SURG 27, 502–512 (2017). https://doi.org/10.1007/s11695-016-2453-0

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  • DOI: https://doi.org/10.1007/s11695-016-2453-0

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