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Anthropometric Assessment for Bariatric Procedures in the Private Practice of a Registered Dietitian in Colombia

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Abstract

Background

Obesity and its consequences have now reached worldwide pandemic proportions. Among treatments, bariatric interventions are the most effective for weight reduction. Here, we describe the change in anthropometric measurements (AMs) of 615 adult bariatric procedure patients seen in the private practice of a registered dietitian (RD) in Bogotá, Colombia.

Methods

Observational retrospective study of AMs recorded between 1996 and 2013 for patients who had laparoscopic sleeve gastrectomy (LSG, n = 290), laparoscopic adjustable gastric banding (LAGB, n = 207), and laparoscopic Roux-EN-Y gastric bypass (LRYGB, n = 36) or the non-surgical gastric balloon (GB, n = 82) procedure. Patients had three bimonthly follow-up visits. Paired t tests compared baseline (first) and 6-month (fourth) follow-up visit values.

Results

Differences in AMs between the baseline and fourth visits were statistically significant for the surgical interventions. A mean weight loss of 22 kg, equivalent to a 22% total body weight loss, together with significant reduction of the waist-to-height-ratio (WHtR)(p < 0.001) and body mass index (BMI)(p < 0.001), was observed across all procedures.

Conclusions

The use of multiple AMs enables a comprehensive assessment of body composition in patients who undergo bariatric procedures. Our study is a useful resource for international future reference and highlights the impact that the RD can have on understanding and influencing the effectiveness of bariatric procedures.

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Acknowledgements

The authors wish to acknowledge Jenny Machetá, Diego Prieto, and Giovanni Pulido, librarians from Academia Nacional de Medicina and Universidad de los Andes, Bogotá, Colombia. Jennifer Lewis Uribe and Santiago Uribe-Lewis for editorial assistance.

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Authors and Affiliations

  1. Metabolic and Bariatric Surgery Group, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia

    Claudia Carvajal & Martha Grajales

  2. National Academy of Medicine, Bogotá, Colombia

    Patricia Savino

  3. Postgraduate Programme of Epidemiology, Center of Epidemiological Research, Universidade Federal de Pelotas, Pelotas, Brazil

    Andrea Ramirez

  4. Bariatric and Minimally Invasive Surgery Service, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia

    Ricardo Nassar

  5. Department of Surgery, FIU Herbert Wertheim College of Medicine, Miami, FL, USA

    Natan Zundel

Authors
  1. Claudia Carvajal
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  2. Patricia Savino
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  4. Martha Grajales
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  5. Ricardo Nassar
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Corresponding author

Correspondence to Claudia Carvajal.

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Funding

None to declare.

Ethical Approval

For this type (retrospective) of study, formal consent is not required. All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Carvajal, C., Savino, P., Ramirez, A. et al. Anthropometric Assessment for Bariatric Procedures in the Private Practice of a Registered Dietitian in Colombia. OBES SURG 27, 1612–1621 (2017). https://doi.org/10.1007/s11695-016-2521-5

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  • DOI: https://doi.org/10.1007/s11695-016-2521-5

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