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Nutritional Status of Children from Women with Previously Bariatric Surgery

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Abstract

Background

Number of pregnancies has been increasing in women of childbearing age after the gastric bypass.

Objective

The objective of this study was to evaluate the nutritional status of children of women submitted to gastric bypass.

Methods

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).

Results

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).

Conclusion

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.

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Funding

São Paulo Research Foundation (FAPESP) (no. 2014/11603-0) for grant support

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Authors and Affiliations

  1. Department of Internal Medicine, Faculty of Medicine of Ribeirao Preto–FMRP, University of São Paulo–USP, Ribeirão Preto, SP, Brazil

    Jessica Cristina Gimenes, Carolina Ferreira Nicoletti, Marcela Augusta de Souza Pinhel & Cristiana Cortes-Oliveira

  2. Department of Surgery and Anatomy, Faculty of Medicine of Ribeirao Preto–FMRP, University of Sao Paulo–USP, Ribeirao Preto, SP, Brazil

    Wilson Salgado Júnior & Carla Barbosa Nonino

  3. Ribeirão Preto Medical School–FMRP/USP, Laboratory of Nutrigenomic Studies, Av Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, SP, CEP: 14049-900, Brazil

    Carla Barbosa Nonino

Authors
  1. Jessica Cristina Gimenes
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  2. Carolina Ferreira Nicoletti
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  3. Marcela Augusta de Souza Pinhel
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  4. Cristiana Cortes-Oliveira
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  5. Wilson Salgado Júnior
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  6. Carla Barbosa Nonino
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Corresponding author

Correspondence to Carla Barbosa Nonino.

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Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

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.

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Gimenes, J.C., Nicoletti, C.F., de Souza Pinhel, M.A. et al. Nutritional Status of Children from Women with Previously Bariatric Surgery. OBES SURG 28, 990–995 (2018). https://doi.org/10.1007/s11695-017-2950-9

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  • DOI: https://doi.org/10.1007/s11695-017-2950-9

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