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Protein Intake, Adherence to Vitamin–Mineral Supplementation, and Dumping Syndrome in Patients Undergoing One Anastomosis Gastric Bypass

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Abstract

Introduction

One anastomosis gastric bypass (OAGB) is an effective bariatric procedure. However, nutritional deficiencies or dumping syndrome (DS) may occur. The aim of this study was to assess adherence to nutritional recommendations and development of DS in a 3-year OAGB patient follow-up.

Methods

For 150 OAGB patients, in our center, data were collected through the electronic platform and by an individual telephone interview. The inclusion criterion is OAGB as a primary bariatric procedure, no revisional surgery, or no pregnancy. The adequacy of daily protein intake cutoff was defined as 60 g. Adherence to micronutrient supplementation protocol was considered if a minimum of 5 takes/week were reported. To evaluate the occurrence of DS, the Sigstad score questionnaire was used. For statistical analysis, a significance level less than 5% (p < 0.05) was considered.

Results

A total of 150 patients (80% females), BMI 44.3 ± 21.3 kg/m2, were subjected to the OAGB procedure. Of those, 128 fulfilled the study inclusion criteria. After 3 years, the mean %EBMIL was 78.4 ± 14.4. During the 3-year follow-up, the average protein intake was 60 g/day, and 48% reported an adequate daily protein intake. Adherence to the micronutrient supplementation protocol was reported by 70%. According to the Sigstad score questionnaire, DS was present in 24% of patients.

Conclusion

A significant part of OAGB patients does not comply with the nutrition prescription assessed, emphasizing the need to improve team/patient communication strategies. Long-term studies are needed to characterize and assess the health impact of protein, vitamin, and mineral malnutrition in patients undergoing OAGB.

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Acknowledgements

All the authors gave the final approval of the version to be published.

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Authors and Affiliations

  1. Department of Nutrition, Hospital Curry Cabral, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal

    Léneo Andrade, Ana Santos-Cruz & Ana Brito-Costa

  2. Multidisciplinary Department of Bariatric and Metabolic Surgery, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal

    Léneo Andrade, Ana Santos-Cruz, José Silva-Nunes & João Pereira

  3. Escola Superior de Tecnologia da Saúde de Lisboa, Lisbon, Portugal

    Inês Chiote, Lino Mendes & José Silva-Nunes

  4. Laboratório de Nutrição, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal

    Ana Brito-Costa

  5. Comprehensive Health Research Centre (CHRC), Lisbon, Portugal

    Ana Brito-Costa

  6. Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal

    José Silva-Nunes

  7. NOVA Medical School/Faculdade de Ciências Médicas, New University of Lisbon, Lisbon, Portugal

    José Silva-Nunes

Authors
  1. Léneo Andrade
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  2. Inês Chiote
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  3. Ana Santos-Cruz
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  4. Ana Brito-Costa
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  5. Lino Mendes
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  6. José Silva-Nunes
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  7. João Pereira
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Corresponding author

Correspondence to Léneo Andrade.

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Ethical Approval

All procedures performed in studies involving human participants 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.

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Informed consent was obtained from all individual participants included in the study.

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Key Points

• Three-year follow-up, 150 OAGB patients: %EBMIL (78%)

• On average, protein intake: 60 g/day; and adequate daily protein compliance: 48%

• Micronutrient supplementation compliance: 70%

• Dumping syndrome: 24%

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Andrade, L., Chiote, I., Santos-Cruz, A. et al. Protein Intake, Adherence to Vitamin–Mineral Supplementation, and Dumping Syndrome in Patients Undergoing One Anastomosis Gastric Bypass. OBES SURG 31, 3557–3564 (2021). https://doi.org/10.1007/s11695-021-05428-4

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  • DOI: https://doi.org/10.1007/s11695-021-05428-4

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