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Nutrition Health interventions and Quality of life following Mini Gastric Bypass surgery- a randomized control trial

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International Journal of Diabetes in Developing Countries Aims and scope Submit manuscript

Abstract

Background

Laparoscopic mini gastric bypass (LMGB) bariatric surgery, characterized by a single ante colic gastro-jejunostomy (GJ) anastomosis procedure, requires specialized post-surgery care.

Objective

The aim of the study is to evaluate the impact of personalized counseling using nutrition health education (NHE) material, developed based on the Bariatric Analysis and Reporting Outcome System (BAROS), as compared to standard hospital care, on post-operative patient’s quality of life (QoL).

Methodology

A prospective randomized control trial was conducted, wherein 120 patients registered for the LMGB surgery were enrolled and followed up over 3 months after surgery. Based on alternate allocation randomization, odd number patients were allocated to the experimental group (Group E n = 60) receiving the personalized NHE material, and even number patients were allocated to the control group (Group C n = 60) receiving the standard hospital care. QoL and health outcomes data were analyzed pre- and post-surgery using SPSS-23 software.

Results

Post-operative findings indicated better weight loss and improved quality of life scores in group E patients. The mean %excess weight loss at 3 months post-surgery of group E patients was 18% more compared to group C patients. Notably, the BAROS scores for group E patients were within the good category (4.80 ± 1.63) versus group C patients’ scores being in the fair category (3.00 ± 1.64), representing a statistically significant difference (p < 0.001).

Conclusion

Based on the type of bariatric surgery (be it restrictive, mal-absorptive, or combined procedure), a focused bariatric surgery-specific nutrition and education leads to better weight loss, resolution of comorbidity, improved quality of life, prevention of weight regains, and minimal post-surgical complications as compared to general counseling.

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Acknowledgment

We are thankful to the Department of Foods and Nutrition, The Maharaja Sayajirao University of Baroda, Vadodara, Gujarat, for the necessary support for the study. We are indebted to Mrs. Sushmita Chanda, Former Clinical Dietitian, Asian Bariatrics Hospital Pvt Ltd., Ahmedabad, India and her team, and Dr Mahendra Narwaria, Director, Asian Bariatrics Hospital Pvt. Ltd, Ahmedabad, India, and his team for all the necessary support and cooperation to complete this study. Part of this work was presented at DIACON.

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Authors and Affiliations

  1. Department of Foods and Nutrition, Faculty of Family and Community Sciences, The Maharaja SayajiRao University of Baroda, Vadodara, 390002, Gujarat, India

    Vanisha S. Nambiar & Drashti Zaveri

Authors
  1. Vanisha S. Nambiar
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  2. Drashti Zaveri
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Correspondence to Vanisha S. Nambiar.

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Ethical clearance

The study commenced following clearance from the department research committee and institutional ethical clearance from the academic institute (The Department of Foods and Nutrition) and place of the study (Asian Bariatrics, Ahmedabad), with written consent obtained from all patients.

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Nambiar, V.S., Zaveri, D. Nutrition Health interventions and Quality of life following Mini Gastric Bypass surgery- a randomized control trial. Int J Diabetes Dev Ctries (2023). https://doi.org/10.1007/s13410-023-01257-6

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