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Pre-existing Nutritional Deficiencies Associated with Obesity

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Management of Nutritional and Metabolic Complications of Bariatric Surgery

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Abstract

Obesity is considered as a state of overnutrition as a result of excess calorie consumption over expenditure. However, the pre-operative nutritional status of individuals suffering from obesity suggests otherwise. Obesity is another spectrum of malnutrition due to multiple reasons, which include consumption of foods with empty calories, sedentary lifestyle, altered metabolism of nutrients, prolonged use of certain medications, food preferences, small intestinal bacterial overgrowth (SIBO) and obesity-associated inflammation. Deficiency of vitamin D, vitamin B12, haemoglobin, iron, folic acid and elevated PTH has been observed commonly in patients with clinically severe obesity, globally. This chapter highlights the need for pre-operative nutritional assessment and management of nutritional deficiencies. As the success of bariatric surgery relies on nutritional management both before and after the surgery.

We need a new definition of malnutrition. Malnutrition means- under and over nutrition. Malnutrition means emaciated and obese.

– Catherine Bertini

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Author information

Authors and Affiliations

  1. Bariatric and Laparoscopic Surgery, Global Hospital, Mumbai, Maharashtra, India

    Mariam Lakdawala & Aparna Govil Bhasker

  2. Bariatric and Laparoscopic Surgery, Currae Hospital, Mumbai, Maharashtra, India

    Mariam Lakdawala & Aparna Govil Bhasker

  3. Bariatric and Laparoscopic Surgery, Namaha Hospital, Mumbai, Maharashtra, India

    Miloni Shah Sancheti & Aparna Govil Bhasker

  4. Sterling Hospital, Mumbai, Maharashtra, India

    Miloni Shah Sancheti

  5. Wockhardt Hospital, Mumbai, Maharashtra, India

    Nimisha Kantharia

  6. Bhatia Hospital, Mumbai, Maharashtra, India

    Nimisha Kantharia

  7. Jaslok Hospital, Mumbai, Maharashtra, India

    Nimisha Kantharia

  8. Bariatric and Laparoscopic Surgery, Apollo Hospital, Mumbai, Maharashtra, India

    Aparna Govil Bhasker

  9. Bariatric and Laparoscopic Surgery, Suchak Hospital, Mumbai, Maharashtra, India

    Aparna Govil Bhasker

  10. Bariatric and Laparoscopic Surgery, Saifee Hospital, Mumbai, Maharashtra, India

    Aparna Govil Bhasker

  11. Bariatric and Laparoscopic Surgery, Dr. Aparna’s—Laparoscopy & Bariatric Surgery Centre, Mumbai, Maharashtra, India

    Aparna Govil Bhasker

Authors
  1. Mariam Lakdawala
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  2. Miloni Shah Sancheti
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  3. Nimisha Kantharia
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  4. Aparna Govil Bhasker
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Editor information

Editors and Affiliations

  1. Bariatric and Laparoscopic Surgery, Global Hospital, Mumbai, India

    Aparna Govil Bhasker

  2. Bhatia Hospital, Mumbai, India

    Nimisha Kantharia

  3. Belle Vue Clinic, Kolkata, India

    Sarfaraz Baig

  4. Belle Vue Clinic, Kolkata, India

    Pallawi Priya

  5. Dr. Aparna’s - Laparoscopy & Bariatric Surgery Centre, Currae Specialty Hospital, Mumbai, India

    Mariam Lakdawala

  6. Dr. Aparna’s - Laparoscopy & Bariatric Surgery Centre, Sterling hospital, Mumbai, Maharashtra, India

    Miloni Shah Sancheti

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Lakdawala, M., Sancheti, M.S., Kantharia, N., Bhasker, A.G. (2021). Pre-existing Nutritional Deficiencies Associated with Obesity. In: Bhasker, A.G., Kantharia, N., Baig, S., Priya, P., Lakdawala, M., Sancheti, M.S. (eds) Management of Nutritional and Metabolic Complications of Bariatric Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-33-4702-1_3

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  • DOI: https://doi.org/10.1007/978-981-33-4702-1_3

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