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Food Quality in the Late Postoperative Period of Bariatric Surgery: An Evaluation Using the Bariatric Food Pyramid

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Abstract

Bariatric surgery is an effective intervention in the treatment of obesity, but lifestyle and diet should be monitored after this procedure to ensure success. The Bariatric Food Pyramid was created basing on long-term nutritional care that proposes a standard of healthy living and eating habits considering gastric capacity and specific nutritional needs. The purpose of the current study is to evaluate the life habits and diet quality of patients who have undergone bariatric surgery (who have been recovering for at least 6 months) based on the specific food pyramid. Retrospective data analysis was performed using medical records of patients who had been followed for at least 6 months after bariatric surgery. The following data were collected from patient records: age, gender, education level (years), BMI (preoperative and postoperative), percentage of excess weight loss (EWL) relative to the time of surgery, frequency of physical activity, use of nutritional supplements, usual dietary intake history, and fluid intake. Results were analyzed using descriptive statistics. We evaluated 172 patient records. In this study, there was a low prevalence of physical activity, use of vitamin–mineral supplements, and water intake. There also was low consumption of protein, fruit, vegetables, and vegetable oils. In addition, intake of carbohydrates, sugars, and fats were higher than the recommendations established by the pyramid. The results indicate that patients who have undergone bariatric surgery have an inadequate diet according to food evaluation with the specific pyramid. In the long term, this may lead to weight gain and vitamin and mineral deficiencies.

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Conflict of Interest

Fernando Lucas Soares, Larissa Bissoni de Sousa, Carla Corradi Perini, Magda Rosa Ramos da Cruz, Mario Gilberto Jesus Nunes, and Alcides José Branco-Filho report no conflicts of interest and make no disclosures.

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Authors and Affiliations

  1. Nutrition Department, Health and Biosciences School, Pontifical Catholic University of Parana, 1155 Imaculada Conceição Street, Prado Velho, Curitiba, Paraná, 80215-901, Brazil

    Fernando Lucas Soares, Larissa Bissoni de Sousa, Carla Corradi-Perini & Magda Rosa Ramos da Cruz

  2. Nursing Department, Health and Biosciences School, Pontifical Catholic University of Parana, 1155 Imaculada Conceição Street, Prado Velho, Curitiba, Paraná, 80215-901, Brazil

    Mario Gilberto Jesus Nunes

  3. Bariatric Surgery Services, Santa Casa de Misericordia Hospital, 665 República Argentina Avenue, Água Verde, Curitiba, Paraná, 80240-210, Brazil

    Alcides José Branco-Filho

Authors
  1. Fernando Lucas Soares
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  2. Larissa Bissoni de Sousa
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  3. Carla Corradi-Perini
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  4. Magda Rosa Ramos da Cruz
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  6. Alcides José Branco-Filho
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Correspondence to Carla Corradi-Perini.

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Soares, F.L., Bissoni de Sousa, L., Corradi-Perini, C. et al. Food Quality in the Late Postoperative Period of Bariatric Surgery: An Evaluation Using the Bariatric Food Pyramid. OBES SURG 24, 1481–1486 (2014). https://doi.org/10.1007/s11695-014-1198-x

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  • DOI: https://doi.org/10.1007/s11695-014-1198-x

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