Nutrition Care Process and its Impact on Remission of “Diabesity” and Allied Factors Post Roux-En Y Gastric Bypass Bariatric Surgery - A Case-Control Cohort Study
Authors
-
Department of Foods and Nutrition, Faculty of Family and Community Sciences, The Maharaja Sayajirao University of Baroda, Vadodara - 390 002, Gujarat ,IN
Vanisha S. Nambiar -
Department of Foods and Nutrition, Faculty of Family and Community Sciences, The Maharaja Sayajirao University of Baroda, Vadodara - 390 002, Gujarat ,INCharul Jha
DOI:
https://doi.org/10.21048/IJND.2023.60.3.33104Keywords:
Point of care nutrition, RYGB bariatric surgery, diabesity, weight loss, counseling, quality of lifeAbstract
With a rising trend in obesity, diabetes and bariatric surgeries in India, nutrition care and management of patients post-surgery is still a cause of concern. To assess the impact of the nutrition care process on remission of “diabesity” and associated factors post Roux-en YGastric Bypass (RYGB) bariatric surgery. A single-point, hospital-based, Cohort- Case-Control, 3-month longitudinal study of 73 RYGB patients enrolled based on consent. Experimental (E) group (n=36) received nutritional care through personal counselling, group counselling and digital means under 3 broad management categories: 1) Pre-surgery nutritional assessment, diagnosis and counselling (deficiencies and diet), 2) Post-surgery diet progression, nutritional therapy for early and late complications, physical activity progression and behaviour related eating complications; and 3) Guidance and recommendations for lifelong follow-ups and importance of supplementation, as compared to the Control (C) group (n=37) which received care as per old protocols. Pre-post indicators related to weight loss and remission of diabetes were done as per the American Society for Metabolic and Bariatric Surgery guidelines and quality of life post bariatric surgery was done as per Bariatric Analysis and Reporting Outcome System (BAROS). All data were analyzed using SPSS-23 software. Post 3 mos. significant (≤0.001) weight loss (34 kg vs. 29 kg), remission in diabetes (49% vs. 34%) and improved quality of life scores were recorded in the experimental group as compared to the control group. A customized 3-section Nutritional Care Process is recommended in all bariatric surgery settings for improved nutritional and quality of life outcomes post-surgery.
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