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Guidelines for the Nutritional Management of Bariatric Surgery Patients: Pre- and Post-Operatively

Kreider, Rachel Leigh (2010) Guidelines for the Nutritional Management of Bariatric Surgery Patients: Pre- and Post-Operatively. Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

Objective: The purpose of this thesis was to explore the nutritional management of bariatric surgery patients. This thesis utilized a literature review to locate the guidelines which address the nutritional management of bariatric surgery patients. To this end, a literature search was completed to find the guidelines. Many components of the nutritional guidelines reviewed were based on limited research, and mostly on expert opinion. The guidelines for the nutritional management of bariatric surgery are categorized by preoperative assessment/education, post-operative diet progression, supplement use and long-term follow-up. Another aim was to find out if these guidelines are used in practice and followed by individuals who have had bariatric surgery. After the guidelines were reviewed and summarized, another literature search was undertaken to find empirical research regarding the diet quality of individuals who have had bariatric surgery. Finally, the available research is critiqued and recommendations are made for directions of future research.Method: PubMed searches were the primary source of literature to be used for this review. Conclusion: The nutritional management of individuals who have had bariatric surgery is complex and must be carried out for the long-term. Deficiencies of vitamins, minerals and protein were reported with some frequency, but other concerns relate to inadequate weight loss to achieve clinical significance. More work needs to be done to understand how patients can maximize their weight loss after surgery while maintaining adequate nutritional status. Results of the research reviewed were highly variable, but many studies were conducted using convenience samples. The public health significance of this paper lies in the fact that as the obesity epidemic persists in the United States; more and more patients are turning to bariatric surgery as a treatment for obesity. Well-researched guidelines are imperative to the care of these individuals and to ensure that the health care dollars spent on the surgery are being used effectively.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Kreider, Rachel Leighrachel.zovko@gmail.com
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairBurke, Jessica Gjgburke@pitt.eduJGBURKE
Committee MemberHelsel, Diane Lynndih1@pitt.eduDIH1
Committee MemberBurke, Lora Elbu100@pitt.eduLBU100
Committee MemberKalarchian, Melissa Akalarchianma@upmc.edu
Date: 29 September 2010
Date Type: Completion
Defense Date: 30 July 2010
Approval Date: 29 September 2010
Submission Date: 26 July 2010
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: bariatric surgery; nutrition guidelines; obesity; surgical weight loss
Other ID: http://etd.library.pitt.edu/ETD/available/etd-07262010-211812/, etd-07262010-211812
Date Deposited: 10 Nov 2011 19:54
Last Modified: 15 Nov 2016 13:47
URI: http://d-scholarship.pitt.edu/id/eprint/8634

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