Autor(es):
Pereira, Silvia Elaine ; Rossoni, Carina ; Cambi, Maria Paula Carlin ; Faria, Silvia Leite ; Mattos, Fernanda Cristina Carvalho ; De Campos, Tarcila Beatriz Ferraz ; Petry, Tarissa Beatrice Zanata ; Da Silva, Silvia Alves ; Pereira, Andrea Z. ; Umeda, Luciana Mela ; Nogueira, Carla ; De Araújo Burgos, Maria Goretti Pessoa ; Magro, Daniéla Oliveira
Data: 2023
Identificador Persistente: http://hdl.handle.net/10451/57107
Origem: Repositório da Universidade de Lisboa
Assunto(s): Brazilian bariatric nutrition; Nutrition recommendations; Gut microbiota; Infammatory bowel disease; Bariatric weight regain; Bariatric surgery
Descrição
Purpose: Brazilian nutrition recommendations for bariatric and metabolic surgery aim to provide knowledge, based on scientific evidence, on nutritional practices related to different surgical techniques in the surgical treatment of obesity and metabolic diseases. Materials and methods: A systematic literature search was carried out with the appropriate MeSH terms using Medline/Pubmed/LiLACS and the Cochrane database, with the established criteria being based on the inclusion of articles according to the degree of recommendation and strength of evidence of the Classification of Recommendations, Evaluation, Development, and Evaluation System (GRADE). Results: The recommendations that make up this guide were gathered to assist in the individualized clinical practice of nutritionists in the nutritional management of patients with obesity, including nutritional management in the intragastric balloon; pre and postoperative nutritional treatment and supplementation in bariatric and metabolic surgeries (adolescents, adults, elderly, pregnant women, and vegetarians); hypoglycemia and reactive hyperinsulinemia; and recurrence of obesity, gut microbiota, and inflammatory bowel diseases. Conclusion: We believe that this guide of recommendations will play a decisive role in the clinical practice of nutritionists who work in bariatric and metabolic surgery, with its implementation in health services, thus promoting quality and safety in the treatment of patients with obesity. The concept of precision nutrition is expected to change the way we understand and treat these patients.
