Autor segons l'article: Gils Contreras A, Bonada Sanjaume A, Montero Jaime M, Rabassa Soler A, Sabench Pereferrer F, Molina López A, Becerra Tomás N, Del Castillo Déjardin D, Salas-Salvadó J
Departament: Medicina i Cirurgia Bioquímica i Biotecnologia
Autor/s de la URV: Becerra Tomás, Nerea / Bonada Sanjaume, Anna Maria / Del Castillo Déjardin, Daniel / Gils Contreras, Anna / MOLINA LÓPEZ, ALICIA / Montero Jaime, Manuel Jesus / Rabassa Soler, Antonio / Sabench Pereferrer, Fàtima / Salas Salvadó, Jorge
Paraules clau: Weight loss Preoperative diet Morbid obesity Liver size Bariatric surgery preoperative diet liver size bariatric surgery
Resum: OBJECTIVE: To assess which type of preoperative dietary strategy is most effective in reducing liver volume and assessing its influence on different biochemical parameters and on surgical complications in individuals undergoing bariatric surgery. METHODS: Parallel randomized trial comparing the effect of a very low calorie diet (VLCD) and a low calorie diet (LCD) for a period of 21 days before surgery on hepatic volume, anthropometric and biochemical parameters. Compliance and tolerance to the diets, surgical complications, and hospital stay were also determined. RESULTS: Eighty-six morbid obese participants undergoing bariatric surgery were randomized. The hepatic volume was significantly reduced in both intervention groups, but no differences in changes between groups were detected. The reduction in the hepatic volume was higher in those patients with a baseline hepatic volume > 3 L compared to those with < 3 L (adjusted P value < 0.001). The percentages of total weight lost were 5.8 and 4.2% (adjusted P value = 0.004) for participants on the VLCD and LCD, respectively. There were no differences between groups for any of the biochemical parameters analyzed, nor in the number of surgical complications nor the length of hospital stay. Adherence to the diet was good; nevertheless, participants in the VLCD intervention showed worse tolerance. CONCLUSIONS: In subjects with morbid obesity undergoing bariatric surgery, compared to a LCD, a preoperative 21-day intervention with VLCD is more effective in terms of reducing total body weight but not in terms of reducing the liver volume. Both types of preoperative diets have similar effects on clinical biochemical parameters, rate of surgical complications, and hospital length stay.
Àrees temàtiques: Surgery Saúde coletiva Psicología Odontología Nutrition and dietetics Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Farmacia Engenharias iv Enfermagem Endocrinology, diabetes and metabolism Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciência de alimentos Biotecnología
Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 09608923
Adreça de correu electrònic de l'autor: antonio.rabassa@urv.cat manueljesus.montero@urv.cat annamaria.bonada@urv.cat danieldel.castillo@urv.cat nerea.becerra@urv.cat fatima.sabench@urv.cat jordi.salas@urv.cat
Identificador de l'autor: 0000-0003-0456-3102 0000-0001-7024-7824 0000-0002-4429-6507 0000-0002-9262-8756 0000-0003-2700-7459
Data d'alta del registre: 2024-09-07
Versió de l'article dipositat: info:eu-repo/semantics/acceptedVersion
Enllaç font original: https://link.springer.com/article/10.1007/s11695-018-3413-7
URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
Referència a l'article segons font original: Obesity Surgery. 28 (12): 3756-3768
Referència de l'ítem segons les normes APA: Gils Contreras A, Bonada Sanjaume A, Montero Jaime M, Rabassa Soler A, Sabench Pereferrer F, Molina López A, Becerra Tomás N, Del Castillo Déjardin D, (2018). Effects of Two Preoperatory Weight Loss Diets on Hepatic Volume, Metabolic Parameters, and Surgical Complications in Morbid Obese Bariatric Surgery Candidates: a Randomized Clinical Trial. Obesity Surgery, 28(12), 3756-3768. DOI: 10.1007/s11695-018-3413-7
DOI de l'article: 10.1007/s11695-018-3413-7
Entitat: Universitat Rovira i Virgili
Any de publicació de la revista: 2018
Tipus de publicació: Journal Publications