Nutritional Inadequacies Among Post-bariatric Patients During COVID-19 Quarantine in Sao Paulo, Brazil
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Nutritional Inadequacies Among Post-bariatric Patients During COVID-19 Quarantine in Sao Paulo, Brazil Carolina Ferreira Nicoletti 1,2 & Gabriel Perri Esteves 1 & Rafael Genario 1 & Marco Aurélio Santo 3 & Roberto de Cleva 3 & Bruno Gualano 1,4 & Hamilton Roschel 1,4 Received: 9 September 2020 / Revised: 4 November 2020 / Accepted: 9 November 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Post bariatric control of food intake is influenced by psychological and behavioral factors. We investigated dietary habits and food intake during COVID-19 quarantine among recently operated patients. Patients were assessed for total and per meal energy and macronutrient intake as well as frequency of food consumption per processing level. Patients were also classified according to adherence to nutritional recommendations from our outpatient clinic. Main results are indicative of inappropriate nutritional intake during COVID-19 quarantine in postoperative bariatric patients. We observed that many patients failed to meet the recommended protein intake (89.2%) along a relatively high intake of ultra-processed foods (~1/4 of the diet). Our data suggest the need for the implementation of strategies to extend nutritional care to at-risk patients during social distancing. Keywords COVID-19 . Gastric bypass . Protein intake . Ultra-processed food . Nutritional status
It is well established that post-bariatric weight loss is mainly due to the dietary and gastrointestinal hormonal (such as satiety signals) adjustments imposed by surgery [1, 2]. However, postoperative control of food intake is also influenced by psychological and behavioral factors [3]. The outbreak of coronavirus disease 2019 (COVID-19) and social isolation measures taken worldwide to control the spread of the disease have dramatically changed the way of life among patients who underwent bariatric surgery, along with reduced access to face-to-face patient care [4]. In this scenario, adhering to postoperative dietary recommendations and maintaining appropriate control over dietary intake may be challenging.
* Hamilton Roschel [email protected] 1
Applied Physiology and Nutrition Research Group, School of Physical Education and Sport; Faculdade de Medicina FMUSP, University of Sao Paulo, São Paulo, Brazil
2
Department of Health Science, Ribeirão Preto School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
3
Department of Digestive Surgery, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
4
Rheumatology Division, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, University of Sao Paulo, Av. Dr Arnaldo, 455 – 3 o andar sala 3131, Sao Paulo, SP 01246-903, Brazil
Considering these aspects, we investigated dietary habits and food intake during COVID-19 quarantine among patients who recently underwent bariatric surgery. In this screening study, we enrolled patients who underwent bariatric surgery from the Metabolic and Bariatric Surgery Unit of the Clinical Hospital of the University of Sao Paul
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