Open Access, Peer-reviewed
pISSN 2288-3886
eISSN 2288-3959
    J Nutr Health. 2015 Feb;48(1):30-45. Korean.
    Published online Feb 28, 2015.
    https://doi.org/10.4163/jnh.2015.48.1.30
    © 2015 The Korean Nutrition Society
    Original Article

    Weight loss effects of Bariatric Surgery after nutrition education in extremely obese patients*

    Eun-Ha Jeong,1 Hong-Chan Lee,2 and Jung-Eun Yim1
      • 1Department of Food & Nutrition, Changwon National University, Changwon, Gyeongnam 641-773, Korea.
      • 2CHAN Bariatric Surgery Hospital, Seoul 135-887, Korea.
    • To whom correspondence should be addressed. Email: jeyim@changwon.ac.kr
    Received September 18, 2014; Revised November 12, 2014; Accepted December 30, 2014.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    This study was planned to determine the characteristics of extremely obese patients during Bariatric surgery and to evaluate how the difference in the number of postsurgical personal nutritional educations they received affected the weight loss.

    Methods

    This is a retrospective study on the basis of the medical records of extremely obese patients for 15 months after receiving gastric banding. A total of 60 people were selected as the study subjects and they were divided into the Less Educated Group and the More Educated Group according to the average number of personal nutritional educations they received. We investigated both groups to determine the general characteristic, health related lifestyle habits, obesity related complications and symptoms in possession, and eating habits before their surgery, the body composition measurement result, obesity determination indices at 1, 3, 6, 9, 12, and 15 months before and after their surgery, and the biochemical parameters at 6 months before and after their surgery.

    Results

    Body fat and weight showed rapid reduction until 6 months after the surgery, but thereafter reduced slowly depending on the result of body composition measurement. Regarding body fat and weight, the More Educated Group, who received nutrition education more often, showed significantly lower levels than the Less Educated Group at 15 months after surgery. Regarding BMI and degree of obesity, the More Educated Group showed significantly lower levels than the Less Educated Group at 15 months after surgery. Here, we were assured that BMI is reversely proportional to the number of personal nutritional educations at 15 months, which is more outstanding after surgery than before surgery.

    Conclusion

    Long-term nutritional education is a key factor for the extremely obese patient in maintaining the effects of Bariatric surgery on weight and body fat reduction onwards. In the next stage, considering the characteristics of the study subjects, adoption of individual nutrition education is recommended for postsurgical prospective arbitration of obesity in order to monitor blood pressure, obesity related complications, symptoms in possession, and how eating habits and health related life habits change, and to judge the actual effect of the nutritional education method at the same time.

    Keywords
    bariatric surgery; nutrition education; severe obese patients

    Figures

    Fig. 1
    Weight changes of preoperation and postoperation

    Tables

    Table 1
    Nutrition education contents

    Table 2
    General characteristics of the subjects according to level of education

    Table 3
    Health-related lifestyle of the subjects according to level of education

    Table 4
    Obesity complications of the subjects according to level of education

    Table 5
    Dietary habits of the subjects according to level of education

    Table 6
    Nonoperative treatments of the subjects according to level of education

    Table 7
    Body composition of the subjects according to level of education1)

    Table 8
    Change of nutritional assessment index1)

    Table 9
    Blood biochemical parameters in preoperation and 6 months postoperation1)

    Notes

    This work was supported by Basic Science Research Program through the National Research Foundation of Korea funded by the ministry of Education, Science and Technology (2013R1A1A3010917).

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    MeSH Terms
    Adipose Tissue
    Bariatric Surgery*
    Blood Pressure
    Body Composition
    Eating
    Education*
    Humans
    Life Style
    Medical Records
    Negotiating
    Obesity
    Retrospective Studies
    Weight Loss*
    Metrics
    Share
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