Associations of age, sex, and socioeconomic status with adherence to guideline recommendations on protein intake and micronutrient supplementation in patients with sleeve gastrectomy or Roux-en-Y gastric bypass
Patients with bariatric surgery often show poor long-term compliance to recommendations for prevention of nutrient deficiency but it is unclear which factors contribute. We investigated the associations of age, sex, and socioeconomic status (SES) with adherence to guideline recommendations on protei...
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| Veröffentlicht in: | PloS one 2023-03, Vol.18 (3), p.e0282683 |
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| description | Patients with bariatric surgery often show poor long-term compliance to recommendations for prevention of nutrient deficiency but it is unclear which factors contribute. We investigated the associations of age, sex, and socioeconomic status (SES) with adherence to guideline recommendations on protein intake and micronutrient supplementation.
In a monocentric cross-sectional study we prospectively recruited patients with sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) and a minimum postoperative period of 6 months. Clinical and demographic data were obtained from the patients' medical files and by questionnaire. Patients reported on supplement usage, recorded their dietary intake for seven days and underwent physical examinations including blood testing.
We included 35 patients (SG: n = 25, RYGB: n = 10) with a mean (+SD) postoperative period of 20.2 (±10.4) months. Distributions of age, sex and SES were comparable between the SG and RYGB groups. Non-adherence to recommended protein intake was associated with age ≥ 50 years (p = 0.041) but not sex or SES. Protein intake inversely correlated with markers of obesity. There were no significant associations of age or sex with micronutrient supplementation. Only for vitamins A (p = 0.049) and B1 (p = 0.047) higher SES was associated with greater compliance. The only manifest deficiency associated with non-adherence to micronutrient supplementation was that for folic acid (p = 0.044).
In patients after bariatric surgery, those of older age and of lower SES might have a greater risk of unfavorable outcome and may require greater attention to micronutrient and protein supplementation. |
| doi_str_mv | 10.1371/journal.pone.0282683 |
| format | Article |
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In a monocentric cross-sectional study we prospectively recruited patients with sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) and a minimum postoperative period of 6 months. Clinical and demographic data were obtained from the patients' medical files and by questionnaire. Patients reported on supplement usage, recorded their dietary intake for seven days and underwent physical examinations including blood testing.
We included 35 patients (SG: n = 25, RYGB: n = 10) with a mean (+SD) postoperative period of 20.2 (±10.4) months. Distributions of age, sex and SES were comparable between the SG and RYGB groups. Non-adherence to recommended protein intake was associated with age ≥ 50 years (p = 0.041) but not sex or SES. Protein intake inversely correlated with markers of obesity. There were no significant associations of age or sex with micronutrient supplementation. Only for vitamins A (p = 0.049) and B1 (p = 0.047) higher SES was associated with greater compliance. The only manifest deficiency associated with non-adherence to micronutrient supplementation was that for folic acid (p = 0.044).
In patients after bariatric surgery, those of older age and of lower SES might have a greater risk of unfavorable outcome and may require greater attention to micronutrient and protein supplementation.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0282683</identifier><identifier>PMID: 36867644</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Biology and Life Sciences ; Blood ; Blood tests ; Complications and side effects ; Cross-Sectional Studies ; Diet ; Dietary intake ; Dietary Supplements ; Evaluation ; Family income ; Folic acid ; Food intake ; Gastrectomy ; Gastric Bypass ; Gastrointestinal surgery ; Humans ; Medical examination ; Medical research ; Medicine and Health Sciences ; Medicine, Experimental ; Micronutrients ; Middle Aged ; Nutrient deficiency ; Obesity ; Patient compliance ; Patient outcomes ; Patients ; Physical examinations ; Physical Sciences ; Proteins ; Questionnaires ; Sex ; Sleeves ; Social Class ; Social classes ; Socioeconomic factors ; Socioeconomic status ; Socioeconomics ; Surgery ; Vitamins ; Weight control</subject><ispartof>PloS one, 2023-03, Vol.18 (3), p.e0282683</ispartof><rights>Copyright: © 2023 Wiese et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Wiese et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Wiese et al 2023 Wiese et al</rights><rights>2023 Wiese et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-37cd0c694bc5bb8a35a6ae17e736c179d05709f1291ab310d66d89f135c4a73c3</citedby><cites>FETCH-LOGICAL-c692t-37cd0c694bc5bb8a35a6ae17e736c179d05709f1291ab310d66d89f135c4a73c3</cites><orcidid>0000-0002-2561-2981 ; 0000-0002-2338-2174 ; 0000-0002-4313-0441</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983924/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983924/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23847,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36867644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Pantea-Stoian, Anca Mihaela</contributor><creatorcontrib>Wiese, Mats L</creatorcontrib><creatorcontrib>Wilke, Franziska</creatorcontrib><creatorcontrib>Gärtner, Simone</creatorcontrib><creatorcontrib>Valentini, Luzia</creatorcontrib><creatorcontrib>Keßler, Wolfram</creatorcontrib><creatorcontrib>Aghdasssi, Ali A</creatorcontrib><creatorcontrib>Lerch, Markus M</creatorcontrib><creatorcontrib>Steveling, Antje</creatorcontrib><title>Associations of age, sex, and socioeconomic status with adherence to guideline recommendations on protein intake and micronutrient supplementation in patients with sleeve gastrectomy or Roux-en-Y gastric bypass</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Patients with bariatric surgery often show poor long-term compliance to recommendations for prevention of nutrient deficiency but it is unclear which factors contribute. We investigated the associations of age, sex, and socioeconomic status (SES) with adherence to guideline recommendations on protein intake and micronutrient supplementation.
In a monocentric cross-sectional study we prospectively recruited patients with sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) and a minimum postoperative period of 6 months. Clinical and demographic data were obtained from the patients' medical files and by questionnaire. Patients reported on supplement usage, recorded their dietary intake for seven days and underwent physical examinations including blood testing.
We included 35 patients (SG: n = 25, RYGB: n = 10) with a mean (+SD) postoperative period of 20.2 (±10.4) months. Distributions of age, sex and SES were comparable between the SG and RYGB groups. Non-adherence to recommended protein intake was associated with age ≥ 50 years (p = 0.041) but not sex or SES. Protein intake inversely correlated with markers of obesity. There were no significant associations of age or sex with micronutrient supplementation. Only for vitamins A (p = 0.049) and B1 (p = 0.047) higher SES was associated with greater compliance. The only manifest deficiency associated with non-adherence to micronutrient supplementation was that for folic acid (p = 0.044).
In patients after bariatric surgery, those of older age and of lower SES might have a greater risk of unfavorable outcome and may require greater attention to micronutrient and protein supplementation.</description><subject>Age</subject><subject>Biology and Life Sciences</subject><subject>Blood</subject><subject>Blood tests</subject><subject>Complications and side effects</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Dietary intake</subject><subject>Dietary Supplements</subject><subject>Evaluation</subject><subject>Family income</subject><subject>Folic acid</subject><subject>Food intake</subject><subject>Gastrectomy</subject><subject>Gastric Bypass</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Medical examination</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Medicine, Experimental</subject><subject>Micronutrients</subject><subject>Middle 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nutrient deficiency but it is unclear which factors contribute. We investigated the associations of age, sex, and socioeconomic status (SES) with adherence to guideline recommendations on protein intake and micronutrient supplementation.
In a monocentric cross-sectional study we prospectively recruited patients with sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) and a minimum postoperative period of 6 months. Clinical and demographic data were obtained from the patients' medical files and by questionnaire. Patients reported on supplement usage, recorded their dietary intake for seven days and underwent physical examinations including blood testing.
We included 35 patients (SG: n = 25, RYGB: n = 10) with a mean (+SD) postoperative period of 20.2 (±10.4) months. Distributions of age, sex and SES were comparable between the SG and RYGB groups. Non-adherence to recommended protein intake was associated with age ≥ 50 years (p = 0.041) but not sex or SES. Protein intake inversely correlated with markers of obesity. There were no significant associations of age or sex with micronutrient supplementation. Only for vitamins A (p = 0.049) and B1 (p = 0.047) higher SES was associated with greater compliance. The only manifest deficiency associated with non-adherence to micronutrient supplementation was that for folic acid (p = 0.044).
In patients after bariatric surgery, those of older age and of lower SES might have a greater risk of unfavorable outcome and may require greater attention to micronutrient and protein supplementation.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36867644</pmid><doi>10.1371/journal.pone.0282683</doi><tpages>e0282683</tpages><orcidid>https://orcid.org/0000-0002-2561-2981</orcidid><orcidid>https://orcid.org/0000-0002-2338-2174</orcidid><orcidid>https://orcid.org/0000-0002-4313-0441</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2782156472 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Age Biology and Life Sciences Blood Blood tests Complications and side effects Cross-Sectional Studies Diet Dietary intake Dietary Supplements Evaluation Family income Folic acid Food intake Gastrectomy Gastric Bypass Gastrointestinal surgery Humans Medical examination Medical research Medicine and Health Sciences Medicine, Experimental Micronutrients Middle Aged Nutrient deficiency Obesity Patient compliance Patient outcomes Patients Physical examinations Physical Sciences Proteins Questionnaires Sex Sleeves Social Class Social classes Socioeconomic factors Socioeconomic status Socioeconomics Surgery Vitamins Weight control |
| title | Associations of age, sex, and socioeconomic status with adherence to guideline recommendations on protein intake and micronutrient supplementation in patients with sleeve gastrectomy or Roux-en-Y gastric bypass |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T03%3A51%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Associations%20of%20age,%20sex,%20and%20socioeconomic%20status%20with%20adherence%20to%20guideline%20recommendations%20on%20protein%20intake%20and%20micronutrient%20supplementation%20in%20patients%20with%20sleeve%20gastrectomy%20or%20Roux-en-Y%20gastric%20bypass&rft.jtitle=PloS%20one&rft.au=Wiese,%20Mats%20L&rft.date=2023-03-03&rft.volume=18&rft.issue=3&rft.spage=e0282683&rft.pages=e0282683-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0282683&rft_dat=%3Cgale_plos_%3EA739414273%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2782156472&rft_id=info:pmid/36867644&rft_galeid=A739414273&rft_doaj_id=oai_doaj_org_article_abf775650eab410596083a6cf4b7d327&rfr_iscdi=true |