Nutritional Status of Children from Women with Previously Bariatric Surgery

Background Number of pregnancies has been increasing in women of childbearing age after the gastric bypass. Objective The objective of this study was to evaluate the nutritional status of children of women submitted to gastric bypass. Methods We evaluated anthropometric, breastfeeding and biochemica...

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Veröffentlicht in:Obesity surgery 2018-04, Vol.28 (4), p.990-995
Hauptverfasser: Gimenes, Jessica Cristina, Nicoletti, Carolina Ferreira, de Souza Pinhel, Marcela Augusta, Cortes-Oliveira, Cristiana, Salgado Júnior, Wilson, Nonino, Carla Barbosa
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container_end_page 995
container_issue 4
container_start_page 990
container_title Obesity surgery
container_volume 28
creator Gimenes, Jessica Cristina
Nicoletti, Carolina Ferreira
de Souza Pinhel, Marcela Augusta
Cortes-Oliveira, Cristiana
Salgado Júnior, Wilson
Nonino, Carla Barbosa
description Background Number of pregnancies has been increasing in women of childbearing age after the gastric bypass. Objective The objective of this study was to evaluate the nutritional status of children of women submitted to gastric bypass. Methods We evaluated anthropometric, breastfeeding and biochemical profile, body composition, and dietary intake indicators of children of both sexes who were born alive after the surgery. For statistical analysis, were performed Shapiro-Wilk and ANOVA test ( p  
doi_str_mv 10.1007/s11695-017-2950-9
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Objective The objective of this study was to evaluate the nutritional status of children of women submitted to gastric bypass. Methods We evaluated anthropometric, breastfeeding and biochemical profile, body composition, and dietary intake indicators of children of both sexes who were born alive after the surgery. For statistical analysis, were performed Shapiro-Wilk and ANOVA test ( p  &lt; 0.05). Results The sample consisted of 13 children (61.6% female, mean age of 46 ± 22.3 months, BMI of 18.9 ± 3.3 kg/m 2 ). The classification of BMI index by age showed that 46.1% of the children were normal weight and 30.8% obese. We observed a large percentage of children with deficiency of iron and vitamin A. 7.6 and 30.7% of children presented carbohydrate and lipid, respectively, lower than the recommendation. Fiber intake was inadequate in all children, calcium in 61.5%, vitamin A in 30.7%, and folate in 76.9% of them. Also, 84.6% presented sodium intake higher than the recommendations. The blood glucose levels were lower in children with maternal breastfeeding (65.5 ± 2.1 mg/dL, p  &lt; 0.05); furthermore, children breastfed with artificial and breast milk presented lower fat mass (3.8 ± 1.9 kg; p  &lt; 0.05). Conclusion Children from women with previously gastric bypass presented low birth weight; however, they are currently underweight or overweight and present important deficiency of iron and vitamin A and inadequate alimentary intake mainly of sodium and fibers. Breastfeeding may play a protective role in the development of obesity in these children.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-017-2950-9</identifier><identifier>PMID: 28980121</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject><![CDATA[Adult ; Bariatric Surgery - rehabilitation ; Bariatric Surgery - statistics & numerical data ; Body Composition ; Body Mass Index ; Body Weights and Measures ; Breastfeeding & lactation ; Child ; Child Nutritional Physiological Phenomena ; Child of Impaired Parents - statistics & numerical data ; Child, Preschool ; Children & youth ; Cross-Sectional Studies ; Female ; Gastric Bypass - rehabilitation ; Gastric Bypass - statistics & numerical data ; Gastrointestinal surgery ; Humans ; Infant ; Male ; Maternal Exposure - statistics & numerical data ; Medicine ; Medicine & Public Health ; Middle Aged ; Nutrition ; Nutritional Status ; Obesity ; Obesity, Morbid ; Original Contributions ; Overweight - epidemiology ; Overweight - etiology ; Pregnancy ; Surgery ; Vitamin A ; Young Adult]]></subject><ispartof>Obesity surgery, 2018-04, Vol.28 (4), p.990-995</ispartof><rights>Springer Science+Business Media, LLC 2017</rights><rights>Obesity Surgery is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-e6d109575a1c5cc7f1692df8f492c6cd50e7b16f26f01965a892b2723ac1cb823</citedby><cites>FETCH-LOGICAL-c372t-e6d109575a1c5cc7f1692df8f492c6cd50e7b16f26f01965a892b2723ac1cb823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-017-2950-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-017-2950-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28980121$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gimenes, Jessica Cristina</creatorcontrib><creatorcontrib>Nicoletti, Carolina Ferreira</creatorcontrib><creatorcontrib>de Souza Pinhel, Marcela Augusta</creatorcontrib><creatorcontrib>Cortes-Oliveira, Cristiana</creatorcontrib><creatorcontrib>Salgado Júnior, Wilson</creatorcontrib><creatorcontrib>Nonino, Carla Barbosa</creatorcontrib><title>Nutritional Status of Children from Women with Previously Bariatric Surgery</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background Number of pregnancies has been increasing in women of childbearing age after the gastric bypass. Objective The objective of this study was to evaluate the nutritional status of children of women submitted to gastric bypass. Methods We evaluated anthropometric, breastfeeding and biochemical profile, body composition, and dietary intake indicators of children of both sexes who were born alive after the surgery. For statistical analysis, were performed Shapiro-Wilk and ANOVA test ( p  &lt; 0.05). Results The sample consisted of 13 children (61.6% female, mean age of 46 ± 22.3 months, BMI of 18.9 ± 3.3 kg/m 2 ). The classification of BMI index by age showed that 46.1% of the children were normal weight and 30.8% obese. We observed a large percentage of children with deficiency of iron and vitamin A. 7.6 and 30.7% of children presented carbohydrate and lipid, respectively, lower than the recommendation. Fiber intake was inadequate in all children, calcium in 61.5%, vitamin A in 30.7%, and folate in 76.9% of them. Also, 84.6% presented sodium intake higher than the recommendations. The blood glucose levels were lower in children with maternal breastfeeding (65.5 ± 2.1 mg/dL, p  &lt; 0.05); furthermore, children breastfed with artificial and breast milk presented lower fat mass (3.8 ± 1.9 kg; p  &lt; 0.05). Conclusion Children from women with previously gastric bypass presented low birth weight; however, they are currently underweight or overweight and present important deficiency of iron and vitamin A and inadequate alimentary intake mainly of sodium and fibers. Breastfeeding may play a protective role in the development of obesity in these children.</description><subject>Adult</subject><subject>Bariatric Surgery - rehabilitation</subject><subject>Bariatric Surgery - statistics &amp; numerical data</subject><subject>Body Composition</subject><subject>Body Mass Index</subject><subject>Body Weights and Measures</subject><subject>Breastfeeding &amp; lactation</subject><subject>Child</subject><subject>Child Nutritional Physiological Phenomena</subject><subject>Child of Impaired Parents - statistics &amp; numerical data</subject><subject>Child, Preschool</subject><subject>Children &amp; youth</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gastric Bypass - rehabilitation</subject><subject>Gastric Bypass - statistics &amp; numerical data</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Maternal Exposure - statistics &amp; numerical data</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Obesity</subject><subject>Obesity, Morbid</subject><subject>Original Contributions</subject><subject>Overweight - epidemiology</subject><subject>Overweight - etiology</subject><subject>Pregnancy</subject><subject>Surgery</subject><subject>Vitamin A</subject><subject>Young Adult</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LxDAQhoMoun78AC9S8OKlOjPdJs1RF79QVFDxGLJp4nZpt2vSKvvvjeyqIHhKIM87mfdhbB_hGAHESUDkMk8BRUoyh1SusQEKKFIYUrHOBiA5pIWkbItthzAFIOREm2yLClkAEg7YzV3f-aqr2pmuk8dOd31IWpeMJlVdejtLnG-b5KVt4vWj6ibJg7fvVduHepGcaV_pGDbJY-9frV_ssg2n62D3VucOe744fxpdpbf3l9ej09vUZIK61PISQeYi12hyY4SLJah0hRtKMtyUOVgxRu6IO0DJcx0bjElQpg2acUHZDjtazp379q23oVNNFYytaz2zcTWFcig4csxERA__oNO297FrUAQEAoZQYKRwSRnfhuCtU3NfNdovFIL6Mq2WplU0rb5MKxkzB6vJ_bix5U_iW20EaAmE-DSLfn6__n_qJ7pgh-k</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Gimenes, Jessica Cristina</creator><creator>Nicoletti, Carolina Ferreira</creator><creator>de Souza Pinhel, Marcela Augusta</creator><creator>Cortes-Oliveira, Cristiana</creator><creator>Salgado Júnior, Wilson</creator><creator>Nonino, Carla Barbosa</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180401</creationdate><title>Nutritional Status of Children from Women with Previously Bariatric Surgery</title><author>Gimenes, Jessica Cristina ; 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numerical data</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Maternal Exposure - statistics &amp; numerical data</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Nutritional Status</topic><topic>Obesity</topic><topic>Obesity, Morbid</topic><topic>Original Contributions</topic><topic>Overweight - epidemiology</topic><topic>Overweight - etiology</topic><topic>Pregnancy</topic><topic>Surgery</topic><topic>Vitamin A</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gimenes, Jessica Cristina</creatorcontrib><creatorcontrib>Nicoletti, Carolina Ferreira</creatorcontrib><creatorcontrib>de Souza Pinhel, Marcela Augusta</creatorcontrib><creatorcontrib>Cortes-Oliveira, Cristiana</creatorcontrib><creatorcontrib>Salgado Júnior, Wilson</creatorcontrib><creatorcontrib>Nonino, Carla Barbosa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health &amp; Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gimenes, Jessica Cristina</au><au>Nicoletti, Carolina Ferreira</au><au>de Souza Pinhel, Marcela Augusta</au><au>Cortes-Oliveira, Cristiana</au><au>Salgado Júnior, Wilson</au><au>Nonino, Carla Barbosa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional Status of Children from Women with Previously Bariatric Surgery</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>28</volume><issue>4</issue><spage>990</spage><epage>995</epage><pages>990-995</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background Number of pregnancies has been increasing in women of childbearing age after the gastric bypass. Objective The objective of this study was to evaluate the nutritional status of children of women submitted to gastric bypass. Methods We evaluated anthropometric, breastfeeding and biochemical profile, body composition, and dietary intake indicators of children of both sexes who were born alive after the surgery. For statistical analysis, were performed Shapiro-Wilk and ANOVA test ( p  &lt; 0.05). Results The sample consisted of 13 children (61.6% female, mean age of 46 ± 22.3 months, BMI of 18.9 ± 3.3 kg/m 2 ). The classification of BMI index by age showed that 46.1% of the children were normal weight and 30.8% obese. We observed a large percentage of children with deficiency of iron and vitamin A. 7.6 and 30.7% of children presented carbohydrate and lipid, respectively, lower than the recommendation. Fiber intake was inadequate in all children, calcium in 61.5%, vitamin A in 30.7%, and folate in 76.9% of them. Also, 84.6% presented sodium intake higher than the recommendations. The blood glucose levels were lower in children with maternal breastfeeding (65.5 ± 2.1 mg/dL, p  &lt; 0.05); furthermore, children breastfed with artificial and breast milk presented lower fat mass (3.8 ± 1.9 kg; p  &lt; 0.05). Conclusion Children from women with previously gastric bypass presented low birth weight; however, they are currently underweight or overweight and present important deficiency of iron and vitamin A and inadequate alimentary intake mainly of sodium and fibers. Breastfeeding may play a protective role in the development of obesity in these children.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28980121</pmid><doi>10.1007/s11695-017-2950-9</doi><tpages>6</tpages></addata></record>
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subjects Adult
Bariatric Surgery - rehabilitation
Bariatric Surgery - statistics & numerical data
Body Composition
Body Mass Index
Body Weights and Measures
Breastfeeding & lactation
Child
Child Nutritional Physiological Phenomena
Child of Impaired Parents - statistics & numerical data
Child, Preschool
Children & youth
Cross-Sectional Studies
Female
Gastric Bypass - rehabilitation
Gastric Bypass - statistics & numerical data
Gastrointestinal surgery
Humans
Infant
Male
Maternal Exposure - statistics & numerical data
Medicine
Medicine & Public Health
Middle Aged
Nutrition
Nutritional Status
Obesity
Obesity, Morbid
Original Contributions
Overweight - epidemiology
Overweight - etiology
Pregnancy
Surgery
Vitamin A
Young Adult
title Nutritional Status of Children from Women with Previously Bariatric Surgery
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