The Effect of Protein Consumption on Fat-Free Mass, Fat Mass, and Weight Loss 1 Year After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass
Objective Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) both limit protein and calorie intake and result in loss of fat-free mass (FFM), fat mass (FM), and weight. This study examined protein consumption and body composition changes after bariatric surgery. Methods A prospective study...
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| Veröffentlicht in: | Obesity surgery 2021-11, Vol.31 (11), p.4741-4748 |
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| creator | Abdulsalam, Fatin Ali, Habiba I. Altinoz, Ajda Nimeri, Abdelrahman |
| description | Objective
Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) both limit protein and calorie intake and result in loss of fat-free mass (FFM), fat mass (FM), and weight. This study examined protein consumption and body composition changes after bariatric surgery.
Methods
A prospective study of patients undergoing SG and RYGB between January 1 and December 31, 2016, with 1-year follow-up. Dietary, body composition, and physical activity data were collected at 3, 6, and 12 months post-operatively by bioelectric impedance and food records. Clinical laboratory data were obtained pre- and post-surgery.
Results
One hundred and five patients (62 [59%] SG and 43 [41%] RYGB) were included in this study. Mean age was 31.8 ± 7.22 years. TWL% after 1 year in SG was 27.11% (
p
< 0.001) and that in RYGB was 30.41% (
p
< 0.0001). Reported protein consumptions after RYGB increased from 41.59 ± 22.86 g/day at 3 months (
p
= 0.004) to 57.90 ± 19.24 g/day at 12 months compared to 52.36 ± 25.04 g and 53.54 ± 29.75 g in SG. Similarly, energy intake after RYGB at 3 and 12 months increased from 895.9 ± 422.61 to 1188.15 ± 463.86 kcal/day compared to 1007.67 ± 422.62 to 1068 ± 575.89 kcal/day after SG (
p
= 0.009). There was a significant loss of fat-free mass and muscle mass in SG patients at 3 and 12 months from 61.58 ± 3.61 kg and 58.47 ± 3.09 kg to 54.18 ± 11.05 (
p
< 0.001) and 51.55 ± 10.62 (
p
= 0.004) but not in RYGB patients. Physical activity levels were similar in SG and RYGB patients.
Conclusion
There was a significant preservation of muscle mass after RYGB. Protein intake in majority of the patients was below 60 g/day during the first year after SG and RYGB.
Graphical Abstract |
| doi_str_mv | 10.1007/s11695-021-05565-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2564136130</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2564136130</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-7579e4b524ce15d6499812c3e82cfb3e19b8cb1456a6cb3e3c10105fa9447f7b3</originalsourceid><addsrcrecordid>eNp9kd9KHDEUxoO00K31BXoV8KYXps3_mVzaxdXClopailchE090ZHeyJhl1X8GnNjpCoReFAzmH_L6Pw_kQ-szoV0Zp8y0zpo0ilDNCldKKPOygGWtoS6jk7Ts0o0ZT0houPqCPOd_SSmrOZ-jp4gbwUQjgC44Bn6ZYoB_wPA55XG9KHwdca-EKWSQA_NPlfPAyvnVuuMJ_oL--KXgZc8YMX4JL-DAUSPh8BXAP-Njlkqp_XG9f-bM4PhIYyOX003v8fbupbp_Q--BWGfbe3l30e3F0MT8hy1_HP-aHS-KF4oU0qjEgO8WlB6autDSmZdwLaLkPnQBmutZ3TCrttK-z8IwyqoIzUjah6cQu-jL5blK8GyEXu-6zh9XKDRDHbLnSkgnNBK3o_j_obRzTULerVNMaplQjK8Unyqd6gwTBblK_dmlrGbUv8dgpHluPbl_jsQ9VJCZRrvBwDemv9X9Uz1ZAkb8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2578915574</pqid></control><display><type>article</type><title>The Effect of Protein Consumption on Fat-Free Mass, Fat Mass, and Weight Loss 1 Year After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass</title><source>SpringerLink Journals - AutoHoldings</source><creator>Abdulsalam, Fatin ; Ali, Habiba I. ; Altinoz, Ajda ; Nimeri, Abdelrahman</creator><creatorcontrib>Abdulsalam, Fatin ; Ali, Habiba I. ; Altinoz, Ajda ; Nimeri, Abdelrahman</creatorcontrib><description>Objective
Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) both limit protein and calorie intake and result in loss of fat-free mass (FFM), fat mass (FM), and weight. This study examined protein consumption and body composition changes after bariatric surgery.
Methods
A prospective study of patients undergoing SG and RYGB between January 1 and December 31, 2016, with 1-year follow-up. Dietary, body composition, and physical activity data were collected at 3, 6, and 12 months post-operatively by bioelectric impedance and food records. Clinical laboratory data were obtained pre- and post-surgery.
Results
One hundred and five patients (62 [59%] SG and 43 [41%] RYGB) were included in this study. Mean age was 31.8 ± 7.22 years. TWL% after 1 year in SG was 27.11% (
p
< 0.001) and that in RYGB was 30.41% (
p
< 0.0001). Reported protein consumptions after RYGB increased from 41.59 ± 22.86 g/day at 3 months (
p
= 0.004) to 57.90 ± 19.24 g/day at 12 months compared to 52.36 ± 25.04 g and 53.54 ± 29.75 g in SG. Similarly, energy intake after RYGB at 3 and 12 months increased from 895.9 ± 422.61 to 1188.15 ± 463.86 kcal/day compared to 1007.67 ± 422.62 to 1068 ± 575.89 kcal/day after SG (
p
= 0.009). There was a significant loss of fat-free mass and muscle mass in SG patients at 3 and 12 months from 61.58 ± 3.61 kg and 58.47 ± 3.09 kg to 54.18 ± 11.05 (
p
< 0.001) and 51.55 ± 10.62 (
p
= 0.004) but not in RYGB patients. Physical activity levels were similar in SG and RYGB patients.
Conclusion
There was a significant preservation of muscle mass after RYGB. Protein intake in majority of the patients was below 60 g/day during the first year after SG and RYGB.
Graphical Abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-021-05565-w</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Body composition ; Gastrointestinal surgery ; Medicine ; Medicine & Public Health ; Original Contributions ; Proteins ; Surgery</subject><ispartof>Obesity surgery, 2021-11, Vol.31 (11), p.4741-4748</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-7579e4b524ce15d6499812c3e82cfb3e19b8cb1456a6cb3e3c10105fa9447f7b3</citedby><cites>FETCH-LOGICAL-c352t-7579e4b524ce15d6499812c3e82cfb3e19b8cb1456a6cb3e3c10105fa9447f7b3</cites><orcidid>0000-0001-7844-163X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-021-05565-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-021-05565-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids></links><search><creatorcontrib>Abdulsalam, Fatin</creatorcontrib><creatorcontrib>Ali, Habiba I.</creatorcontrib><creatorcontrib>Altinoz, Ajda</creatorcontrib><creatorcontrib>Nimeri, Abdelrahman</creatorcontrib><title>The Effect of Protein Consumption on Fat-Free Mass, Fat Mass, and Weight Loss 1 Year After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><description>Objective
Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) both limit protein and calorie intake and result in loss of fat-free mass (FFM), fat mass (FM), and weight. This study examined protein consumption and body composition changes after bariatric surgery.
Methods
A prospective study of patients undergoing SG and RYGB between January 1 and December 31, 2016, with 1-year follow-up. Dietary, body composition, and physical activity data were collected at 3, 6, and 12 months post-operatively by bioelectric impedance and food records. Clinical laboratory data were obtained pre- and post-surgery.
Results
One hundred and five patients (62 [59%] SG and 43 [41%] RYGB) were included in this study. Mean age was 31.8 ± 7.22 years. TWL% after 1 year in SG was 27.11% (
p
< 0.001) and that in RYGB was 30.41% (
p
< 0.0001). Reported protein consumptions after RYGB increased from 41.59 ± 22.86 g/day at 3 months (
p
= 0.004) to 57.90 ± 19.24 g/day at 12 months compared to 52.36 ± 25.04 g and 53.54 ± 29.75 g in SG. Similarly, energy intake after RYGB at 3 and 12 months increased from 895.9 ± 422.61 to 1188.15 ± 463.86 kcal/day compared to 1007.67 ± 422.62 to 1068 ± 575.89 kcal/day after SG (
p
= 0.009). There was a significant loss of fat-free mass and muscle mass in SG patients at 3 and 12 months from 61.58 ± 3.61 kg and 58.47 ± 3.09 kg to 54.18 ± 11.05 (
p
< 0.001) and 51.55 ± 10.62 (
p
= 0.004) but not in RYGB patients. Physical activity levels were similar in SG and RYGB patients.
Conclusion
There was a significant preservation of muscle mass after RYGB. Protein intake in majority of the patients was below 60 g/day during the first year after SG and RYGB.
Graphical Abstract</description><subject>Body composition</subject><subject>Gastrointestinal surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Contributions</subject><subject>Proteins</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kd9KHDEUxoO00K31BXoV8KYXps3_mVzaxdXClopailchE090ZHeyJhl1X8GnNjpCoReFAzmH_L6Pw_kQ-szoV0Zp8y0zpo0ilDNCldKKPOygGWtoS6jk7Ts0o0ZT0houPqCPOd_SSmrOZ-jp4gbwUQjgC44Bn6ZYoB_wPA55XG9KHwdca-EKWSQA_NPlfPAyvnVuuMJ_oL--KXgZc8YMX4JL-DAUSPh8BXAP-Njlkqp_XG9f-bM4PhIYyOX003v8fbupbp_Q--BWGfbe3l30e3F0MT8hy1_HP-aHS-KF4oU0qjEgO8WlB6autDSmZdwLaLkPnQBmutZ3TCrttK-z8IwyqoIzUjah6cQu-jL5blK8GyEXu-6zh9XKDRDHbLnSkgnNBK3o_j_obRzTULerVNMaplQjK8Unyqd6gwTBblK_dmlrGbUv8dgpHluPbl_jsQ9VJCZRrvBwDemv9X9Uz1ZAkb8</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Abdulsalam, Fatin</creator><creator>Ali, Habiba I.</creator><creator>Altinoz, Ajda</creator><creator>Nimeri, Abdelrahman</creator><general>Springer US</general><general>Springer Nature B.V</general><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>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7844-163X</orcidid></search><sort><creationdate>20211101</creationdate><title>The Effect of Protein Consumption on Fat-Free Mass, Fat Mass, and Weight Loss 1 Year After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass</title><author>Abdulsalam, Fatin ; Ali, Habiba I. ; Altinoz, Ajda ; Nimeri, Abdelrahman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-7579e4b524ce15d6499812c3e82cfb3e19b8cb1456a6cb3e3c10105fa9447f7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Body composition</topic><topic>Gastrointestinal surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Contributions</topic><topic>Proteins</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abdulsalam, Fatin</creatorcontrib><creatorcontrib>Ali, Habiba I.</creatorcontrib><creatorcontrib>Altinoz, Ajda</creatorcontrib><creatorcontrib>Nimeri, Abdelrahman</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</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>Abdulsalam, Fatin</au><au>Ali, Habiba I.</au><au>Altinoz, Ajda</au><au>Nimeri, Abdelrahman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Protein Consumption on Fat-Free Mass, Fat Mass, and Weight Loss 1 Year After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><date>2021-11-01</date><risdate>2021</risdate><volume>31</volume><issue>11</issue><spage>4741</spage><epage>4748</epage><pages>4741-4748</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Objective
Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) both limit protein and calorie intake and result in loss of fat-free mass (FFM), fat mass (FM), and weight. This study examined protein consumption and body composition changes after bariatric surgery.
Methods
A prospective study of patients undergoing SG and RYGB between January 1 and December 31, 2016, with 1-year follow-up. Dietary, body composition, and physical activity data were collected at 3, 6, and 12 months post-operatively by bioelectric impedance and food records. Clinical laboratory data were obtained pre- and post-surgery.
Results
One hundred and five patients (62 [59%] SG and 43 [41%] RYGB) were included in this study. Mean age was 31.8 ± 7.22 years. TWL% after 1 year in SG was 27.11% (
p
< 0.001) and that in RYGB was 30.41% (
p
< 0.0001). Reported protein consumptions after RYGB increased from 41.59 ± 22.86 g/day at 3 months (
p
= 0.004) to 57.90 ± 19.24 g/day at 12 months compared to 52.36 ± 25.04 g and 53.54 ± 29.75 g in SG. Similarly, energy intake after RYGB at 3 and 12 months increased from 895.9 ± 422.61 to 1188.15 ± 463.86 kcal/day compared to 1007.67 ± 422.62 to 1068 ± 575.89 kcal/day after SG (
p
= 0.009). There was a significant loss of fat-free mass and muscle mass in SG patients at 3 and 12 months from 61.58 ± 3.61 kg and 58.47 ± 3.09 kg to 54.18 ± 11.05 (
p
< 0.001) and 51.55 ± 10.62 (
p
= 0.004) but not in RYGB patients. Physical activity levels were similar in SG and RYGB patients.
Conclusion
There was a significant preservation of muscle mass after RYGB. Protein intake in majority of the patients was below 60 g/day during the first year after SG and RYGB.
Graphical Abstract</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s11695-021-05565-w</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7844-163X</orcidid></addata></record> |
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| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Body composition Gastrointestinal surgery Medicine Medicine & Public Health Original Contributions Proteins Surgery |
| title | The Effect of Protein Consumption on Fat-Free Mass, Fat Mass, and Weight Loss 1 Year After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass |
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