Abstract
This study aimed to evaluate the adequacy of food consumption frequency according to food pyramid proposed for postoperative patients of bariatric surgery. It is a cross-sectional study, non-random sampling by convenience, and assessing 39 patients of both genders, aged among 40-59 years, who underwent bariatric surgery and were assisted by the Brazilian National Health System (SUS) at an outpatient clinic of the University Hospital of Sergipe. We selected to participate in the study patients who have been at least two months in post-bariatric surgery follow-up. The study compared the food portions consumed by patients, based on an average of at least two 24-hour dietary recalls on consecutive visits, as recommended by the food pyramid proposed for patients after bariatric surgery. The postoperative nutritional status of patients was distributed from eutrophy to obesity grade III. The average time of preoperative care was 38.89 months. There was inadequacy of consumption in level 1 (Group of meat, eggs, dairy products, and legumes); level 2 (Group of vegetables and olive oil) and foods with high contents of fat and sugar; and adequacy at level 2 (fruits group) and level 3 (cereals, roots and tubers). Changing eating habits is a continuous process and does not refer only to the surgical procedure. Thus, the construction of knowledge on the dietary pattern of the population in the long term is paramount for guidance and prevention of nutritional deficiencies.
Highlights
Para o sucesso no tratamento cirúrgico da obesidade com promoção de perda ponderal satisfatória e manutenção da saúde, é fundamental que o paciente tenha um acompanhamento nutricional direcionado para suas necessidades
A ingestão foi considerada adequada quando atingiu a recomendação da pirâmide alimentar proposta para pacientes em tratamento pós operatório de cirurgia bariátrica
J Surg Res. 2007;142(2):[308–13]
Summary
Tratou-se de estudo transversal, de amostragem por conveniência composta por 39 pacientes, com idades maiores ou iguais a 18 anos, de ambos os gêneros, submetidos a cirurgia bariátrica e assistidos pelo Sistema Único de Saúde (SUS), em nível ambulatorial, em um hospital universitário de Sergipe. A pirâmide alimentar proposta por Moizé et al.[7] para pacientes submetidos a cirurgia bariátrica é composta por cinco níveis. No segundo nível estão os grupos das frutas, hortaliças e óleos vegetais, com a recomendação diária de 2-3 porções de cada grupo. Para avaliar a adequação do consumo alimentar, confrontaram-se as porções ingeridas pelos pacientes, obtidas pela média de, pelo menos, dois a três recordatórios de 24 horas em consultas consecutivas, com as recomendadas pela pirâmide alimentar proposta para pacientes submetidos a cirurgia bariátrica,[7] adaptada para a realidade local. Recomendações das porções dos grupos alimentares para pacientes submetidos a cirurgia bariátrica, Hospital Universitário, Aracaju-SE, 2013
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