Abstract
IntroductionNutrition counseling is important for veterans undergoing gastric bypass surgery. The aim of this study was to explore the relationship between the number of nutrition visits a patient attended and change in body mass index (BMI) after gastric bypass surgery for the veteran population.MethodsA retrospective study examined veterans (N = 79) who underwent Roux-en-Y gastric bypass surgery from June 2004 through July 2010. Spearman’s correlation and multivariate regression analysis were used to analyze data.ResultsA significant correlation was found between the number of postoperative nutrition visits and the change in postsurgery BMI at 2 years (Spearman’s ρ = 0.21; P = .017). After adjusting for age, sex, and race, the association between postsurgery nutrition visits and BMI change persisted (β = 0.255; 95% confidence interval, 0.015–0.581; P = .039).ConclusionVeterans with more nutrition visits following Roux-en-Y gastric bypass surgery experienced greater declines in BMI. This finding underscores the importance of the dietitian on the bariatric surgery team.
Highlights
Nutrition counseling is important for veterans undergoing gastric bypass surgery
A significant correlation was found between the number of postoperative nutrition visits and the change in postsurgery body mass index (BMI) at 2 years (Spearman’s ρ = 0.21; P = .017)
After adjusting for age, sex, and race, the association between postsurgery nutrition visits and BMI change persisted (β = 0.255; 95% confidence interval, 0.015–0.581; P = .039)
Summary
Nutrition counseling is important for veterans undergoing gastric bypass surgery. The aim of this study was to explore the relationship between the number of nutrition visits a patient attended and change in body mass index (BMI) after gastric bypass surgery for the veteran population. From 2009 through 2010, the prevalence of obesity in the United States was 35.5% among adult men and 35.8% among adult women [1]. The United States spends over $190 billion annually on health care directly related to obesity [3]. Among veterans receiving care through the Veterans Health Administration (VHA), 73% of men and 68% of women are overweight or obese [4]. Obesity is associated with diseases in all of the organ systems, and gastric bypass surgery can prevent secondary complications of obesity
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