Effects of oral nutritional supplementation in a case-management model on body composition changes in patients after bariatric surgery.
Efecto de la suplementación nutricional oral en un modelo de cambios en la composición corporal en pacientes después de cirugía bariátrica.
Keywords:
obesity, bariatric surgery, oral nutritional supplementation, case management model, body composition, self-management
Abstract
This study explores the effects of oral nutritional supplementation in a case-management model on body composition alterations in patients after bariatric surgery. One hundred and twenty obese patients admitted to the Jiangsu Province Suqian Hospital from January 2024 to March 2025 who underwent bariatric surgery were included. Patients were divided into an observation group and a control group. The control group adopted routine nursing measures. Based on routine nursing measures, the observation group adopted an individualized nutritional supplement intervention according to the ideal body weight and the principle of limiting energy intake. One and three months after surgery, compared with the control group, the improvements of body fat percentage, free fat mass (FFM), body mass index (BMI), body weight, skeletal muscle mass, and excess weight loss rate in the observation group were more significant. The albumin, hemoglobin, and total protein levels were higher; emotional eating, external eating, restrained eating, and the Bariatric Surgery Self-management Questionnaire (BSSQ) scores were significantly improved. The scores of physical function, social function, physical pain, emotional function, general health, mental health, physical role, and vitality were higher. The total incidence of postoperative complications was lower, while the total nursing satisfaction rate of patients was higher. To sum up, oral nutritional supplementation in the case-management model can improve body composition, promote nutritional status, reduce the incidence of complications, promote postoperative self-management ability, and enhance the quality of life and nursing satisfaction in patients after bariatric surgery.
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References
Blüher M. Obesity: global epidemiology and pathogenesis. Nat Rev Endocrinol 2019; 15(5): 288-298. https://doi.org/10.1038/s41574-019-0176-8.
Li J, Shi Q, Gao Q, Pan XF, Zhao L, et al. Obesity pandemic in China: epidemiology, burden, challenges, and opportunities. Chin Med J (Engl) 2022; 135(11): 1328-1330. https://doi.org/10.1097/cm9.0000000000002189.
Perdomo CM, Cohen RV, Sumithran P, Clément K, Frühbeck G. Contemporary medical, device, and surgical therapies for obesity in adults. Lancet 2023; 401(10382): 1116-1130. https://doi.org/10.1016/s0140-6736(22)02403-5.
Arterburn DE, Telem DA, Kushner RF, Courcoulas AP. Benefits and Risks of Bariatric Surgery in Adults: A Review. Jama 2020; 324(9): 879-887. https://doi.org/10.1001/jama.2020.12567.
Nuzzo A, Czernichow S, Hertig A, Ledoux S, Poghosyan T, Quilliot D, et al Le Gall M, Bado A, Joly F. Prevention and treatment of nutritional complications after bariatric surgery. Lancet Gastroenterol Hepatol 2021; 6(3): 238-251. https://doi.org/10.1016/s2468-1253(20)30331-9.
Mohapatra S, Gangadharan K, Pitchumoni CS. Malnutrition in obesity before and after bariatric surgery. Dis Mon 2020; 66(2): 100866. https://doi.org/10.1016/j.disamonth.2019.06.008.
Ikehata Y, Hachiya T, Kobayashi T, Ide H, Horie S. Body composition and testosterone in men: a Mendelian randomization study. Front Endocrinol (Lausanne) 2023; 14: 1277393. https://doi.org/10.3389/fendo.2023.1277393.
Chen L, Ming J, Chen T, Hébert JR, Sun P, Zhang L, et al. Association between dietary inflammatory index score and muscle mass and strength in older adults: a study from National Health and Nutrition Examination Survey (NHANES) 1999-2002. Eur J Nutr 2022; 61(8): 4077-4089. https://doi.org/10.1007/s00394-022-02941-9.
Fidilio E, Comas M, Giribés M, Cárdenas G, Vilallonga R, Palma F, et al. Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery. Obes Surg 2021; 31(10): 4347-4355. https://doi.org/10.1007/s11695-021-05578-5.
Conte C, Hall KD, Klein S. Is Weight Loss-Induced Muscle Mass Loss Clinically Relevant? Jama 2024; 332(1): 9-10. https://doi.org/10.1001/jama.2024.6586.
Nuijten MAH, Eijsvogels TMH, Monpellier VM, Janssen IMC, Hazebroek EJ, Hopman MTE. The magnitude and progress of lean body mass, fat-free mass, and skeletal muscle mass loss following bariatric surgery: A systematic review and meta-analysis. Obes Rev 2022; 23(1): e13370. https://doi.org/10.1111/obr.13370.
Mikkola I, Jokelainen JJ, Timonen MJ, Härkönen PK, Saastamoinen E, Laakso MA, et al. Physical activity and body composition changes during military service. Med Sci Sports Exerc 2009; 41(9): 1735-42. https://doi.org/10.1249/MSS.0b013e31819fcd3c.
Molero J, Olbeyra R, Flores L, Jiménez A, de Hollanda A, Andreu A, et al. Prevalence of low skeletal muscle mass following bariatric surgery. Clin Nutr ESPEN 2022; 49: 436-441. https://doi.org/10.1016/j.clnesp.2022.03.009.
Thibault R, Huber O, Azagury DE, Pichard C. Twelve key nutritional issues in bariatric surgery. Clin Nutr 2016; 35(1):12-17. https://doi.org/10.1016/j.clnu.2015.02.012.
Andreu A, Flores L, Molero J, Mestre C, Obach A, Torres F, et al. . Patients Undergoing Bariatric Surgery: a Special Risk Group for Lifestyle, Emotional and Behavioral Adaptations During the COVID-19 Lockdown. Lessons from the First Wave. Obes Surg 2022; 32(2): 441-449. https://doi.org/10.1007/s11695-021-05792-1.
Khanna D, Yalawar M, Saibaba PV, Bhatnagar S, Ghosh A, Jog P, et al. Oral Nutritional Supplementation Improves Growth in Children at Malnutrition Risk and with Picky Eating Behaviors. Nutrients 2021; 13(10). https://doi.org/10.3390/nu13103590.
de Vet R, van Luijtelaar MJ, Brilleslijper-Kater SN, Vanderplasschen W, Beijersbergen MD, Wolf JR. Effectiveness of case management for homeless persons: a systematic review. Am J Public Health 2013; 103(10): e13-26. https://doi.org/10.2105/ajph.2013.301491.
Ji H, Chen R, Huang Y, Li W, Shi C, Zhou J. Effect of simulation education and case management on glycemic control in type 2 diabetes. Diabetes Metab Res Rev 2019; 35(3): e3112. https://doi.org/10.1002/dmrr.3112.
Wu YL, Padmalatha KMS, Yu T, Lin YH, Ku HC, Tsai YT, Chang YJ, Ko NY. Is nurseled case management effective in improving treatment outcomes for cancer patients? A systematic review and meta-analysis. J Adv Nurs 2021; 77(10): 3953-3963. https://doi.org/10.1111/jan.14874.
Burns T, Catty J, Dash M, Roberts C, Lockwood A, Marshall M. Use of intensive case management to reduce time in hospital in people with severe mental illness: systematic review and meta-regression. Bmj 2007; 335(7615): 336. https://doi.org/10.1136/bmj.39251.599259.55.
Fabozzi G, Verdone G, Allori M, Cimadomo D, Tatone C, Stuppia L, et al. Personalized Nutrition in the Management of Female Infertility: New Insights on Chronic Low-Grade Inflammation. Nutrients 2022; 14(9). https://doi.org/10.3390/nu14091918.
Arhire LI, Niță O, Popa AD, Gal AM, Dumitrașcu O, Gherasim A, Mihalache L, Graur M. Validation of the Dutch Eating Behavior Questionnaire in a Romanian Adult Population. Nutrients 2021; 13(11). https://doi.org/10.3390/nu13113890.
Welch G, Wesolowski C, Piepul B, Kuhn J, Romanelli J, Garb J. Physical activity predicts weight loss following gastric bypass surgery: findings from a support group survey. Obes Surg 2008; 18(5): 517-24. https://doi.org/10.1007/s11695-007-9269-x.
Lin Y, Yu Y, Zeng J, Zhao X, Wan C. Comparing the reliability and validity of the SF-36 and SF-12 in measuring quality of life among adolescents in China: a large sample cross-sectional study. Health Qual Life Outcomes 2020; 18(1): 360. https://doi.org/10.1186/s12955-020-01605-8.
Piché ME, Tchernof A, Després JP. Obesity Phenotypes, Diabetes, and Cardiovascular Diseases. Circ Res 2020; 126(11): 1477-1500. https://doi.org/10.1161/circresaha.120.316101.
Caballero B. Humans against Obesity: Who Will Win? Adv Nutr 2019; 10(suppl_1): S4-s9. https://doi.org/10.1093/advances/nmy055.
Jackson VM, Breen DM, Fortin JP, Liou A, Kuzmiski JB, Loomis AK, et al. Latest approaches for the treatment of obesity. Expert Opin Drug Discov 2015; 10(8): 825-39. https://doi.org/10.1517/17460441.2015.1044966.
Hunter E, Avenell A, Maheshwari A, Stadler G, Best D. The effectiveness of weight-loss lifestyle interventions for improving fertility in women and men with overweight or obesity and infertility: A systematic review update of evidence from randomized controlled trials. Obes Rev 2021; 22(12): e13325. https://doi.org/10.1111/obr.13325.
Guglielmi V, Bettini S, Sbraccia P, Busetto L, Pellegrini M, Yumuk V, et al. Beyond Weight Loss: Added Benefits Could Guide the Choice of Anti-Obesity Medications. Curr Obes Rep 2023; 12(2): 127-146. https://doi.org/10.1007/s13679-023-00502-7.
Sandoval DA, Patti ME. Glucose metabolism after bariatric surgery: implications for T2DM remission and hypoglycaemia. Nat Rev Endocrinol 2023; 19(3): 164-176. https://doi.org/10.1038/s41574-022-00757-5.
Bal BS, Finelli FC, Shope TR, Koch TR. Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol 2012; 8(9): 544-56. https://doi.org/10.1038/nrendo.2012.48.
Parrott JM, Craggs-Dino L, Faria SL, O’Kane M. The Optimal Nutritional Programme for Bariatric and Metabolic Surgery. Curr Obes Rep 2020; 9(3): 326-338. https://doi.org/10.1007/s13679-020-00384-z.
Cawood AL, Burden ST, Smith T, Stratton RJ. A systematic review and meta-analysis of the effects of community use of oral nutritional supplements on clinical outcomes. Ageing Res Rev 2023; 88: 101953. https://doi.org/10.1016/j.arr.2023.101953.
König L, Freire S, Gariani K, Karsegard J, Renaud C, Genton L, Collet TH. [Management of type 2 diabetes on oral nutritional supplement]. Rev Med Suisse 2023; 19(829): 1072-1077. https://doi.org/10.53738/revmed.2023.19.829.1072.
Hernández-Zambrano SM, Mesa-Melgarejo L, Carrillo-Algarra AJ, Castiblanco-Montañez RA, Chaparro-Diaz L, Carreño-Moreno SP,et al. Effectiveness of a case management model for the comprehensive provision of health services to multi-pathological people. J Adv Nurs 2019; 75(3): 665-675. https://doi.org/10.1111/jan.13892.
Perera S, Dabney BW. Case management service quality and patient centered care. J Health Organ Manag 2020; ahead-of-print(ahead-of-print). https://doi.org/10.1108/jhom-12-2019-0347.
Lugones-Sanchez C, Recio-Rodriguez JI, Agudo-Conde C, Repiso-Gento I, E GA, Ramirez-Manent JI, et al. Long-term Effectiveness of a Smartphone App Combined With a Smart Band on Weight Loss, Physical Activity, and Caloric Intake in a Population With Overweight and Obesity (Evident 3 Study): Randomized Controlled Trial. J Med Internet Res 2022; 24(2): e30416. https://doi.org/10.2196/30416.
Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr 2000; 72(3): 694-701. https://doi.org/10.1093/ajcn/72.3.694.
Kyle UG, Schutz Y, Dupertuis YM, Pichard C. Body composition interpretation. Contributions of the fat-free mass index and the body fat mass index. Nutrition 2003; 19(7-8): 597-604. https://doi.org/10.1016/s0899-9007(03)00061-3.
Grupińska J, Budzyń M, Maćkowiak K, Brzeziński JJ, Kycler W, Leporowska E, et al. . Beneficial Effects of Oral Nutritional Supplements on Body Composition and Biochemical Parameters in Women with Breast Cancer Undergoing Postoperative Chemotherapy: A Propensity Score Matching Analysis. Nutrients 2021; 13(10). https://doi.org/10.3390/nu13103549.
Votto M, Bonitatibus G, De Filippo M, Pitigalage Kurera SA, Brambilla I, Guarracino C, De Amici M, Marseglia GL, Licari A. Nutritional status in eosinophilic gastrointestinal disorders: A pediatric case-control study. Pediatr Allergy Immunol 2022; 33 Suppl 27(Suppl 27): 47-51. https://doi.org/10.1111/pai.13628.
Sherf-Dagan S, Sinai T, Goldenshluger A, Globus I, Kessler Y, Schweiger C, Ben-Porat T. Nutritional Assessment and Preparation for Adult Bariatric Surgery Candidates: Clinical Practice. Adv Nutr 2021; 12(3): 1020-1031. https://doi.org/10.1093/advances/nmaa121.
Saxton R, McDougal OM. Whey Protein Powder Analysis by Mid-Infrared Spectroscopy. Foods 2021; 10(5). https://doi.org/10.3390/foods10051033.
Li Y, Zhang ZH, Huang SL, Yue ZB, Yin XS, Feng ZQ, Zhang XG, Song GL. Whey protein powder with milk fat globule membrane attenuates Alzheimer’s disease pathology in 3×Tg-AD mice by modulating neuroinflammation through the peroxisome proliferator-activated receptor γ signaling pathway. J Dairy Sci 2023; 106(8): 5253-5265. https://doi.org/10.3168/jds.2023-23254.
Wobith M, Weimann A. Oral Nutritional Supplements and Enteral Nutrition in Patients with Gastrointestinal Surgery. Nutrients 2021; 13(8). https://doi.org/10.3390/nu13082655.
Dong L, Pang K, Zeng Z, Tan L. The impact of individual case management model on adherence to medical advice and Quality of Life in patients with diabetic nephropathy. Panminerva Med 2024. https://doi.org/10.23736/s0031-0808.24.05094-8.
Li J, Shi Q, Gao Q, Pan XF, Zhao L, et al. Obesity pandemic in China: epidemiology, burden, challenges, and opportunities. Chin Med J (Engl) 2022; 135(11): 1328-1330. https://doi.org/10.1097/cm9.0000000000002189.
Perdomo CM, Cohen RV, Sumithran P, Clément K, Frühbeck G. Contemporary medical, device, and surgical therapies for obesity in adults. Lancet 2023; 401(10382): 1116-1130. https://doi.org/10.1016/s0140-6736(22)02403-5.
Arterburn DE, Telem DA, Kushner RF, Courcoulas AP. Benefits and Risks of Bariatric Surgery in Adults: A Review. Jama 2020; 324(9): 879-887. https://doi.org/10.1001/jama.2020.12567.
Nuzzo A, Czernichow S, Hertig A, Ledoux S, Poghosyan T, Quilliot D, et al Le Gall M, Bado A, Joly F. Prevention and treatment of nutritional complications after bariatric surgery. Lancet Gastroenterol Hepatol 2021; 6(3): 238-251. https://doi.org/10.1016/s2468-1253(20)30331-9.
Mohapatra S, Gangadharan K, Pitchumoni CS. Malnutrition in obesity before and after bariatric surgery. Dis Mon 2020; 66(2): 100866. https://doi.org/10.1016/j.disamonth.2019.06.008.
Ikehata Y, Hachiya T, Kobayashi T, Ide H, Horie S. Body composition and testosterone in men: a Mendelian randomization study. Front Endocrinol (Lausanne) 2023; 14: 1277393. https://doi.org/10.3389/fendo.2023.1277393.
Chen L, Ming J, Chen T, Hébert JR, Sun P, Zhang L, et al. Association between dietary inflammatory index score and muscle mass and strength in older adults: a study from National Health and Nutrition Examination Survey (NHANES) 1999-2002. Eur J Nutr 2022; 61(8): 4077-4089. https://doi.org/10.1007/s00394-022-02941-9.
Fidilio E, Comas M, Giribés M, Cárdenas G, Vilallonga R, Palma F, et al. Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery. Obes Surg 2021; 31(10): 4347-4355. https://doi.org/10.1007/s11695-021-05578-5.
Conte C, Hall KD, Klein S. Is Weight Loss-Induced Muscle Mass Loss Clinically Relevant? Jama 2024; 332(1): 9-10. https://doi.org/10.1001/jama.2024.6586.
Nuijten MAH, Eijsvogels TMH, Monpellier VM, Janssen IMC, Hazebroek EJ, Hopman MTE. The magnitude and progress of lean body mass, fat-free mass, and skeletal muscle mass loss following bariatric surgery: A systematic review and meta-analysis. Obes Rev 2022; 23(1): e13370. https://doi.org/10.1111/obr.13370.
Mikkola I, Jokelainen JJ, Timonen MJ, Härkönen PK, Saastamoinen E, Laakso MA, et al. Physical activity and body composition changes during military service. Med Sci Sports Exerc 2009; 41(9): 1735-42. https://doi.org/10.1249/MSS.0b013e31819fcd3c.
Molero J, Olbeyra R, Flores L, Jiménez A, de Hollanda A, Andreu A, et al. Prevalence of low skeletal muscle mass following bariatric surgery. Clin Nutr ESPEN 2022; 49: 436-441. https://doi.org/10.1016/j.clnesp.2022.03.009.
Thibault R, Huber O, Azagury DE, Pichard C. Twelve key nutritional issues in bariatric surgery. Clin Nutr 2016; 35(1):12-17. https://doi.org/10.1016/j.clnu.2015.02.012.
Andreu A, Flores L, Molero J, Mestre C, Obach A, Torres F, et al. . Patients Undergoing Bariatric Surgery: a Special Risk Group for Lifestyle, Emotional and Behavioral Adaptations During the COVID-19 Lockdown. Lessons from the First Wave. Obes Surg 2022; 32(2): 441-449. https://doi.org/10.1007/s11695-021-05792-1.
Khanna D, Yalawar M, Saibaba PV, Bhatnagar S, Ghosh A, Jog P, et al. Oral Nutritional Supplementation Improves Growth in Children at Malnutrition Risk and with Picky Eating Behaviors. Nutrients 2021; 13(10). https://doi.org/10.3390/nu13103590.
de Vet R, van Luijtelaar MJ, Brilleslijper-Kater SN, Vanderplasschen W, Beijersbergen MD, Wolf JR. Effectiveness of case management for homeless persons: a systematic review. Am J Public Health 2013; 103(10): e13-26. https://doi.org/10.2105/ajph.2013.301491.
Ji H, Chen R, Huang Y, Li W, Shi C, Zhou J. Effect of simulation education and case management on glycemic control in type 2 diabetes. Diabetes Metab Res Rev 2019; 35(3): e3112. https://doi.org/10.1002/dmrr.3112.
Wu YL, Padmalatha KMS, Yu T, Lin YH, Ku HC, Tsai YT, Chang YJ, Ko NY. Is nurseled case management effective in improving treatment outcomes for cancer patients? A systematic review and meta-analysis. J Adv Nurs 2021; 77(10): 3953-3963. https://doi.org/10.1111/jan.14874.
Burns T, Catty J, Dash M, Roberts C, Lockwood A, Marshall M. Use of intensive case management to reduce time in hospital in people with severe mental illness: systematic review and meta-regression. Bmj 2007; 335(7615): 336. https://doi.org/10.1136/bmj.39251.599259.55.
Fabozzi G, Verdone G, Allori M, Cimadomo D, Tatone C, Stuppia L, et al. Personalized Nutrition in the Management of Female Infertility: New Insights on Chronic Low-Grade Inflammation. Nutrients 2022; 14(9). https://doi.org/10.3390/nu14091918.
Arhire LI, Niță O, Popa AD, Gal AM, Dumitrașcu O, Gherasim A, Mihalache L, Graur M. Validation of the Dutch Eating Behavior Questionnaire in a Romanian Adult Population. Nutrients 2021; 13(11). https://doi.org/10.3390/nu13113890.
Welch G, Wesolowski C, Piepul B, Kuhn J, Romanelli J, Garb J. Physical activity predicts weight loss following gastric bypass surgery: findings from a support group survey. Obes Surg 2008; 18(5): 517-24. https://doi.org/10.1007/s11695-007-9269-x.
Lin Y, Yu Y, Zeng J, Zhao X, Wan C. Comparing the reliability and validity of the SF-36 and SF-12 in measuring quality of life among adolescents in China: a large sample cross-sectional study. Health Qual Life Outcomes 2020; 18(1): 360. https://doi.org/10.1186/s12955-020-01605-8.
Piché ME, Tchernof A, Després JP. Obesity Phenotypes, Diabetes, and Cardiovascular Diseases. Circ Res 2020; 126(11): 1477-1500. https://doi.org/10.1161/circresaha.120.316101.
Caballero B. Humans against Obesity: Who Will Win? Adv Nutr 2019; 10(suppl_1): S4-s9. https://doi.org/10.1093/advances/nmy055.
Jackson VM, Breen DM, Fortin JP, Liou A, Kuzmiski JB, Loomis AK, et al. Latest approaches for the treatment of obesity. Expert Opin Drug Discov 2015; 10(8): 825-39. https://doi.org/10.1517/17460441.2015.1044966.
Hunter E, Avenell A, Maheshwari A, Stadler G, Best D. The effectiveness of weight-loss lifestyle interventions for improving fertility in women and men with overweight or obesity and infertility: A systematic review update of evidence from randomized controlled trials. Obes Rev 2021; 22(12): e13325. https://doi.org/10.1111/obr.13325.
Guglielmi V, Bettini S, Sbraccia P, Busetto L, Pellegrini M, Yumuk V, et al. Beyond Weight Loss: Added Benefits Could Guide the Choice of Anti-Obesity Medications. Curr Obes Rep 2023; 12(2): 127-146. https://doi.org/10.1007/s13679-023-00502-7.
Sandoval DA, Patti ME. Glucose metabolism after bariatric surgery: implications for T2DM remission and hypoglycaemia. Nat Rev Endocrinol 2023; 19(3): 164-176. https://doi.org/10.1038/s41574-022-00757-5.
Bal BS, Finelli FC, Shope TR, Koch TR. Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol 2012; 8(9): 544-56. https://doi.org/10.1038/nrendo.2012.48.
Parrott JM, Craggs-Dino L, Faria SL, O’Kane M. The Optimal Nutritional Programme for Bariatric and Metabolic Surgery. Curr Obes Rep 2020; 9(3): 326-338. https://doi.org/10.1007/s13679-020-00384-z.
Cawood AL, Burden ST, Smith T, Stratton RJ. A systematic review and meta-analysis of the effects of community use of oral nutritional supplements on clinical outcomes. Ageing Res Rev 2023; 88: 101953. https://doi.org/10.1016/j.arr.2023.101953.
König L, Freire S, Gariani K, Karsegard J, Renaud C, Genton L, Collet TH. [Management of type 2 diabetes on oral nutritional supplement]. Rev Med Suisse 2023; 19(829): 1072-1077. https://doi.org/10.53738/revmed.2023.19.829.1072.
Hernández-Zambrano SM, Mesa-Melgarejo L, Carrillo-Algarra AJ, Castiblanco-Montañez RA, Chaparro-Diaz L, Carreño-Moreno SP,et al. Effectiveness of a case management model for the comprehensive provision of health services to multi-pathological people. J Adv Nurs 2019; 75(3): 665-675. https://doi.org/10.1111/jan.13892.
Perera S, Dabney BW. Case management service quality and patient centered care. J Health Organ Manag 2020; ahead-of-print(ahead-of-print). https://doi.org/10.1108/jhom-12-2019-0347.
Lugones-Sanchez C, Recio-Rodriguez JI, Agudo-Conde C, Repiso-Gento I, E GA, Ramirez-Manent JI, et al. Long-term Effectiveness of a Smartphone App Combined With a Smart Band on Weight Loss, Physical Activity, and Caloric Intake in a Population With Overweight and Obesity (Evident 3 Study): Randomized Controlled Trial. J Med Internet Res 2022; 24(2): e30416. https://doi.org/10.2196/30416.
Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr 2000; 72(3): 694-701. https://doi.org/10.1093/ajcn/72.3.694.
Kyle UG, Schutz Y, Dupertuis YM, Pichard C. Body composition interpretation. Contributions of the fat-free mass index and the body fat mass index. Nutrition 2003; 19(7-8): 597-604. https://doi.org/10.1016/s0899-9007(03)00061-3.
Grupińska J, Budzyń M, Maćkowiak K, Brzeziński JJ, Kycler W, Leporowska E, et al. . Beneficial Effects of Oral Nutritional Supplements on Body Composition and Biochemical Parameters in Women with Breast Cancer Undergoing Postoperative Chemotherapy: A Propensity Score Matching Analysis. Nutrients 2021; 13(10). https://doi.org/10.3390/nu13103549.
Votto M, Bonitatibus G, De Filippo M, Pitigalage Kurera SA, Brambilla I, Guarracino C, De Amici M, Marseglia GL, Licari A. Nutritional status in eosinophilic gastrointestinal disorders: A pediatric case-control study. Pediatr Allergy Immunol 2022; 33 Suppl 27(Suppl 27): 47-51. https://doi.org/10.1111/pai.13628.
Sherf-Dagan S, Sinai T, Goldenshluger A, Globus I, Kessler Y, Schweiger C, Ben-Porat T. Nutritional Assessment and Preparation for Adult Bariatric Surgery Candidates: Clinical Practice. Adv Nutr 2021; 12(3): 1020-1031. https://doi.org/10.1093/advances/nmaa121.
Saxton R, McDougal OM. Whey Protein Powder Analysis by Mid-Infrared Spectroscopy. Foods 2021; 10(5). https://doi.org/10.3390/foods10051033.
Li Y, Zhang ZH, Huang SL, Yue ZB, Yin XS, Feng ZQ, Zhang XG, Song GL. Whey protein powder with milk fat globule membrane attenuates Alzheimer’s disease pathology in 3×Tg-AD mice by modulating neuroinflammation through the peroxisome proliferator-activated receptor γ signaling pathway. J Dairy Sci 2023; 106(8): 5253-5265. https://doi.org/10.3168/jds.2023-23254.
Wobith M, Weimann A. Oral Nutritional Supplements and Enteral Nutrition in Patients with Gastrointestinal Surgery. Nutrients 2021; 13(8). https://doi.org/10.3390/nu13082655.
Dong L, Pang K, Zeng Z, Tan L. The impact of individual case management model on adherence to medical advice and Quality of Life in patients with diabetic nephropathy. Panminerva Med 2024. https://doi.org/10.23736/s0031-0808.24.05094-8.
Published
2025-06-06
How to Cite
Cheng, J., & Guo, Y. (2025). Effects of oral nutritional supplementation in a case-management model on body composition changes in patients after bariatric surgery.: Efecto de la suplementación nutricional oral en un modelo de cambios en la composición corporal en pacientes después de cirugía bariátrica. Investigación Clínica, 66(2), 217-230. https://doi.org/10.54817/IC.v66n2a05
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Original Works
