Tratamiento dietético y nutricional tras la cirugía de la obesidad en España: revisión bibliográfica (Índice Médico Español, 1975–2008)

Isabel Castelló Botía, Eva María Trescastro López
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Abstract

Obesity is a disease that develops with an increase in body weight as a result of an excessive accumulation of fat in the body. When conventional treatments have failed in cases of morbid obesity, bariatric surgery is a tool that is capable of achieving significant weight losses that are maintained throughout time. The surgical procedures applied entail a situation of malnutrition that must be corrected with dietary supplements and by properly re-educating food habits. Our work's objective is, through a bibliographical review, to analyse the scientific production (of articles) on diet and nutritional therapy after surgery on obesity that exists on the SMI (Spanish Medical Index) database between 1975 and 2008.

According to the data obtained, we see that there are very few articles produced with post-operative dietary recommendations, in spite of their importance. Over twenty years must have gone by since the first surgical intervention was carried out until the first article on dietary therapy after bariatric surgery or surgery on obesity was published in some journal included on the MI. It was at the end of the nineties when the production of articles on operative dietary therapy increased. This fact coincides with the establishment of the Spanish Society of Obesity Surgery and with the appearance and incorporation of the professionals of human nutrition and dietetics.

It is advisable for the professionals involved to pay the necessary attention to this fact, in spite of the difficulty in changing the bad food habits of the patients.

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西班牙肥胖手术后的饮食和营养治疗:文献综述(西班牙医学索引,1975 - 2008)
肥胖是一种随着体重增加而发展的疾病,这是由于体内脂肪过多积累的结果。当常规治疗在病态肥胖的病例中失败时,减肥手术是一种能够实现长期维持的显著体重减轻的工具。外科手术造成了营养不良的情况,必须通过补充膳食和适当地重新教育饮食习惯来加以纠正。我们的工作目标是,通过文献综述,分析1975年至2008年间存在于SMI(西班牙医学指数)数据库中的关于肥胖手术后饮食和营养治疗的科学成果(文章)。根据获得的数据,我们发现,尽管术后饮食建议很重要,但很少有文章提出这些建议。从第一次进行手术治疗到在MI收录的期刊上发表第一篇关于减肥手术或肥胖手术后饮食治疗的文章,已经过去了20多年。关于手术饮食治疗的文章增加是在90年代末。这一事实与西班牙肥胖外科学会的成立以及人类营养和营养学专业人士的出现和加入相吻合。尽管很难改变患者的不良饮食习惯,但建议相关专业人员对这一事实给予必要的关注。
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