Effect of Bariatric Surgery on the Prevalence of Micronutrient Deficiencies and Protein Status

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ISBN 13 :
Total Pages : 285 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Effect of Bariatric Surgery on the Prevalence of Micronutrient Deficiencies and Protein Status by : Violeta Moizé Arcone

Download or read book Effect of Bariatric Surgery on the Prevalence of Micronutrient Deficiencies and Protein Status written by Violeta Moizé Arcone and published by . This book was released on 2017 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Bariatric surgery (BS) is the most effective long-term therapy for the treatment of severe obesity. Benefits of BS include a reduction of overall and cardiovascular mortality, incidence of first occurrence of fatal- or nonfatal-cardiovascular events, prevention and remission of type 2 diabetes mellitus, and improved quality of life. Nonetheless, BS is associated with potential complications amongst which micronutrient deficiencies are relevant. AIM: Against this background, the overall aim of this PhD project was to better understand the increased risk for nutritional deficiencies and protein status in subjects undergoing BS. METHODS: We prospectively evaluated the nutritional status of obese individuals prior to BS, and following the drastic reduction of daily energy intake, anatomical changes, and massive weight loss associated with the two currently most commonly performed surgical techniques [gastric bypass (GBP) and sleeve gastrectomy (SG)]. Additionally, to gain insight specifically on how to address the high prevalence of vitamin D (VD) deficiency, we performed two open-label, prospective studies aiming at evaluating the efficacy and safety of achieving 25-hydroxy VD (25(OH)D) levels ≥75 nmol/L with two different supplementation algorithms. Similarly, we gained insight on the reported high prevalence of iron deficiency by characterizing iron status with the evaluation of indices of systemic inflammation. Finally, we performed two observational prospective studies to evaluate the effects of dietary protein intake (PI) on fat free mass (FFM, as assessed from bioelectrical impedance or DEXA) and protein status changes after BS-induced weight loss. As further step in this research path, a randomized control trial proposal has been designed to determine the effect of two levels of PI (standard versus high) after BS on the nitrogen balance, body composition, energy expenditure, perceived satiety, and plasma levels of branched chain amino acids (BC17) and insulin sensitivity, as well as the feasibility of protein supplementation up to one year after BS. This translational research protocol integrates mechanistic, metabolic, and energy homeostasis outcomes. Preliminary results of a pilot study of that trial are presented as part of this thesis project to demonstrate feasibility of the protocol. RESULTS: Nutritional deficiencies are commonly found in a Mediterranean severely obese population undergoing BS, with those deficiencies being more prevalent than in normal weight individuals. Of note, SG- and GBP-patients experience similar long-term changes in dietary intake. Indeed, when micronutrient intake from supplements was not taken into account, mean daily dietary intake of all evaluated micronutrients was below current dietary reference intakes (DRIs). Interestingly, SG and GBP carry comparable post-surgical nutritional risk. Low VD and elevated PTH levels were the most prevalent nutritional abnormalities after BS. In clinical practice, a single fixed high dose (2,000 IU) of VD supplementation is as effective and safe as an individualized daily dose of cholecalciferol to achieve 25(OH)D levels ≥75 nmol/L after BS. When considering hs-CRP as inflammatory marker, impaired iron status could be identified in two thirds of BS candidates. Protein supplements are helpful in achieving the PI goal after BS, with PI thresholds of >60 g/d or 1.1 g/kg Ideal Body Weight/day being associated with better FFM retention. The results of our pilot study support feasibility for a larger Randomized Control Trial with to address the association between PI and NB, BC17, body compositions changes, REE, glucose homeostasis, and satiety after BS. CONCLUSION: Our data underscores the need for the evaluation of nutritional parameters prior to- and following-BS. We deem results of this PhD project significantly contribute to improve knowledge in the area of nutrition and body composition after BS.

Nutrition and Bariatric Surgery

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Publisher : Academic Press
ISBN 13 : 0128229225
Total Pages : 310 pages
Book Rating : 4.1/5 (282 download)

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Book Synopsis Nutrition and Bariatric Surgery by : Jaime Ruiz-Tovar

Download or read book Nutrition and Bariatric Surgery written by Jaime Ruiz-Tovar and published by Academic Press. This book was released on 2020-12-15 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nutrition and Bariatric Surgery discusses nutritional deficiencies and requirements that are often present with diverse bariatric techniques as main mechanisms for weight loss. In addition, the book presents strategies for early detection and supplementation in order to avoid the appearance of deficiency diseases. Finally, the summarizes protocols for the optimal nutritional management of patients undergoing bariatric surgery. Bariatric surgeons, gastroenterologists, endocrinologists, general practitioners, nutritionists, dietitians and nurses specialized in nutritional management will find this resource especially useful. Discusses preoperative nutritional requirements and deficiencies surrounding bariatric surgery Presents preoperative diets, including LCD, VLCD and commercial supplements Contains nutritional recommendations after restrictive, mixed and malabsorptive procedures

Nutritional Deficiencies Post Bariatric Surgery

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (139 download)

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Book Synopsis Nutritional Deficiencies Post Bariatric Surgery by : Walid El Ansari

Download or read book Nutritional Deficiencies Post Bariatric Surgery written by Walid El Ansari and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric surgery (BS) results in significant weight loss and improvement of obesity associated comorbidities. Despite the benefits achieved with these operations, deficiencies of vitamins and other micronutrients are common. Such deficiencies may become clinically significant if not discovered and treated early. Therefore, it is imperative to undertake thorough screening, and have sound preventive strategies in place in order to make BS a safer procedure. This chapter will provide the multidisciplinary bariatric team with a comprehensive review of micronutrient deficiencies before and after bariatric surgery. The focus will be on the most common micronutrient deficiencies that are encountered in various types of BS procedures, including water soluble vitamins, fat-soluble vitamins, minerals and trace elements deficiencies, as well as protein malnutrition. The chapter starts with an overview of the causes of micronutrient deficiencies in patients with obesity and before undergoing BS. It reviews the screening of patients for preexisting micronutrient deficiencies prior to their BS. Then the chapter addresses the potential causes and mechanisms leading to such deficiencies after BS. It then conducts an in depth discourse of the prevalence of deficiencies by the type of BS, the presenting symptoms, and the investigations required for the diagnoses. The chapter will also discuss the management of each deficiency according to the severity of the symptoms. The chapter also reviews the recent updated guidelines for standard nutritional care post BS. We will finally conclude with a framework of the preventive strategies for optimal care to ensure long term success post-surgery.

Surgical Management of Obesity

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Publisher : Elsevier Health Sciences
ISBN 13 : 1416000895
Total Pages : 492 pages
Book Rating : 4.4/5 (16 download)

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Book Synopsis Surgical Management of Obesity by : Henry Buchwald

Download or read book Surgical Management of Obesity written by Henry Buchwald and published by Elsevier Health Sciences. This book was released on 2007 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leaders in the field present today's most comprehensive coverage of bariatric surgery, one of the most promising current treatments for the growing global epidemic of overweight and obesity. This brand new resource begins with a through examination of the history, incidence, demography, etiology, biology, comorbidities, longevity, and social and economic implications of obesity. It then discusses pre-, peri-, and postoperative issues of importance before examining the evolution of bariatric procedures. Individual chapters present the best surgical approaches, their outcomes, and other considerations involved in this surgical approach. Presents a comprehensive overview of the entire field of bariatric surgery, as well as a broad discussion of critical non-operative topics. Discusses the evolution of bariatric procedures, followed by individual chapters that examine laparoscopic adjustable gastric banding, vertical banded gastroplasty, the banded gastric bypass, and other surgical approaches. Reviews the outcomes of bariatric surgery with respect to nutrition, diabetes, hypertension, sleep apnea, orthopedic conditions, and metabolism. Offers guidance on practical and academic training of the bariatric surgeon, patient support groups, the importance of the multidisciplinary team, managed care, allied health, laparoscopic suites and robotics, liability issues, and more. Includes dietary, drug management, and other alternative non-operative approaches. Addresses the growing incidence of childhood obesity with a chapter focusing on adolescent bariatric surgery patients. With 91 additional contributing experts.

Management of Nutritional and Metabolic Complications of Bariatric Surgery

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Publisher : Springer Nature
ISBN 13 : 9813347023
Total Pages : 359 pages
Book Rating : 4.8/5 (133 download)

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Book Synopsis Management of Nutritional and Metabolic Complications of Bariatric Surgery by : Aparna Govil Bhasker

Download or read book Management of Nutritional and Metabolic Complications of Bariatric Surgery written by Aparna Govil Bhasker and published by Springer Nature. This book was released on 2021-04-21 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers the management of various metabolic, nutritional and hormonal complications that arise after bariatric surgery. Until now bariatric surgeons have focused on mastering the surgical technique and reducing surgical complications. A number of metabolic and nutritional complications in the post-surgical phase can remain undiagnosed or unreported with a potential for irreversible morbidity. The book is edited by a team of experienced surgeons and bariatric nutritionists to provide a balanced perspective on the subject. It includes chapters on the prevention and subsequent diagnosis and management of these complications early in the course and explaining each complication with one or more suitable case reports. This book is relevant for practicing as well as aspiring bariatric surgeons, nutritionists/dieticians and bariatric physicians.

Metabolic Medicine and Surgery

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Publisher : CRC Press
ISBN 13 : 1466567112
Total Pages : 660 pages
Book Rating : 4.4/5 (665 download)

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Book Synopsis Metabolic Medicine and Surgery by : Michael M. Rothkopf

Download or read book Metabolic Medicine and Surgery written by Michael M. Rothkopf and published by CRC Press. This book was released on 2014-11-07 with total page 660 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first comprehensive overview of an emerging field, Metabolic Medicine and Surgery introduces a new paradigm in patient management that crosses existing subspecialty boundaries. This approach is necessitated by the challenges of treating patients with obesity, metabolic syndrome, cardiovascular disease and prediabetes, as well as those with maldigestion, malabsorption, malnutrition and nutritional deficiencies. This book teaches physicians and surgeons what they need to know about clinical nutrition, metabolism and the metabolic effects of bariatric surgery. It is also applicable to those in primary care, including physicians, residents, medical students, nurses and nurse practitioners, physician assistants and dietitians who are on the front lines of treating patients with obesity, diabetes and cardiovascular disease. The book is presented in four sections: 1. An Overview of Metabolic Medicine and Surgery; 2. Metabolic Syndrome, Insulin Resistance and Obesity; 3. Diseases of Undernutrition and Absorption; 4. A Nutritional Relationship to Neurological Diseases. It contains chapters from world-renowned experts who are widely published in major medical journals. The book also benefits from the contributions of clinicians with extensive experience and perspective in the field, including many who have been witness to its major developments. This book’s strength lies in the cross-specialty consensus created by the collaboration of the editors and further developed by their renowned contributors. It demonstrates how medicine, surgery, therapeutics, and nutrition can be combined synergistically to impact patient outcomes. It crystallizes the efforts of a multitude of physicians and scientists trying to control the linked pandemics of obesity, type-2 diabetes and cardiovascular disease. This book helps you develop comprehensive solutions to diseases afflicting vast numbers of patients worldwide.

Laparoscopic Sleeve Gastrectomy

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Publisher : Springer Nature
ISBN 13 : 3030573737
Total Pages : 674 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Laparoscopic Sleeve Gastrectomy by : Salman Al-Sabah

Download or read book Laparoscopic Sleeve Gastrectomy written by Salman Al-Sabah and published by Springer Nature. This book was released on 2021-01-04 with total page 674 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a complete guide to laparoscopic sleeve gastrectomy and the management of obesity. The chapters discuss guidelines for healthcare providers for the management of patients with obesity, the rationale behind choosing patients, performing the procedure in line with the patient’s condition, the perioperative period, postoperative requirements, and postoperative complications. This book aims to give readers an understanding of the surgical techniques involved in laparoscopic sleeve gastrectomy and the wider treatment options available. It is relevant to bariatric, metabolic, and general surgeons, physicians, clinical nutritionists as well as students.

Nutrition and Bariatric Surgery

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Publisher : CRC Press
ISBN 13 : 1466557702
Total Pages : 298 pages
Book Rating : 4.4/5 (665 download)

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Book Synopsis Nutrition and Bariatric Surgery by : Robert F. Kushner

Download or read book Nutrition and Bariatric Surgery written by Robert F. Kushner and published by CRC Press. This book was released on 2014-08-21 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric surgery has led to improved health outcomes including significant weight loss and reduction in co-morbidities among patients with obesity. Clinical practice guidelines recommend that patients considering bariatric surgery undergo a comprehensive nutritional assessment. Nutrition and Bariatric Surgery is the first comprehensive book that u

Disease Control Priorities, Third Edition (Volume 8)

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Publisher : World Bank Publications
ISBN 13 : 1464804397
Total Pages : 977 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Disease Control Priorities, Third Edition (Volume 8) by : Donald A. P. Bundy

Download or read book Disease Control Priorities, Third Edition (Volume 8) written by Donald A. P. Bundy and published by World Bank Publications. This book was released on 2017-11-20 with total page 977 pages. Available in PDF, EPUB and Kindle. Book excerpt: More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.

Nutrigenetics

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Publisher : Academic Press
ISBN 13 : 0123859018
Total Pages : 397 pages
Book Rating : 4.1/5 (238 download)

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Book Synopsis Nutrigenetics by : Martin Kohlmeier

Download or read book Nutrigenetics written by Martin Kohlmeier and published by Academic Press. This book was released on 2012-12-31 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nutrigenetics: Applying the Science of Personal Nutrition provides a fully referenced, readable guide to understanding the rationale and importance of nutrigenetic applications and explains why single nutrition recommendations will not fit everybody or even a majority of modern humans. This books explains how genetic variation shapes individual nutrition requirements and sensitivities, presents questions to ask about reported gene-nutrient interactions, and what needs to be done before putting nutrigenetic tests to practical use. This book blends key concepts from the fields of genetics, biochemistry, epidemiology, public health, and clinical medicine to give a rich perspective on the genetically diverse nutritional needs and sensitivities of individuals in health and disease. A steadily increasing number of people order genetic tests to find out what they should eat for better health, well being and performance, and an even greater number asks their healthcare providers about such tests. Most of the currently offered tests are not grounded in current knowledge, often absurdly so, but few professionals can explain why they are misguided. On the other hand, there are more evidence-supported genetic variants that can guide nutrition decisions, but again most healthcare providers know little about them, much less use them in their daily practice. There is a great need for a solidly evidence-based yet accessible book that explains the science of nutrigenetics and provides the tools to evaluate new nutrigenetic tests. - Comprehensive coverage of the emerging science of nutritional genetics and its promise for individually tailored nutrition guidance - Presents practical examples to enhance comprehension and spur additional research - Offers a logical progression from what nutrigenetics is, to its possibilities in enhancing health

The ASMBS Textbook of Bariatric Surgery

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Publisher : Springer Nature
ISBN 13 : 3030270211
Total Pages : 654 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis The ASMBS Textbook of Bariatric Surgery by : Ninh T. Nguyen

Download or read book The ASMBS Textbook of Bariatric Surgery written by Ninh T. Nguyen and published by Springer Nature. This book was released on 2019-10-16 with total page 654 pages. Available in PDF, EPUB and Kindle. Book excerpt: ​The fully updated 2nd edition of this textbook continues to serve as a comprehensive guide for information dealing with the ever-evolving field of bariatric surgery. The chapters are written by experts in the field and include the most up-to-date information, including new sections on quality in bariatric surgery, endoscopic surgery, and management of bariatric complications. This new edition continues to cover the basic considerations for bariatric surgery, the currently accepted procedures, outcomes of bariatric surgery including long-term weight loss, improvement and resolution of comorbidities, and improvement in quality of life. Other special emphasis is given to the topics of metabolic surgery and surgery for patients with lower BMI. In addition, new endoscopic bariatric procedures including the gastric balloons, endoscopic revisional procedures, and newer pharmacotherapy for obesity are reviewed. The ASMBS Textbook of Bariatric Surgery Second Edition will continue to be a leading source of scientific information for surgeons, physicians, residents, students, and integrated health members today and for years to come.

ADA Pocket Guide to Nutrition Assessment

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Publisher : American Dietetic Associati
ISBN 13 : 0880914211
Total Pages : 232 pages
Book Rating : 4.8/5 (89 download)

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Book Synopsis ADA Pocket Guide to Nutrition Assessment by : Pamela Charney

Download or read book ADA Pocket Guide to Nutrition Assessment written by Pamela Charney and published by American Dietetic Associati. This book was released on 2009 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Essentials of Mini ‒ One Anastomosis Gastric Bypass

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Publisher : Springer
ISBN 13 : 3319761773
Total Pages : 371 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Essentials of Mini ‒ One Anastomosis Gastric Bypass by : Mervyn Deitel

Download or read book Essentials of Mini ‒ One Anastomosis Gastric Bypass written by Mervyn Deitel and published by Springer. This book was released on 2018-05-15 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book indicates the technique and fine points of the mini- and one-anastomosis gastric bypass, and looks at the means of revising other operations related to it. The chapters discuss postoperative complications, treatment and requirements, postoperative diet and medications, the remarkable effects on the co-morbidities of morbid obesity, and the durability of the weight loss, as well as the improvement in the quality of life. Essentials of Mini ‒ One Anastomosis Gastric Bypass aims to help surgeons manage the difficulties encountered within this procedure and to help create improved practice.

Metabolism and Pathophysiology of Bariatric Surgery

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Publisher : Academic Press
ISBN 13 : 0128040637
Total Pages : 685 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Metabolism and Pathophysiology of Bariatric Surgery by : Victor R Preedy

Download or read book Metabolism and Pathophysiology of Bariatric Surgery written by Victor R Preedy and published by Academic Press. This book was released on 2016-11-26 with total page 685 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pathophysiology of Bariatric Surgery: Metabolism, Nutrition, Procedures, Outcomes and Adverse Effects uses a metabolic and nutritional theme to explain the complex interrelationships between obesity and metabolic profiles before and after bariatric surgery. The book is sectioned into seven distinct areas, Features of Obesity, Surgical Procedures, Nutritional Aspects, Metabolic Aspects, Diabetes, Insulin Resistance and Glucose Control, Cardiovascular and Physiological Effects, and Psychological and Behavioral Effects. Included is coverage on the various types of bariatric surgery, including Roux-en-Y gastric bypass, gastric banding, sleeve gastrectomy, biliopancreatic diversion, and jejunoileal bypass, as well as the variations upon these procedures. - Provides information on diet, nutrition, surgical procedures, outcomes, and side effects in relation to bariatric surgery in one comprehensive text - Contains a Dictionary of Terms, Key Facts, and Summary Points in each chapter - Includes access to a companion website with accompanying videos

Human Malnutrition

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Publisher : Nova Science Publishers
ISBN 13 : 9781624170430
Total Pages : 0 pages
Book Rating : 4.1/5 (74 download)

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Book Synopsis Human Malnutrition by : Kaushik Bose

Download or read book Human Malnutrition written by Kaushik Bose and published by Nova Science Publishers. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human malnutrition is a serious health problem worldwide. Traditionally, malnutrition is referred to as under-nutrition. However, during the last three decades, the problems of overweight and obesity have reached alarming proportions necessitating the coinage of the term "globesity" which refers to global obesity. Thus, malnutrition manifests itself as a dual burden: under-nutrition and over-nutrition. Both these burdens have serious implications regarding morbidity and mortality. In this book, there are 15 chapters which discuss these dual burdens. These chapters address diverse aspects of human nutrition including birth weight, under-nutrition, overweight and obesity, nutrition interventions, micronutrients and other co-variates of malnutrition. Confounding factors of malnutrition are also highlighted.

Malnutrition in the Elderly

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Publisher : Springer Science & Business Media
ISBN 13 : 3642470734
Total Pages : 132 pages
Book Rating : 4.6/5 (424 download)

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Book Synopsis Malnutrition in the Elderly by : W.O. Seiler

Download or read book Malnutrition in the Elderly written by W.O. Seiler and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: H. B. Stahelin "Under-or malnutrition is a frequent and serious problem in geriatric patients" (8). Today there is no doubt that malnutrition contributes significantly to morbidity and mortality in the aged. The immune function is impaired, the risk for falls and fractures increases, in acute illness, recovery is delayed, and complications are frequent. Acute and chronic illnesses lead to a catabolic metabolism and hence increase the signs and symptoms of malnutrition. Cytokines related to inflamma tion block the synthesis of albumin and shift protein synthesis to acute phase pro teins. The activation of the ubiquitine-proteasome pathway leads to a degradation of muscle protein, which leads to an additional loss of muscle mass which occurs as age-dependent sarcopenia, and adds to the already existing frailty (2, 4). It is often difficult to decide to what extent the metabolic alterations result from malnutrition or concomitant illness. Psychological factors contribute as a circulus vitiosus significantly to anorexia and, thus, aggravate the condition. They are the most important causes of failure to thrive in old age (7). It is evident that next to the therapy of the underlying illness, an adequate support with calorie and nutrient intake over weeks becomes essen tial under these conditions. Clear-cut improvements are often only seen after 6 or more weeks. Besides a clinical, clearly visible malnutrition, selective nutrient deficits are much more frequent. Numerous and highly different mechanisms may lead to a marginal or insufficient supply with micronutrients.

Bariatric and Metabolic Surgery

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Publisher : Springer Science & Business Media
ISBN 13 : 3642355919
Total Pages : 113 pages
Book Rating : 4.6/5 (423 download)

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Book Synopsis Bariatric and Metabolic Surgery by : Seung Ho Choi

Download or read book Bariatric and Metabolic Surgery written by Seung Ho Choi and published by Springer Science & Business Media. This book was released on 2014-02-21 with total page 113 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric and Metabolic Surgery is recognized to be an important and effective option for the treatment of severe obesity and the various associated conditions and diseases. This book presents state of the art knowledge on such surgery with the aim of facilitating the sharing and exchange of knowledge, documenting effective techniques, and enhancing safety and outcomes. All technical aspects are covered in detail, and the text is complemented by many helpful illustrations. A further key feature is the provision of accompanying surgical videos, which will be of value to both novice and experienced surgeons. This textbook will be a great asset in clinical practice for all who are involved or interested in bariatric and metabolic surgery.