RT info:eu-repo/semantics/doctoralThesis
T1 Eficacia de los tratamientos médico-nutricional a corto y largo plazo tras cirugía bariátrica
A1 Ramos Bachiller, Beatriz
A2 Universidad de Valladolid. Escuela de Doctorado
K1 Obesidad - CirugÍa
K1 Bariatric Surgery
K1 Cirugía bariátrica
K1 Protein supplementation
K1 Suplementación proteica
K1 Multivitamin
K1 Multivitamínico
K1 Body Composition
K1 Composición corporal
K1 32 Ciencias Médicas
AB Obesity is an increasingly prevalent pathology that is associated with chronic diseases and increases the morbidity and mortality of individuals who suffer from it. Among its therapeutic options we find lifestyle modifications with diet and physical activity, pharmacological treatments and CB.CB is indicated in cases of patients with severe obesity who do not achieve weight loss goals with non-surgical measures. In recent years, the prevalence of CB interventions has increased, the use of mixed and restrictive techniques has increased and malabsorptive techniques have decreased. In addition, there is greater knowledge about the evolution of these patients after the intervention.The multivitamin supplementation that these patients require after surgery depends on several factors such as the type of technique used, the presence of previous deficiencies or the intake made. Initially, standard multivitamins designed for the general population with Recommended Dietary Allowances (RDA) were used to try to cover the daily requirements of vitamins, trace elements and minerals for these individuals, but which could be insufficient for patients undergoing BC. Currently, there are specific multivitamins on the market for each type of technique, which try to cover the daily micronutrient needs estimated for each surgery.Likewise, dietary intervention before and after surgery has varied over time. Weight loss after surgery is faster in the first months. The evaluation of weight loss in terms of loss of fat mass and lean mass has shown the loss of muscle mass experienced by these patients after the intervention. Adequate protein supplementation before and after the intervention protects against this loss of muscle mass, always accompanied by strength exercises.The purpose of this work is to highlight the differences observed between a historical cohort of patients who received standard multivitamin supplementation and did not receive protein supplementation after the intervention; versus a cohort of patients receiving multivitamin supplementation specific to the surgical technique and protein supplementation after the intervention. Nutritional evolution and the presence of comorbidities prior to and after surgery will be assessed.
YR 2025
FD 2025
LK https://uvadoc.uva.es/handle/10324/75788
UL https://uvadoc.uva.es/handle/10324/75788
LA spa
NO Escuela de Doctorado
DS UVaDOC
RD 25-may-2025