Nutritional deficiencies in obesity and after bariatric surgery.

Nutritional deficiencies in obesity and after bariatric surgery.
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肥胖症和减肥手术后的营养缺乏。

DOI:
10.1016/j.pcl.2009.07.002
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发表时间:
2009-10
影响因子:
2.6
通讯作者:
Xanthakos, Stavra A.
Xanthakos, Stavra A.
中科院分区:
医学3区
文献类型:
--
作者:
Xanthakos, Stavra A.

文献摘要

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鉴于热量摄入过多,超重和肥胖中存在营养缺乏似乎是自相矛盾的,但在超重和肥胖的成年人和儿童中,几种微量营养素缺乏的患病率似乎更高。原因是多方面的,包括水果和蔬菜消费量的减少,高卡路里摄入量的增加,但营养质量不佳的食物,以及肥胖增加,这可能会影响某些营养素的储存和可获得性。随着肥胖症的流行有增无减,严重肥胖的成年人和青少年的减肥手术越来越受欢迎,医生必须意识到超重和肥胖患者先前存在的营养缺乏,并适当地识别和治疗减肥手术后可能出现或恶化的常见和罕见的营养缺乏。这篇文章将回顾我们目前对肥胖和超重个体的营养缺陷以及减肥手术后常见的营养缺陷的认识,并总结目前的筛查和补充建议。
The presence of nutritional deficiencies in overweight and obesity may seem paradoxical in light of excess caloric intake, but several micronutrient deficiencies appear to higher in prevalence in overweight and obese adults and children. Causes are multi-factorial and include decreased consumption of fruits and vegetables, increased intake of high calorie, but nutritionally poor quality foods, as well as increased adiposity which may influence the storage and availability of some nutrients. As the obesity epidemic continues unabated and the popularity of bariatric surgery rises for both severely obese adults and adolescents, medical practitioners must be aware of pre-existing nutritional deficiencies in overweight and obese patients and appropriately recognize and treat both common and rare nutritional deficiencies that may arise or worsen following bariatric surgery. This article will review our current knowledge of nutritional deficits in obese and overweight individuals and those that commonly present after bariatric surgery and summarize current recommendations for screening and supplementation.
DOI: 10.1016/j.soard.2005.12.001
发表时间: 2006-03-01
期刊: Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
影响因子: --
作者:
Carlin, Arthur M;Rao, D Sudhaker;Talpos, Gary B
通讯作者: Talpos, Gary B
DOI: 10.1001/jama.296.22.2720
发表时间: 2006-12-13
影响因子: 120.7
作者:
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DOI: 10.1016/s0002-8223(02)90273-7
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影响因子: --
作者:
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DOI: 10.1381/096089293765559142
发表时间: 1993-11-01
期刊: OBESITY SURGERY
影响因子: 2.9
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DOI: 10.1007/bf03346429
发表时间: 2008-10-01
影响因子: 5.4
作者:
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通讯作者: Vazquez, C.