2018, Number 6
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Cir Cir 2018; 86 (6)
High-protein diet in morbidity obesity patient before bariatric surgery
Pardo-Pacheco BR, Pérez-Cruz E, Nieto-Velázquez NG, Asbun-Bojalil J, Moreno-Eutimio MA
Language: Spanish
References: 19
Page: 508-514
PDF size: 255.38 Kb.
ABSTRACT
Objective: Compare the effectiveness of a hyperproteic hypocaloric feeding plan with a normoproteic on body composition,
biochemical parameters and inflammatory cytokines in obese pre-bariatric surgery patients in the integral treatment.
Method: Seventy-six pre-bariatric surgery patients with body mass index (BMI) β 40 kg/m
² were studied. One group was
treated with a hyperproteic hypocaloric diet and compared with a normoproteic hypocaloric diet. Biochemical parameters,
anthropometric parameters, body composition and levels of tumor necrosis factor (TNF), interleukin (IL)-6 and IL-1β in serum
were evaluated at the initiation of treatment and after 4 months.
Results: In both groups studied, a decrease in weight, BMI
and fat mass was observed, as well as an increase in muscle mass compared to baseline (p ‹ 0.05), no differences showed
between the groups studied. No change was found in the biochemical parameters and serum levels of TNF and IL-6 before
and after 4 months of treatment, nor among the groups evaluated (p › 0.05). Serum IL-1β levels decreased after treatment
with only a normoprotein hypocaloric diet (p = 0.02).
Conclusions:
Hyperproteic hypocaloric diet does not show advantages in weight reduction and body fat or in muscle mass gain compared to the normoproteic hypocaloric diet in patients with morbid
obesity bariatric pre-surgery in the integral treatment.
REFERENCES
Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii.1-253.
Organización Mundial de la Salud. Ginebra: OMS; 2017. (Actualizado en octubre de 2017; consultado el 9 de febrero de 2018.) Obesidad y sobrepeso: nota descriptiva. Disponible en: http://www.who.int/mediacentre/ factsheets/fs311/es
Encuesta Nacional de Salud y Nutrición de Medio Camino 2016 (ENSANUT 2016). Informe final de resultados. Instituto Nacional de Salud Pública. 31 de octubre de 2016. (Consultado el 9 de febrero de 2018.) Disponible en: http //transparencia insp.mx/2017/auditorias-insp/12701_ Resultados_Encuesta_ENSANUT_MC2016.pdf
Zeyda M, Stulnig TM. Adipose tissue macrophages. Immunol Lett. 2007;112:61-7.
Dandona P, Aljada A, Bandyopadhyay A. Inflammation: the link between insulin resistance, obesity and diabetes. Trends Immunol. 2004;25:4-7.
Gregor MF, Hotamisligil GS. Inflammatory mechanisms in obesity. Annu Rev Immunol. 2011;29:415-45.
Yumuk V, Tsigos C, Fried M, Schindler K, Busetto L, Micic D, et al. European guidelines for obesity management in adults. Obes Facts. 2015;8:402-24.
Reilly SM, Saltiel AR. Adapting to obesity with adipose tissue inflammation. Nat Rev Endocrinol. 2017;13 633-43.
Siri-Tarino PW, Sun Q, Hu FB, Krauss RM. Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease. Am J Clin Nutr. 2010;91:535-46.
Cruz-Teno C, Pérez-Martínez P, Delgado-Lista J, Yubero-Serrano EM, García-Ríos A, Marín C, et al. Dietary fat modifies the postprandial inflammatory state in subjects with metabolic syndrome: the LIPGENE study. Mol Nutr Food Res. 2012;56:854-65.
Bonfanti N, Fernández JM, Gómez-Delgado F, Pérez-Jiménez F. [Effect of two hypocaloric diets and their combination with physical exercise on basal metabolic rate and body composition]. Nutr Hosp. 2014;29:635-43.
Merino J, Kones R, Ferré R, Plana N, Girona J, Aragonés G, et al. Negative effect of a low-carbohydrate, high-protein, high-fat diet on small peripheral artery reactivity in patients with increased cardiovascular risk. Br J Nutr. 2013;109:1241-7.
Volek JS, Ballard KD, Silvestre R, Judelson DA, Quann EE, Forsythe CE, et al. Effects of dietary carbohydrate restriction versus low-fat diet on flow-mediated dilation. Metabolism. 2009;58:1769-77.
Sacks FM, Bray GA, Carey VJ, Smith SR, Ryan DH, Anton SD, et al. Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. N Engl J Med. 2009;360:859-73.
Salas-Salvadó J, Bulló M, García-Lorda P, Figueredo R, Del Castillo D, Bonada A, et al. Subcutaneous adipose tissue cytokine production is not responsible for the restoration of systemic inflammation markers during weight loss. Int J Obes (Lond). 2006;30:1714-20.
Krieger JW, Sitren HS, Daniels MJ, Langkamp-Henken B. Effects of variation in protein and carbohydrate intake on body mass and composition during energy restriction: a meta-regression 1. Am J Clin Nutr. 2006;83:260-74.
García-Unciti M, Martínez JA, Izquierdo M, Gorostiaga EM, Grijalba A, Ibáñez J. Effect of resistance training and hypocaloric diets with different protein content on body composition and lipid profile in hypercholesterolemic obese women. Nutr Hosp. 2012;27:1511-20.
Moreno-Eutimio MA, Acosta-Altamirano G. The immunometabolism of exercise and sedentary lifestyle. Cir Cir. 2014;82:344-51.
Bruun JM, Verdich C, Toubro S, Astrup A, Richelsen B. Association between measures of insulin sensitivity and circulating levels of interleukin- 8, interleukin-6 and tumor necrosis factor-alpha. Effect of weight loss in obese men. Eur J Endocrinol. 2003;148:535-42.