Protein Malnutrition Clinical Trial
Official title:
Impact of Protein Supplementation After Bariatric Surgery - a Randomized, Controlled, Double Blind Pilot Study
Obese patients, who underwent bariatric surgery, are at risk to develop protein malnutrition. The aim of this study is to evaluate the influence of postoperative protein supplementation on weight reduction, body composition and protein status.
Bariatric surgery has become a major treatment option for severe obesity in adults. It has
proven its efficiency regarding weight loss and its benefits concerning the improvement or
even remission of obesity related comorbidities. Additionally, bariatric surgery procedures
can be performed laparoscopically, which decreases the complication rate and reduces
postoperative pains. Despite the advantages of bariatric surgery, attention needs to be paid
to the possible risks following the surgical treatment. Postoperative risks often concern
the nutritional status. It has been shown that, beside different micronutrient deficiencies,
bariatric surgery also leads to an increased risk of developing protein malnutrition.
Discussed reasons for this are the malabsorption of nutrients and the restricted food intake
after surgery, which may lead to reduced protein consumption. Postoperative occurrence of
vomiting or different food intolerances may support this effect. Accordingly, if an
inadequate supply persists, a protein deficit will occur and this, in turn, may lead to an
undesirable reduction in muscle mass and plasma protein levels. Based on this background,
numerous studies indicate an increased incidence of protein malnutrition after bariatric
surgery by detecting a decrease in levels of albumin and prealbumin, a significant reduction
in lean body mass, as well as an inadequate protein intake after surgical treatment.
Dietary proteins have shown to play an important role in body weight regulation. There is
evidence that a protein-rich diet is supposed to facilitate weight loss, to support
successful weight maintenance, to attain satiety and to preserve lean body mass. Therefore,
the use of protein supplements after bariatric surgery may minimize the risk for developing
protein malnutrition and hence optimize the postoperative care.
The primary aim of this randomized, placebo-controlled, double blind pilot study was to
evaluate the influence of postoperative protein supplementation on body weight reduction,
body composition and protein status.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Supportive Care
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