Very Low-Calorie Ketogenic Diet (VLCKD) as Pre-Operative First-Line Dietary Therapy in Patients with Obesity Who Are Candidates for Bariatric Surgery

被引:25
作者
Barrea, Luigi [1 ,2 ]
Verde, Ludovica [2 ,3 ]
Schiavo, Luigi [4 ,5 ]
Sarno, Gerardo [6 ]
Camajani, Elisabetta [7 ]
Iannelli, Antonio [8 ,9 ,10 ]
Caprio, Massimiliano [7 ,11 ]
Pilone, Vincenzo [4 ,5 ]
Colao, Annamaria [2 ]
Muscogiuri, Giovanna [2 ]
机构
[1] Univ Telemat Pegaso, Ctr Direzionale, Dipartimento Sci Umanist, Via Porzio,Isola F2, I-80143 Naples, Italy
[2] Univ Napoli Federico II, Ctr Italiano cura & Benessere Paziente con Obes CI, Dipartimento Med Clin & Chirurg, Unita Endocrinol Diabetol & Androl, Via Sergio Pansini 5, I-80131 Naples, Italy
[3] Univ Napoli Federico II, Dept Publ Hlth, Via Sergio Pansini 5, I-80131 Naples, Italy
[4] Univ Salerno, Dept Med Surg & Dent Scuola Med Salernitana, Complex Operat Unit Gen & Emergency Surg, I-84081 Salerno, Italy
[5] Univ Salerno, Bariatr Ctr Excellence SICOB, I-84081 Salerno, Italy
[6] San Giovanni Dio & Ruggi Aragona Univ Hosp, Scuola Med Salernitana, I-84131 Salerno, Italy
[7] San Raffaele Open Univ, Dept Human Sci & Promot Qual Life, I-00166 Rome, Italy
[8] CHU Nice, Archet 2 Hosp, Digest Surg & Liver Transplantat Unit, 151 Route St Antoine Ginestiere,BP 3079, F-06200 Nice 3, France
[9] Univ Cote Azur, Fac Med, F-06000 Nice, France
[10] Inserm, U1065, Team 8 Hepat Complicat Obes & Alcohol, F-06204 Nice, France
[11] Ist Ricovero & Cura Carattere Sci IRCCS San Raffae, Lab Cardiovasc Endocrinol, I-00166 Rome, Italy
关键词
ketogenic diet; very low-calorie ketogenic diet; obesity; bariatric surgery; nutrition; Y GASTRIC BYPASS; LAPAROSCOPIC SLEEVE GASTRECTOMY; WEIGHT-LOSS SURGERY; LOW-ENERGY DIET; PERIOPERATIVE MANAGEMENT; EUROPEAN GUIDELINES; POSITION STATEMENT; CLINICAL-PRACTICE; AMERICAN SOCIETY; MORBID-OBESITY;
D O I
10.3390/nu15081907
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Bariatric surgery is currently the most effective method for achieving long-term weight loss and reducing the risk of comorbidities and mortality in individuals with severe obesity. The pre-operative diet is an important factor in determining patients' suitability for surgery, as well as their post-operative outcomes and success in achieving weight loss. Therefore, the nutritional management of bariatric patients requires specialized expertise. Very low-calorie diets and intragastric balloon placement have already been studied and shown to be effective in promoting pre-operative weight loss. In addition, the very low-calorie ketogenic diet has a well-established role in the treatment of obesity and type 2 diabetes mellitus, but its potential role as a pre-operative dietary treatment prior to bariatric surgery has received less attention. Thus, this article will provide a brief overview of the current evidence on the very low-calorie ketogenic diet as a pre-operative dietary treatment in patients with obesity who are candidates for bariatric surgery.
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页数:23
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