What Is Known About the Nutritional Intake of Women during Pregnancy Following Bariatric Surgery? A Scoping Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
- identifying the research question
- identifying relevant studies
- study selection
- charting the data
- collating, summarising and reporting the results.
2.2. Identifying the Research Question
2.3. Search Strategy
2.4. Charting and Summarising the Data
3. Results
3.1. Study Characteristics
3.2. Dietary Assessment Methodology of Included Studies
3.3. Macronutrient and Micronutrient Intakes
3.4. Group Comparisons
3.5. Links between Nutritional Intake and Other Outcomes
4. Discussion
Strengths and Limitations of Methodology
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Authors, Year | Study Population | Location | Participants (N) | Mean/Median Age * (Years) | Pre-Pregnancy BMI (kg/m2) | Time Interval Surgery to Conception (Months) | Method |
---|---|---|---|---|---|---|---|
Dias et al. (2009) [42] | Women who conceived between 0–5 years after having RYGB surgery | Brazil | 14 | 31.8 ± 6.5 | Not stated | 24.2 ± 21.6 | Retrospective medical note review |
Guelinckx et al. (2012) [45] | Pregnant women with a history of bariatric surgery | Belgium | 49: 18 LAGB 31 RYGB | 31 (25–36) (LAGB group) 30 (18–38) (RYGB group) | 31 (22–44) (LAGB group) 25 (22–39) (RYGB group) | 44 (4–108) (LAGB group) 22 (2–96) (RYGB group) | Prospective study: 7 day food diary collected in first and second trimester (weeks 7–12 and week 20) |
Jans et al. (2018) [43] | Pregnant women with a history of bariatric surgery | Belgium | 54: 45 RYGB 2 SG 2 LAGB 2 Scoparino procedure 3 not specified | 29.4 ± 4.3 | 28.1 ± 5.1 | 45.6 ± 29.9 | Prospective study: 3 day food record measured in first and third trimester (15 weeks and 32 weeks) |
Coupaye et al. [44] (2018) | Pregnant women who had bariatric surgery and at least 1 nutritional evaluation | France | 85 with dietary data: 55 RYGB 30 SG | 33.4 ± 4.7 (RYGB group) 31.1 ± 4.8 (SG group) | 31.2 ± 5.0 (RYGB group) 31.6 ± 6.8 (SG group) | 31 ± 22 (RYGB group) 24 ± 18 (SG group) | Prospective: 4 day food diary |
Authors | Control Group | Method of Dietary Monitoring | Dietary Outcome Measures | Results | Conclusions/Recommendations |
---|---|---|---|---|---|
Dias et al. (2009) [42] | No | Unclear–“energy and protein ingestion transcribed from patient’s chart” (Trimester 2 and 3). |
| Trimester 2 mean daily intake: Energy: 1789 ± 659 kcal Protein: 61.7 ± 19.8 g Trimester 3 mean daily intake: Energy: 1881 ± 835 kcal Protein: 62.8 ± 19.2 g |
|
Guelinckx et al. (2012) [45] | No | 7 day food diary (Trimester 1 and 2) |
| Trimester 1 mean daily intake LAGB participants: Energy: 1971 ± 430 kcal Protein as % energy: 15.1 ± 1.5 Total fat as % energy: 35.3 ± 4.7 Saturated fat as % energy: 13.0 ± 2.6 Carbohydrate as % energy: 49.8 ± 5.4 Fibre: 19.5 ± 5.4 g Calcium: 822 ± 273 mg Iron: 11 ± 2 mg RYGB participants: Energy: 1786 ± 283 kcal Protein as % energy: 15.8 ± 2.1 Total fat as % energy: 35.9 ± 3.3 Saturated fat as % energy: 14.2 ± 2.3 Carbohydrate as % energy: 48.5 ± 3.9 Fibre: 17.5 ± 5.3 g Calcium: 702 ± 228 mg Iron: 9 ± 2 mg Trimester 2 mean daily intake LAGB participants: Energy: 1978 ± 472 kcal Protein as % energy: 15.5 ± 2.2 Carbohydrate as % energy: 49.4 ± 4.4 Total fat as % energy: 14.2 ± 2.3 Saturated fat as % energy: 13.6 ± 2.4 Fibre: 17.7 ± 5.8 g Calcium: 806 ± 384 mg Iron: 10 ± 2 mg RYGB participants: Energy: 1895 ± 542 kcal Protein as % energy: 15.1 ± 2.4 Total fat as % energy: 35.1 ± 4.0 Saturated fat as % energy: 14.2 ± 1.9 Carbohydrate as % energy: 49.9 ± 4.4 Fibre: 18.2 ± 3.5 g Calcium: 764 ± 370 mg Iron: 10 ± 30 mg |
|
Jans et al. (2018) [43] | Yes 25 pregnant women with obesity | 3 day food record (Trimester 1 and 3) |
| Trimester 1 mean daily intake: Energy: 1452.46 ± 415.99 kcal Total fat: 56.21 ± 19.65 g Saturated fat: 23.39 ± 8.81 g MUFA: 17.73 ± 7.00 g PUFA: 8.80 ± 3.75 g n3 fatty acids: 0.78 (0.12–2.06) * g n6 fatty acids: 5.42 (1.38–15.25) * g Folate: 177.25 (42.01–419.62) * mcg Vitamin B12: 2.94 (0.59–8.54) * mcg Trimester 3 mean daily intake: Energy: 1514.47 ± 503.69 kcal Total fat: 56.8 ± 20.50 g Saturated fat: 24.25 ± 9.33 g MUFA: 17.86 ± 7.39 g PUFA: 8.35 (2.86–24.34) * g n3 fatty acids: 0.64 (0.12–2.28) * g n6 fatty acids: 5.18 (1.16–19.76) * g Folate: 171.75 ± 68.04 mcg Vitamin B12: 2.92 ±1.29 mcg |
|
Coupaye (2018) [44] | No | 4 day self-reported food diary (Trimester 2) |
| Mean daily intake: RYGB participants: Energy intake: 1385 ± 400 kcal Protein intake: 59.1 ± 20.9 g Carbohydrate: 164 ± 49 g Fat: 54.8 ± 19.1 g SG participants: Energy: 1222 ± 425 kcal Protein: 46.7 ± 14.5 g Carbohydrate: 152 ± 59 g Fat: 47.3 ± 20.3 g |
|
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Maslin, K.; James, A.; Brown, A.; Bogaerts, A.; Shawe, J. What Is Known About the Nutritional Intake of Women during Pregnancy Following Bariatric Surgery? A Scoping Review. Nutrients 2019, 11, 2116. https://doi.org/10.3390/nu11092116
Maslin K, James A, Brown A, Bogaerts A, Shawe J. What Is Known About the Nutritional Intake of Women during Pregnancy Following Bariatric Surgery? A Scoping Review. Nutrients. 2019; 11(9):2116. https://doi.org/10.3390/nu11092116
Chicago/Turabian StyleMaslin, Kate, Alison James, Anne Brown, Annick Bogaerts, and Jill Shawe. 2019. "What Is Known About the Nutritional Intake of Women during Pregnancy Following Bariatric Surgery? A Scoping Review" Nutrients 11, no. 9: 2116. https://doi.org/10.3390/nu11092116