Evaluation of nutritional, anthropometric, and psychological outcomes in different metabolic and bariatric surgery techniques: a follow up study

Abstract Background Metabolic and bariatric surgery (MBS) is a suitable solution for the treatment of morbid obesity. Investigating an MBS method that has the best outcomes has always been the main concern of physicians. The current study aimed to compare nutritional, anthropometric, and psychologic...

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Main Authors: Elham Hojaji, Zahra Veysi, Shadi Naderyan Fe’li, Neda Shalbaf, Moslem Arian, Cain C. T. Clark, Ahmad Reza Dorosty Motlagh
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Surgery
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Online Access:https://doi.org/10.1186/s12893-025-02773-4
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author Elham Hojaji
Zahra Veysi
Shadi Naderyan Fe’li
Neda Shalbaf
Moslem Arian
Cain C. T. Clark
Ahmad Reza Dorosty Motlagh
author_facet Elham Hojaji
Zahra Veysi
Shadi Naderyan Fe’li
Neda Shalbaf
Moslem Arian
Cain C. T. Clark
Ahmad Reza Dorosty Motlagh
author_sort Elham Hojaji
collection DOAJ
description Abstract Background Metabolic and bariatric surgery (MBS) is a suitable solution for the treatment of morbid obesity. Investigating an MBS method that has the best outcomes has always been the main concern of physicians. The current study aimed to compare nutritional, anthropometric, and psychological complications of individuals undergoing various MBS Techniques. Methods A total of 96 subjects, who had been already referred to the obesity clinic of Firoozgar Hospital, Tehran, Iran, for MBS, were selected for the study and were followed for one year after MBS. The dietary intakes of the participants were assessed using a Food Frequency Questionnaire (FFQ) on a daily, weekly, monthly, or yearly basis. The mental health of participants was done via the Symptom Checklist 90 Revised. Furthermore, the In-Body 720 bioelectrical impedance device was used to obtain the body composition of the participants at the beginning and the end of the study. Results The mean age of the participants was 39.5 ± 9.5 years. All anthropometric indices including weight, Body Mass Index (BMI), protein content, fat mass, and fat mass percentage decreased after Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), and sleeve gastrectomy (SG) surgeries (P < 0.05). After adjustments for confounders, no significant difference was observed in the magnitude of the changes in body composition between the three Techniques (p > 0.05). Energy and carbohydrate intake significantly decreased after surgeries in all three groups (p < 0.05), but comparing the methods no significant difference was revealed (p > 0.05). Furthermore, the results indicated that there was a significant relationship between the mental health of patients before and after surgeries (p < 0.05). Conclusion Overall, all three methods of surgery contributed to the improvement of the nutritional, anthropometric, and psychological complications. Further complementary studies are needed to determine the least complicated MBS method.
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spelling doaj-art-5466342117264b7dbd23113bf9634eb32025-01-26T12:12:40ZengBMCBMC Surgery1471-24822025-01-0125111010.1186/s12893-025-02773-4Evaluation of nutritional, anthropometric, and psychological outcomes in different metabolic and bariatric surgery techniques: a follow up studyElham Hojaji0Zahra Veysi1Shadi Naderyan Fe’li2Neda Shalbaf3Moslem Arian4Cain C. T. Clark5Ahmad Reza Dorosty Motlagh6Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical SciencesDepartment of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical SciencesDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical SciencesEndocrine Research Center, Institute of Endocrinology and metabolism, department of internal medicine, school of medicine, Firoozgar Hospital, Iran University of medical sciencesDepartment of Counseling, University of Social Welfare and Rehabilitation SciencesCenter for Intelligent Healthcare, Coventry UniversityDepartment of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical SciencesAbstract Background Metabolic and bariatric surgery (MBS) is a suitable solution for the treatment of morbid obesity. Investigating an MBS method that has the best outcomes has always been the main concern of physicians. The current study aimed to compare nutritional, anthropometric, and psychological complications of individuals undergoing various MBS Techniques. Methods A total of 96 subjects, who had been already referred to the obesity clinic of Firoozgar Hospital, Tehran, Iran, for MBS, were selected for the study and were followed for one year after MBS. The dietary intakes of the participants were assessed using a Food Frequency Questionnaire (FFQ) on a daily, weekly, monthly, or yearly basis. The mental health of participants was done via the Symptom Checklist 90 Revised. Furthermore, the In-Body 720 bioelectrical impedance device was used to obtain the body composition of the participants at the beginning and the end of the study. Results The mean age of the participants was 39.5 ± 9.5 years. All anthropometric indices including weight, Body Mass Index (BMI), protein content, fat mass, and fat mass percentage decreased after Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), and sleeve gastrectomy (SG) surgeries (P < 0.05). After adjustments for confounders, no significant difference was observed in the magnitude of the changes in body composition between the three Techniques (p > 0.05). Energy and carbohydrate intake significantly decreased after surgeries in all three groups (p < 0.05), but comparing the methods no significant difference was revealed (p > 0.05). Furthermore, the results indicated that there was a significant relationship between the mental health of patients before and after surgeries (p < 0.05). Conclusion Overall, all three methods of surgery contributed to the improvement of the nutritional, anthropometric, and psychological complications. Further complementary studies are needed to determine the least complicated MBS method.https://doi.org/10.1186/s12893-025-02773-4ObesityMetabolic and bariatric surgeryPsychological problemsDietary intake
spellingShingle Elham Hojaji
Zahra Veysi
Shadi Naderyan Fe’li
Neda Shalbaf
Moslem Arian
Cain C. T. Clark
Ahmad Reza Dorosty Motlagh
Evaluation of nutritional, anthropometric, and psychological outcomes in different metabolic and bariatric surgery techniques: a follow up study
BMC Surgery
Obesity
Metabolic and bariatric surgery
Psychological problems
Dietary intake
title Evaluation of nutritional, anthropometric, and psychological outcomes in different metabolic and bariatric surgery techniques: a follow up study
title_full Evaluation of nutritional, anthropometric, and psychological outcomes in different metabolic and bariatric surgery techniques: a follow up study
title_fullStr Evaluation of nutritional, anthropometric, and psychological outcomes in different metabolic and bariatric surgery techniques: a follow up study
title_full_unstemmed Evaluation of nutritional, anthropometric, and psychological outcomes in different metabolic and bariatric surgery techniques: a follow up study
title_short Evaluation of nutritional, anthropometric, and psychological outcomes in different metabolic and bariatric surgery techniques: a follow up study
title_sort evaluation of nutritional anthropometric and psychological outcomes in different metabolic and bariatric surgery techniques a follow up study
topic Obesity
Metabolic and bariatric surgery
Psychological problems
Dietary intake
url https://doi.org/10.1186/s12893-025-02773-4
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