Show me the evidence to guide nutrition practice: Scoping review of macronutrient dietary treatments after metabolic and bariatric surgery

IF 8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Obesity Reviews Pub Date : 2024-09-12 DOI:10.1111/obr.13831
Julie M. Parrott, Sue Benson‐Davies, Mary O'Kane, Shiri Sherf‐Dagan, Tair Ben‐Porat, Violeta Moizé Arcone, Silvia Leite Faria, J. Scott Parrott
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Abstract

SummaryBackgroundClinical practice recommendations for macronutrient intake in Metabolic and Bariatric Surgery (MBS) are insufficiently grounded in the research, possibly due to a paucity of research in key areas necessary to support macronutrient recommendations. An initial scoping review, prior to any systematic review, was determined to be vital.ObjectivesTo identify topical areas in macronutrients and MBS with a sufficient evidence base to guide nutrition recommendations.MethodsPubMed, Cochrane, Ovid Medline, and Embase were initially searched in January 2019 (updated November 1, 2023) with terms encompassing current bariatric surgeries and macronutrients. Out of 757 records identified, 98 were included. A template was created. Five types of outcomes were identified for extraction: dietary intake, anthropometrics, adverse symptoms, health, and metabolic outcomes. All stages of screening and extraction were conducted independently by at least two authors and disagreements were resolved via team discussion. Macronutrient‐related dietary treatments were classified as either innovative or standard of care. Descriptions of dietary arms were extracted in detail for a qualitatively generated typology of dietary or nutritional treatments. Heatmaps (treatments by outcomes) were produced to identify promising topics for further systematic analyses.ResultsWe identified protein supplementation and “food‐focused” (e.g., portion‐controlled meals, particular foods in the diet, etc.) topical areas in MBS nutrition care with potentially sufficient evidence to create specific MBS Macronutrients guidelines and identified topical areas with little research.ConclusionsClinical practice regarding macronutrient intake remains guided by consensus and indirect evidence. We detail ways that leadership at the profession level may remedy this.
向我展示指导营养实践的证据:代谢和减肥手术后的宏量营养素饮食治疗范围综述
摘要背景代谢与减肥手术(MBS)中有关宏量营养素摄入的临床实践建议缺乏足够的研究基础,这可能是由于支持宏量营养素建议所需的关键领域研究较少。在进行任何系统性综述之前,初步的范围界定综述被认为是至关重要的。目的 确定在宏量营养素和 MBS 方面具有充分证据基础的专题领域,以指导营养建议。方法 2019 年 1 月(2023 年 11 月 1 日更新),对 PubMed、Cochrane、Ovid Medline 和 Embase 进行了初步检索,检索词包括当前的减肥手术和宏量营养素。在确定的 757 条记录中,有 98 条被纳入。创建了一个模板。确定了用于提取的五类结果:饮食摄入、人体测量、不良症状、健康和代谢结果。筛选和提取的所有阶段均由至少两名作者独立完成,出现分歧时由团队讨论解决。与宏量营养素相关的饮食疗法被分为创新疗法或标准疗法。对膳食治疗手段的描述进行了详细提取,以便对膳食或营养治疗进行定性分类。结果我们确定了补充蛋白质和 "以食物为重点"(如控制饮食份量、饮食中的特定食物等)的营养护理领域,这些领域可能有足够的证据来制定具体的 MBS 宏量营养素指南,并确定了研究较少的领域。我们详细介绍了在专业层面发挥领导作用以弥补这一不足的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
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