The Research of Diet Behavior and Nutrition Problem of Patients after Gastric Bypass SurgeryThe Research of Diet Behavior and Nutrition Problem of Patients after Gastric Bypass Surgery

• Main Authors: Meng-Chieh Chen, 陳夢潔
• Other Authors: Wei-Kang Wang
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/56009549392229805728

碩士 === 元智大學 === 管理研究所 === 97 === The Research of Diet Behavior and Nutrition Problem of Pations after Gastric Bypass Surgery. Student：Meng-Chieh Chen Advisors：Dr.Wei-Kang Wang . Submitted to Graduate School of Management Yuan Ze University ABSTRACT “Many diseases come from the obesity.” Obesity has become the source of various diseases in the 21st century. In addition, it caused a wide range of chronic diseases. With the rise in the proportion of obese persons, status of obesity became morbid obesity and even the super- obesity. For those patients weight over hundreds of kilograms with morbid obesity, excessive body weight has a serious impact on their health or even safety. Medical intervention is not a quick solution. Currently laparoscopic gastric bypass surgery with higher safety, shorter operation time, and maximum effect is the best weight lost surgery available. The result of massive weight loss significantly improved postoperative quality of life of patients and health status. But it also brings patients to the problems of micronutrient deficiencies. This study investigated post gastric bypass patients using dietary frequency questionnaire and biochemical test value in serum albumin, hemoglobin, serum calcium and parathyroid hormone to analysis. Statistical analysis methods include descriptive statistics, T-test, Pearson correlation and stepwise regression analysis. The purpose was to explore postoperative patient’s dietary frequency and its relationship with anemia of iron deficiency, malnutrition and bone loss, such as the relevance of nutrition. The analysis results showed that post gastric bypass patient’s hemoglobin, serum albumin and serum calcium values of are significantly lower than those of patient’s preoperative value, and parathyroid hormone were higher than that of patient’s preoperative values, significant differences were reached. Eating grains, tubers, roots and in green vegetables got the highest dietary frequency, which reached 4-6 times a week or more. High-protein drinks or commercial formulation, mixed vegetable juice, calcium, iron and alcohol was in lower frequency, which was 2-3 times per month. The following analysis results showed the relationship between the value of biochemical tests and the dietary frequency. Comprehensive vitamin and serum albumin（Alb）was negatively correlated. Hemoglobin （Hb）and high-protein drinks or balanced formula was positive correlated. Dietary frequency of fresh vegetable juice and sports has a positive correlation with hemoglobin（Hb）. Serum calcium（Ca）was negatively correlated with synthesis of vitamin, and was positively correlated with the movement frequency. Parathyroid hormone（PTH-i）and sugary beverages, soft drinks containing caffeine were positively correlated. Therefore in order to avoid bone loss, malnutrition, anemia of iron deficiency and other nutritional problems, nutrition and health education in patients are very important. In addition to strengthen patients’ concept of a balanced diet, patients should also be encouraged of high-protein intake of food or drinks, vegetable juices and increase exercise. Try to avoid caffeinated beverages and sugary drinks. At the same time in the supplementary Vitamins should also pay attention to balanced nutrition.