The Role of Dietary Intake in the Weight Loss Outcomes of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: A Systematic Review and Meta-analysis

  • Dalal Qanaq
  • , Majella O’Keeffe
  • , Simone Cremona
  • , Wanderley Marques Bernardo
  • , Robert D. McIntyre
  • , Efstathia Papada
  • , Saumit Benkalkar
  • , Francesco Rubino

Research output: Contribution to journalReview articlepeer-review

Abstract

The relationship between postoperative dietary intake and weight loss after bariatric surgery remains unclear. We performed a systematic review and meta-analysis of studies published between January 2000 and May 2023, reporting weight loss outcomes, and dietary intake before and after Roux-en-Y gastric bypass and sleeve gastrectomy. A total of 42 studies were included. There was no detectable difference in dietary intake between the two procedures. Roux-en-Y gastric bypass induced an average decrease in energy intake of 886 kcal/day at 12-month post-surgery; however, there was no correlation between daily energy intake and weight loss. These findings show a substantial reduction of energy intake in the first year after bariatric surgery but do not support a link between lower energy intake and greater weight loss. Graphical Abstract: (Figure presented.)

Original languageEnglish
Pages (from-to)3021-3037
Number of pages17
JournalObesity Surgery
Volume34
Issue number8
DOIs
Publication statusPublished - Aug 2024

Keywords

  • Bariatric surgery
  • Dietary intake
  • Macronutrient
  • Metabolic surgery
  • Micronutrient
  • Nutritional intake
  • Roux-en-Y gastric bypass
  • Sleeve gastrectomy

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