SLEEVE GASTREKTOMİ OPERASYONU GEÇİREN BİREYLERDE POSTOPERATİF PROTEİN TÜKETİMİ VE GIDA TAKVİYESİ KULLANIMININ B12 VİTAMİN DEĞERLERİNE ETKİSİ

Year 2023, Volume: 3 Issue: 3, 356 - 371, 29.12.2023

Özge Deniz , Aslı Barla Demirkoz

https://doi.org/10.56061/fbujohs.1216760

Abstract

Kronik bir hastalık olan obezite, beraberinde getirdiği komplikasyonlarla birlikte yaşam şeklini olumsuz etkileyen, yüksek morbidite ve mortaliteye sebep olan bir halk sağlığı sorunudur. Bariatrik cerrahi, uzun dönemli kalıcı ağırlık kaybının sağlanmasında ve obezitenin komplikasyonlarının azaltılmasında son çare olarak etkili tedavi yöntemlerini içermektedir. Bariatrik cerrahi yöntemlerinden olan sleeve gastrektomi (SG), tüketilen gıda hacmini besin emilimini etkilemeden kısıtlayarak açlık hissinin azalmasını sağlamaktadır. Bu çalışma, sleeve gastrektomi operasyonu geçiren bireylerde ameliyat sonrası gıda takviyesi kullanım durumlarının belirlenmesi, protein tüketim miktarlarının saptanması ve B12 vitamin değerleri üzerine olan etkisini araştırmak amacıyla yapılmıştır. Ameliyat öncesi, ameliyat sonrası 3. ve 6. ay B12 vitamin değeri gıda takviyesi kullananlarda; 375,08±136,35 pg/mL, 364,80±58,75 ve 361,52±70,20 pg/mL iken gıda takviyesi kullanmayanlarda; 328,24±77,59 pg/mL, 281,28±52,48 pg/mL 269,24±46,19 pg/mL saptanmıştır. Sonuç olarak takviye kullanmayan hastalarda protein tüketimi arttıkça B12 vitamin seviyesinde ılımlı yükselme olduğu, fakat B12 vitamini referans aralığının alt sınırına yakın olduğu; gıda takviyesi kullananlarda ise vitamin B12 değerinin anlamlı düzeyde yüksek bulunduğı sonucuna varılmıştır (p<0,05).

Keywords

B12 vitamini, Gıda Takviyesi, Protein tüketimi, Sleeve Gastrektomi

THE EFFECT OF PROTEIN CONSUMPTION AND FOOD SUPPLEMENTS IN USE ON VITAMIN B12 IN POSTOPERATIVE SLEEVE GASTRECTOMY SURGERY

Abstract

Obesity, which is a chronic disease, is a public health problem that negatively affects the lifestyle with its complications and causes high morbidity and mortality. Bariatric surgery includes effective treatment methods as the last step in achieving long-term permanent weight loss and reducing the complications of obesity. Sleeve gastrectomy (SG), one of the bariatric surgery methods, reduces the feeling of hunger by restricting the amount of food consumed without affecting nutrient absorption. This study was carried out in order to determine the post-operative food supplement usage status, to determine the protein consumption amounts and to investigate the effect on vitamin B12 values in individuals who had undergone sleeve gastrectomy operation. Preoperative, postoperative 3- and 6- months vitamin B12 value in those using food supplements; 375,08±136,35 pg/mL, 364,80±58,75 and 361,52±70,20 pg/mL in those who did not use food supplements; It was found 328,24±77,59 pg/mL, 281,28±52,48 pg/mL 269,24±46,19 pg/mL. As a result, it was determined that as protein consumption increased in patients who did not use supplements, there was a moderate increase in vitamin B12 level, but it was close to the lower limit of the vitamin B12 reference range. It was concluded that vitamin B12 value was found to be significantly higher in those who used food supplements (p<0,05).

Keywords

vitamin B12, Food Supplements, Protein Consumption, Sleeve Gastrectomy

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