After gastric banding and intragastric baloon diets: pros and cons
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34632/cadernosdesaude.2011.3042 |
Resumo: | Obesity is a major public health problem. The failure of the treatment is very common. When we have individuals with morbid obesity, we find that many times diet, behavioral and pharmacological therapies are insufficient and ineffective, it is sometimes necessary to choose surgery. In this article we will consider the pros and cons of the diets for obese patients with gastric banding (GB) or intragastric balloon (IGB). Although BIG is not a surgical method, it is endoscopicaly performed but may also be an adjunct to the treatment of morbid obesity. Logically, the nutritional recommendations for the treatment of obesity are well defined, but in reality, this type of treatment, provided by specific hypo caloric diets in the order of 1200 kcal and 1500 kcal for women and for men, respectively to avoid nutritional deficiencies. With GB and IGB it is easier to control the intake, so diets are more easily accomplished, the weight losses are visible and self-esteem improves. On the other hand, these monotonous diets can lead to discouragement and abandonment of treatment, and there are many foods that are difficult to tolerate. In addition, GB and / or IGB can bring risks to health, including weight regain. A diet with a very low energy value can induce, micronutrient deficiencies, and vitamin and mineral supplementation may be necessary. In these treatments it is not possible to forget that obese people are particularly sensitive to sensory qualities of food, so forcing them to avoid to what they like to eat can be a barrier to a successful treatment. So, in addition to thinking about the advantages and disadvantages of the diet, it is essential to modify behaviors, to adapt the food plans to each patient individually and to create habits that allow them to have a healthy lifestyle with a healthy weight too. |
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After gastric banding and intragastric baloon diets: pros and consDietas pós BG e BIG: prós e contrasObesity is a major public health problem. The failure of the treatment is very common. When we have individuals with morbid obesity, we find that many times diet, behavioral and pharmacological therapies are insufficient and ineffective, it is sometimes necessary to choose surgery. In this article we will consider the pros and cons of the diets for obese patients with gastric banding (GB) or intragastric balloon (IGB). Although BIG is not a surgical method, it is endoscopicaly performed but may also be an adjunct to the treatment of morbid obesity. Logically, the nutritional recommendations for the treatment of obesity are well defined, but in reality, this type of treatment, provided by specific hypo caloric diets in the order of 1200 kcal and 1500 kcal for women and for men, respectively to avoid nutritional deficiencies. With GB and IGB it is easier to control the intake, so diets are more easily accomplished, the weight losses are visible and self-esteem improves. On the other hand, these monotonous diets can lead to discouragement and abandonment of treatment, and there are many foods that are difficult to tolerate. In addition, GB and / or IGB can bring risks to health, including weight regain. A diet with a very low energy value can induce, micronutrient deficiencies, and vitamin and mineral supplementation may be necessary. In these treatments it is not possible to forget that obese people are particularly sensitive to sensory qualities of food, so forcing them to avoid to what they like to eat can be a barrier to a successful treatment. So, in addition to thinking about the advantages and disadvantages of the diet, it is essential to modify behaviors, to adapt the food plans to each patient individually and to create habits that allow them to have a healthy lifestyle with a healthy weight too.A Obesidade é um enorme problema de saúde pública. O insucesso do seu tratamento é muito frequente. Quando falamos de indivíduos com obesidade mórbida, verificamos que muitas vezes a terapêutica alimentar, comportamental e farmacológica são insuficientes e ineficazes, sendo por vezes necessário recorrer ao tratamento cirúrgico. Neste artigo serão abordados os prós e contras das dietas para obesos com banda gástrica ou balão intragástrico. Apesar de o BIG não ser um método cirúrgico, mas sim endoscópico, também pode ser um adjuvante para o tratamento de obesos mórbidos. Logicamente que as recomendações nutricionais para o tratamento da obesidade estão bem definidas, mas na realidade, neste tipo de tratamento específico as dietas fornecidas aos doentes devem ser hipoenergéticas, na ordem das 1200kcal para as mulheres e 1500kcal para o homens de forma a evitar deficiências nutricionais. Com a BG e BIG é mais fácil controlar a ingestão, logo as dietas são mais facilmente cumpridas, as perdas de peso são visíveis e a auto-estima melhora. Por outro lado, são dietas monótonas que podem conduzir à desmotivação e abandono do tratamento e existem muitos alimentos que são difíceis de tolerar. Além disto, a BG e/ou BIG podem trazer riscos associados para a saúde, incluído a recuperação do peso. Uma vez que a dieta tem um valor energético muito baixo, podem ocorrer deficiências de micronutrientes e por isso a suplementação vitamínica e mineral pode ser necessária. Nestes tratamentos não podemos esquecer o facto de os obesos serem particularmente sensíveis às qualidades sensoriais do alimentos e que o facto de srem obrigados a deixar de comer o que gostam pode ser um barreira para o sucesso do tratamento. Assim, além de pensar nas vantagens e desvantagens da dieta, é fundamental que se modifiquem comportamentos, se adaptem os planos individualmente a cada doente e se criem hábitos que lhes permitam ter um estilo de vida saudável com um peso também ele saudável.Universidade Católica Portuguesa2011-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34632/cadernosdesaude.2011.3042https://doi.org/10.34632/cadernosdesaude.2011.3042Cadernos de Saúde; Vol 4 No Especial (2011): Obesidade; 79-81Cadernos de Saúde; v. 4 n. Especial (2011): Obesidade; 79-812795-43581647-055910.34632/cadernosdesaude.2011.4.Especialreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistas.ucp.pt/index.php/cadernosdesaude/article/view/3042https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/3042/2941Direitos de Autor (c) 2011 Sílvia Pinhãohttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPinhão, Sílvia2023-10-03T15:47:44Zoai:ojs.revistas.ucp.pt:article/3042Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:32:59.950421Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
After gastric banding and intragastric baloon diets: pros and cons Dietas pós BG e BIG: prós e contras |
title |
After gastric banding and intragastric baloon diets: pros and cons |
spellingShingle |
After gastric banding and intragastric baloon diets: pros and cons Pinhão, Sílvia |
title_short |
After gastric banding and intragastric baloon diets: pros and cons |
title_full |
After gastric banding and intragastric baloon diets: pros and cons |
title_fullStr |
After gastric banding and intragastric baloon diets: pros and cons |
title_full_unstemmed |
After gastric banding and intragastric baloon diets: pros and cons |
title_sort |
After gastric banding and intragastric baloon diets: pros and cons |
author |
Pinhão, Sílvia |
author_facet |
Pinhão, Sílvia |
author_role |
author |
dc.contributor.author.fl_str_mv |
Pinhão, Sílvia |
description |
Obesity is a major public health problem. The failure of the treatment is very common. When we have individuals with morbid obesity, we find that many times diet, behavioral and pharmacological therapies are insufficient and ineffective, it is sometimes necessary to choose surgery. In this article we will consider the pros and cons of the diets for obese patients with gastric banding (GB) or intragastric balloon (IGB). Although BIG is not a surgical method, it is endoscopicaly performed but may also be an adjunct to the treatment of morbid obesity. Logically, the nutritional recommendations for the treatment of obesity are well defined, but in reality, this type of treatment, provided by specific hypo caloric diets in the order of 1200 kcal and 1500 kcal for women and for men, respectively to avoid nutritional deficiencies. With GB and IGB it is easier to control the intake, so diets are more easily accomplished, the weight losses are visible and self-esteem improves. On the other hand, these monotonous diets can lead to discouragement and abandonment of treatment, and there are many foods that are difficult to tolerate. In addition, GB and / or IGB can bring risks to health, including weight regain. A diet with a very low energy value can induce, micronutrient deficiencies, and vitamin and mineral supplementation may be necessary. In these treatments it is not possible to forget that obese people are particularly sensitive to sensory qualities of food, so forcing them to avoid to what they like to eat can be a barrier to a successful treatment. So, in addition to thinking about the advantages and disadvantages of the diet, it is essential to modify behaviors, to adapt the food plans to each patient individually and to create habits that allow them to have a healthy lifestyle with a healthy weight too. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34632/cadernosdesaude.2011.3042 https://doi.org/10.34632/cadernosdesaude.2011.3042 |
url |
https://doi.org/10.34632/cadernosdesaude.2011.3042 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/3042 https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/3042/2941 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2011 Sílvia Pinhão http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2011 Sílvia Pinhão http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Católica Portuguesa |
publisher.none.fl_str_mv |
Universidade Católica Portuguesa |
dc.source.none.fl_str_mv |
Cadernos de Saúde; Vol 4 No Especial (2011): Obesidade; 79-81 Cadernos de Saúde; v. 4 n. Especial (2011): Obesidade; 79-81 2795-4358 1647-0559 10.34632/cadernosdesaude.2011.4.Especial reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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