Optimizing Nutritional Management Before and After Bariatric Surgery: A Comprehensive Guide for Sustained Weight Loss and Metabolic Health
Evelyn Frías-Toral, Sebastián Chapela, Victoria González, Andrés Martinuzzi, Julieta Locatelli, Natalia Daniela Llobera, Ezequiel Manrique, Gerardo Sarno, Monica Mingo, Federica Marchese, Raffaele Cuomo, Ludovica Romaniello, Maria Di Perna, Annalisa Giordano, Biagio Santella, Luigi Schiavo
Abstract
Obesity is associated with multiple comorbidities that contribute to increased mortality among affected individuals. There are multiple treatments for this condition, including nutritional interventions, pharmacological therapies, and surgical procedures. Within these, bariatric surgery is an effective treatment option that requires a multidisciplinary approach, both before and after surgery. Nutritional management prior to surgery aims to achieve metabolic control and reduce comorbidities associated with the procedure. Postoperative nutritional management focuses on preventing complications, ensuring adequate nourishment, and providing necessary supplementation for optimal recovery and long-term success. This narrative review examines all these critical aspects of nutritional management in bariatric surgery, including preoperative nutrition, postoperative nutrition and physical activity recommendation, different nutritional aspects according to the type of bariatric surgery, and future directions for investigation.