Buscar en
Revista Española de Nutrición Humana y Dietética
Toda la web
Inicio Revista Española de Nutrición Humana y Dietética Can Flaxseed Help Satisfy Appetite in Women Subjected to Bariatric Surgery?
Información de la revista
Vol. 16. Núm. 2.
Páginas 54-60 (Abril - Junio 2012)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 16. Núm. 2.
Páginas 54-60 (Abril - Junio 2012)
DOI: 10.1016/S2173-1292(12)70073-X
Acceso a texto completo
Can Flaxseed Help Satisfy Appetite in Women Subjected to Bariatric Surgery?
¿La linaza puede incrementar la saciedad de las mujeres sometidas a cirugía bariátrica?
Visitas
...
Gigliane Cosendey Menegatia,
Autor para correspondencia
guianenut@ig.com.br

Autor para correspondencia.
, Larissa Cohena, Fernanda Cristina Carvalho de Mattosb, Mariana Paes de Mirandaa, Eliane Lopes Rosadoa
a Departamento de Nutrição Dietética, Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil
b Departamento de Clínica Médica, Serviço de Nutrologia, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil
Información del artículo
Abstract
Background

Bariatric surgery is considered the most effective immediate weight loss method for the morbidly obese, despite widely reported weight regain after a few years. Appetite, satiety and satiation control are essential to maintaining a long-term result post-surgery. Dietary fatty acids composition may be implicated in the satiety. As flaxseed is a food high in linolenic acid, we aimed to verify the influence of flaxseed fat on appetite and satiety of women after bariatric surgery.

Material and methods

Six women who underwent bariatric surgery at least 2 years before participated in a single-blind crossover trial that compared the effect of two isocaloric meals on satiety, one containing whole golden flaxseed (high in polyunsaturated fatty acids and fiber) (G1) and another withdefatted flaxseed (high in fiber) (G2), with one week of washout period. This variable was estimated by visual analogue scales in both meals at baseline (T0), immediately after ingestion (T1) and 60, 120, and 180 minutes after the meal (T60, T120 and T180). Fasting anthropometric, body composition, laboratory tests (glucose and lipids) and dietary variables, were evaluated while fasting.

Results

The volunteers were obese and had excess central adiposity, even after two years of surgery and still showed habitual fibre intake below recommended levels. G1 had reduced hunger after 180 minutes compared to G2 (P=.046). Other parameters related to appetite and satiety did not differ between groups.

Conclusions

Less hunger was observed after 180 minutes in whole golden flaxseed meal compared with the defatted flaxseed meal, indicating that the whole golden flaxseed meal, possibly, supports obesity treatment in the long-term after bariatric surgery by controlling appetite and satiety sensations.

Keywords:
Flaxseed
Appetite
Bariatric surgery
Fat
Resumen
Antecedentes

Se considera que la cirugía bariátrica es el método inmediato más eficaz para la pérdida de peso en la obesidad mórbida a pesar de observarse, en algunos casos, la recuperación del peso corporal después de algunos años. El control del apetito, la saciedad y la satisfacción son esenciales para que los resultados se mantengan a largo plazo después de la cirugía. La composición de ácidos grasos de la dieta podría ser un factor implicado en la regulación de la saciedad. Debido a que la linaza es un alimento con alto contenido en ácido linolénico, el objetivo del presente estudio es verificar la influencia de la grasa de la linaza en el apetito y la saciedad de las mujeres después de la cirugía bariátrica.

Material y métodos

Seis mujeres que se habían sometido a cirugía bariátrica al menos 2 años antes participaron en un ensayo cruzado a simple ciego que comparó el efecto en la saciedad de dos comidas isocalóricas que contienen linaza dorada integral (rica en ácidos grasos poliinsaturados y fibra) (G1) y linaza desgrasada (rica solamente en fibra) (G2), con 1 semana de aclaramiento. Esta variable se estimó mediante escala analógica visual en las dos comidas, en el periodo basal (T0), inmediatamente después de la ingestión (T1) y 60, 120 y 180 min después (T60, T120 y T180). Además, se evaluó la antropometría, la composición corporal y variables de laboratorio (glucosa y los lípidos) y dietéticas, en ayunas.

Resultados

Los voluntarios eran obesos y tenían exceso de adiposidad central, incluso 2 años después de la cirugía, y aún mostraban ingesta habitual de fibra por debajo de la cantidad recomendada. G1 presentó reducción del hambre después de 180 min en comparación con G2 (p=0,046). Otros parámetros relacionados con el apetito y la saciedad no difirieron entre los grupos.

Conclusiones

Se observó menos hambre 180 min después de ingerir linaza dorada integral en comparación con la linaza desgrasada, lo que indica que la linaza dorada integral podría estar indicada en el tratamiento de la obesidad a largo plazo tras cirugía bariátrica, debido al control de las sensaciones de apetito y saciedad.

Palabras clave:
Linaza
Apetito
Cirugía bariátrica
Grasa
El Texto completo está disponible en PDF
References
[1.]
A.M. Faria, M.C. Mancini, M.E. De Melo, C. Cercato, A. Halpern.
Recent progress and novel perspectives on obesity pharmacotherapy.
Arq Bras Endocrinol Metabol, 54 (2010), pp. 516-529
[2.]
World Health Organization. Fact sheet: obesity and overweight [citado 26 May 2009]. Disponible en: http://www.who.int/mediacentre/factsheets/fs311/en/print.html
[3.]
S. Low, M.C. Chin, M. Deurenberg-Yap.
Review on Epidemic of Obesity.
Ann Acad Med Singapore, 38 (2009), pp. 57-65
[4.]
AACE/TOS/ASMBS Guidelines.
American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient.
Surg Obes Relat Dis, 4 (2008), pp. S109-S184
[5.]
M.A. Maggard, I.R. Shugarman, M. Suttorp, M. Maglione, H.J. Sugerman, E.H. Livingston, et al.
Meta-analysis: surgical treatment of obesity.
Ann Intern Med, 142 (2005), pp. 547-559
[6.]
V.L. Moizé, X. Pi-Sunyer, H. Mochari, J. Vidal.
Nutritional pyramid for post-gastric bypass patients.
Obes Surg, 20 (2010), pp. 1133-1141
[7.]
G. Dapri, G.B. Cadière, J. Himpens.
Laparoscopic placement of non-adjustable silicone ring for weight regain after Roux-en-Y gastric bypass.
Obes Surg, 19 (2009), pp. 650-654
[8.]
N. Scopinaro, E. Gianetta, D. Friedman.
Biliopancreatic diversion for obesity.
Probl Gen Surg, 9 (1992), pp. 362-379
[9.]
J. Blundell, C. De Graaf, T. Hulshof, S. Jebb, B. Livingstone, A. Lluch, et al.
Appetite control: methodological aspects of the evaluation of foods.
[9b.]
J.E. Blundell, J.C. Halford.
Regulation of nutrient supply: the brain and appetite control.
Proc Nutr Soc, 53 (1994), pp. 407-418
[10.]
Y.P. Lee, T.A. Mori, S. Sipsas, A. Barden, I.B. Puddey, V. Burke, et al.
Lupin-enriched bread increases satiety and reduces energy intake ocutely.
Am J Clin Nutr, 84 (2006), pp. 975-980
[11.]
C.L. Lawton, H.J. Delargy, J. Brockman, F.C. Smith, J.E. Blundell.
The degree of saturation of fatty acids influences post-ingestive satiety.
Br J Nutr, 38 (2000), pp. 477-482
[12.]
S. Dodin, A. Lemay, H. Jacques, F. Légaré, J.C. Foreste, B. Mâsse.
The effects of flaxssed dietary supplement on lipid profile, bone mineral density, and symptoms in menopausal women: a randomized, doubled-blind, wheat germ placebo-controlled clinical trial.
J Clin Endocrinol Metab, 90 (2005), pp. 1390-1397
[13.]
J.E. Stuff, C. Garza, E.O. Smith, B.L. Nichols, C.M. Montandon.
A comparison of dietary methods in nutritional studies.
Am J Clin Nutr, 37 (1983), pp. 300-306
[14.]
DIETPRO 5i tecnologia para nutrição. Versão 5i. Viçosa: A.S. Sistemas, 2008. 1 CD-ROM.
[15.]
A. Flint, A. Raben, J.E. Blundell, A. Astrup.
Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies.
Int J Obes, 24 (2000), pp. 38-48
[16.]
FAO (Food and Agriculture Organization) /WHO (World Health Organization) /UNU (United Nations University).
Energy and protein requirements. WHO Technical Report Series, n. 724.
WHO, (1985),
[17.]
World Health Organization (WHO).
Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Technical Report Series, n. 854.
WHO, (1995),
[18.]
World Health Organization (WHO).
Measuring obesity-classification and description of anthropometric data. Report of a WHO Regional Office Consultation on the Epidemiology of Obesity.
WHO, (1988),
[19.]
H.C. Lukaski, P.E. Johnson, W.W. Bolonchuk, G.I. Lykken.
Assement of fat-free mass using bioelectrical impedance measurement of the human body.
Am J Clin Nutr, 41 (1985), pp. 810-817
[20.]
W.T. Friedewald, R.I. Levy, D.S. Fredrickson.
Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge.
Clin Chem, 18 (1972), pp. 499-502
[21.]
World Health Organization (WHO). The world health report 1997 - conquering suffering, enriching humanity [citado 11 Ene 2010]. Disponible en: http://www.who.int/whr/1997/en/index.html
[22.]
Consenso Latino Americano de Obesidade.
Arq Bras Endocrinol Metab, 43 (1999), pp. 21-67
[23.]
Diretrizes Brasileiras de Obesidade. 3.a ed. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica (ABESO); 2009–2010.
[24.]
D.O. Magro, B. Gelazone, R. Delfini, B.C. Pareja, F. Callejas, J.C. Pareja.
Long-term weight regain after gastric bypass: a 5-year prospective study.
Obes Surg, 18 (2008), pp. 648-651
[25.]
G. Dapri, G.B. Cadière, J. Himpens.
Laparoscopic placement of non-adjustable silicone ring for weight regain after Roux-en-Y gastric bypass.
Obes Surg, 19 (2009), pp. 650-654
[26.]
S.L. Faria, E.O. Kelly, R.D. Kins, O.P. Faria.
Nutritional management of weight regain after bariatric surgery.
Obes Surg, 20 (2008), pp. 135-139
[27.]
A.G. Ribeiro, J. Faintuch, M.C.G. Dias, I. Cecconello.
Euglycemia and normolipidemia after anti-obesity gastric bypass.
Nutr Hosp, 24 (2009), pp. 32-39
[28.]
E.N. Silva, M.D. Sanhes.
Perfil lipídico de obesos antes e após a derivação gástrica a Fobi-Capella.
Rev Col Bras Cir, 33 (2006), pp. 91-95
[29.]
American Dietetic Association (ADA).
Position of the American Dietetic Association: health implications of dietary fiber.
J Am Diet Assoc, 93 (1993), pp. 1446-1447
[30.]
T.J. Little, M. Horowitz, C. Feinle-Bisset.
Modulation by high-fat diets of gastrointestinal function and hormones associated with the regulation of energy intake: implications for the pathophysiology of obesity.
Am J Clin Nutr, 86 (2007), pp. 531-541
[31.]
P.A. Essah, J.R. Levy, S.N. Sistrun, S.M. Kelly, J.E. Nestler.
Effect of macronutrient composition on postprandial peptide YY levels.
J Clin Endocrinol Metab, 92 (2007), pp. 4052-4055
[32.]
R.L. Sales, N.M.B. Costa, J.B.R. Monteiro, M.C.G. Peluzio, S.B. Coelho, C.G. Oliveira, et al.
Efeito dos óleos de amendoim, açafrão e oliva na composição corporal, metabolismo energético, perfil lipídico e ingestão alimentar de indivíduos eutróficos normolipidêmicos.
Rev Nutr, 8 (2005), pp. 499-511
[33.]
A. Flint, B. Helt, A. Raben, S. Toubro, A. Astrup.
Effects of different dietary fat types on posprandial appetite and energy expenditure.
Obes Res, 11 (2003), pp. 1449-1455
[34.]
A.J.P.G. Smeets, M.S. Westerterp-Plantega.
Satiety an substrate mobilization after oral fat stimulation.
Br J Nutr, 95 (2006), pp. 795-801
[35.]
D. Parra, A. Ramel, N. Bandarra, M. Kiely, A. Martínez, I. Thorsdottir.
A diet rich in long chain omega-3 fatty acids modulates satiety in overweight and obese volunteers during weight loss.
Appetite, 51 (2008), pp. 676-680
Copyright © 2012. Asociación Española de Dietistas-Nutricionistas
Opciones de artículo
Herramientas
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

es en pt
Política de cookies Cookies policy Política de cookies
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.