Software de nutrio dietpro

Borra aquellas que no consideres necesarias, etc. Ofrece tus servicios a otros centros de forma eficiente gracias a este servicio. Conecta tu licencia de Dietopro. Y todo, trabajando desde la nube. It is important to highlight that although these deficiencies were identified with both the DP and VNP software programs, only VNP could identify deficits in the ingestion of other micronutrients, such as vitamin A and vitamin E.

Among the deficits detected only by VNP during the preoperative period were deficits in vitamins A and E. Vitamins A and E have been found to be inversely correlated with oxidative stress, insulin resistance, impaired glucose metabolism, cancers, and age-related macular degeneration and are involved in low-density lipoprotein LDL protection against oxidation, thereby contributing to the prevention of atherosclerosis Selenium is important for normal thyroid functions and immunological reactions and is involved in antioxidative reactions, thus potentially contributing to the prevention of chronic diseases Considering the importance of adequately identifying changes in these micronutrients, in terms of preoperative replenishment, our preoperative data suggest that VNP software may be a better approach than DP to recognize deficits in nutritional ingestion in obese patients.

Several micronutrient deficiencies have been reported after RYGB procedures, including vitamins A and D and folate 22 , According to our data, the VNP software was able to show postoperative deficiencies in the consumption of all of these micronutrients, as well as an increased deficit in folate intake.

On the other hand, DP software failed to show preoperative deficiencies in vitamin A ingestion. In addition, the VNP software allowed for the identification of postoperative deficiencies in vitamin B1 and copper intake, while the DP software was unable to calculate the vitamin B1 and copper intake.

Vitamin B1 deficiency, which can lead to symptoms of beriberi, is a major nutritional complication. Additionally, low serum copper levels in susceptible individuals can lead to anemia, neutropenia and pancytopenia By detecting changes between the pre and postoperative periods, the VNP and DP software systems identified similar significant deficits in energy and total macronutrient ingestion.

However, the VNP software highlighted a decrease in all of the subclasses of the macronutrients studied, while the DP system only demonstrated deficits in the polyunsaturated fatty acids. In addition, Rocha et al.

The ingestion of total fiber was found to be below the daily recommended level during the preoperative period in our study and this deficiency was aggravated postoperatively, as shown by both the VNP and DP software systems. Our data agree with those of Novais et al. Another important finding of our study was that the VNP software was more sensitive than the DP software for identifying significant changes in micronutrient ingestion between pre and postoperative periods, according to the nutritional recommendations from DRIs.

This would be expected, as DP software does not calculate 12 of the micronutrients evaluated in our study. Of note, eight vitamins B1 and B3, copper, folate, manganese, phosphorus, potassium and selenium of the 12 micronutrients that were not evaluated with the DP software showed decreased levels of intake between the pre and postoperative periods, as identified by the VNP software. All of these deficiencies in micronutrient intake may lead to serious clinical complications. Deficiencies in vitamins B1 and selenium, which were not calculated by the DP software, have also been previously reported.

Rossi et al. In the present study, both software systems identified a reduction of intake in food containing iron by comparing pre and postoperative periods, but these systems failed to show changes in vitamin B12, vitamin D and calcium.

However, the ingestion of vitamin D and calcium was already lower than the daily recommended level before surgery as detected using both software systems and remained lower than the daily recommended level during the postoperative period.

This situation may have impaired the observation of significant decreases between these periods. Regarding vitamin B12, one of the patients ate fried beef liver, which is a very rich source of vitamin B12, during the postoperative period and this may have resulted in an overestimation of vitamin B12 consumption. After bariatric surgery, protein is the major macronutrient associated with malnutrition One possible explanation for patients not presenting with severe deficiency in protein ingestion in the postoperative period may be because in our hospital, bariatric patients are instructed to consume protein before other macronutrients during a meal, due to early satiety.

Overall, both the VNP and DP software programs detected deficits in nutritional intake before and after RYGB that were consistent with those deficits found in the literature. However, these nutritional software systems differ mainly in terms of micronutrient estimation, as the DP program does not evaluate a significant number of micronutrients that are estimated by the VNP, which could lead to serious clinical complications in obese patients who undergo RYGB.

In addition, when considering only the intake of micronutrients evaluated by the DP software, it failed to detect deficiencies in vitamin A and vitamin E intake during the preoperative period that were detected by VNP. In conclusion, DP nutritional software was efficient for detecting intake deficits before and after RYGB with less sensitivity than VNP, mainly when comparing changes that occurred between these periods. On the other hand, the VNP software detected deficits in nutrient intake before and after RYGB, including several important micronutrients that could not be estimated by DP, which were consistent with those found in the literature.

In conclusion, our data suggest that the VNP software program appears to be more sensitive and more comprehensive than the DP software for identifying significant deficits in micronutrient ingestion before and after RYGB, as well as for detecting decreases in micronutrient ingestion between these periods. Julio Cesar Rodrigues Pereira for discussions about the statistical plan and analysis. No potential conflict of interest was reported.

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