Pre-surgery dietician counseling can prevent post-thyroidectomy body weight gain: results of an intervention trial.
BMI
Body weight gain
Diet Counseling
Obesity
Thyroidectomy
Journal
Endocrine
ISSN: 1559-0100
Titre abrégé: Endocrine
Pays: United States
ID NLM: 9434444
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
received:
13
02
2023
accepted:
03
04
2023
medline:
28
6
2023
pubmed:
19
4
2023
entrez:
19
04
2023
Statut:
ppublish
Résumé
It is widely accepted that patients experience weight gain after total thyroidectomy, and preventive measures should be recommended. A prospective study was designed to assess the efficacy of a dietetic intervention to prevent post-thyroidectomy weight gain in patients undergoing surgery for both benign and malignant thyroid conditions. Patients undergoing total thyroidectomy were prospectively and randomly assigned to receive a personalized pre-surgery diet counseling (GROUP A) or no intervention (GROUP B), according to a 1:2 ratio. All patients underwent follow-up with body-weight measurement, thyroid function evaluation and lifestyle and eating habits assessment at baseline (T0), 45 days (T1) and 12 months (T2) post-surgery. The final study group encompassed 30 patients in Group A and 58 patients in Group B. The two groups were similar in terms of age, sex, pre-surgery BMI, thyroid function and underlying thyroid condition. The evaluation of body weight variations showed that patients in Group A did not experience significant body weight changes at either T1 (p = 0.127) nor T2 (p = 0.890). At difference, patients in Group B underwent a significant body weight increase from T0 to both T1 (p = 0.009) and T2 (p = 0.009). TSH levels were similar in the two groups, both at T1 and T2. Lifestyle and eating habits questionnaires failed to register any significant difference between the two groups, apart from an increase in sweetened beverages consumption in Group B. A dietician counseling is effective in preventing the post-thyroidectomy weight gain. Further studies in larger series of patients with a longer follow-up appear worthwhile.
Identifiants
pubmed: 37074559
doi: 10.1007/s12020-023-03365-z
pii: 10.1007/s12020-023-03365-z
pmc: PMC10293335
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
246-251Informations de copyright
© 2023. The Author(s).
Références
Langenbecks Arch Surg. 2017 Nov;402(7):1095-1102
pubmed: 28299450
J Surg Res. 2021 Aug;264:394-401
pubmed: 33848838
Endocrine. 2022 Jan;75(1):159-168
pubmed: 34365588
Clin Endocrinol (Oxf). 2017 Feb;86(2):270-277
pubmed: 27651121
Eur J Endocrinol. 2015 Oct;173(4):507-15
pubmed: 26169304
Endocrine. 2015 Mar;48(2):615-20
pubmed: 25033997
Clin Endocrinol (Oxf). 2012 Apr;76(4):582-5
pubmed: 22004309
Clin Endocrinol (Oxf). 2016 Jun;84(6):882-8
pubmed: 26384591
J Clin Med. 2022 Sep 19;11(18):
pubmed: 36143133
Thyroid. 2018 May;28(5):639-649
pubmed: 29631475
J Clin Endocrinol Metab. 2021 Jan 1;106(1):282-291
pubmed: 33106852
Thyroid. 2000 Dec;10(12):1107-11
pubmed: 11201857
Clin Endocrinol (Oxf). 2001 Aug;55(2):233-9
pubmed: 11531931
BMJ. 2021 Mar 16;372:n365
pubmed: 33727242
Thyroid. 2011 Dec;21(12):1339-42
pubmed: 22066475
BMC Public Health. 2017 Feb 6;17(1):170
pubmed: 28166764
Nutr Metab Cardiovasc Dis. 2018 Nov;28(11):1140-1147
pubmed: 30077491
Diabetes Care. 2006 Sep;29(9):2102-7
pubmed: 16936160
Thyroid. 2011 Dec;21(12):1343-51
pubmed: 22066482
PLoS One. 2022 Mar 1;17(3):e0264778
pubmed: 35231070
Psychiatr Danub. 2014 Dec;26 Suppl 3:520-7
pubmed: 25536991
Endocrinol Metab (Seoul). 2015 Sep;30(3):343-51
pubmed: 26248858
Am J Epidemiol. 1997 Aug 1;146(3):214-22
pubmed: 9247005
South Med J. 2016 Feb;109(2):97-100
pubmed: 26840964
Endocr Pract. 2014 Nov;20(11):1151-8
pubmed: 24936565