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J Bone Joint Surg Am ; 105(23): 1897-1906, 2023 12 06.
Article in English | MEDLINE | ID: mdl-37856576

ABSTRACT

➤ Malnutrition is common among subsets of patients undergoing orthopaedic surgery and is associated with an increased risk of postoperative complications.➤ Serum proteins, in particular, albumin, may be used in the evaluation of nutritional status.➤ Anthropometric measurements and surveys also play a role in the evaluation of nutritional status.➤ Increased energy and nutrient requirements due to surgical procedures necessitate increased caloric and protein intake in the perioperative period, which may be achieved through diet or supplementation.➤ Evidence supports the use of protein-calorie, amino acid, and immunonutrition supplements. Vitamin D supplementation is an area of further consideration.➤ Diet restriction, activity alterations, pharmacotherapy, and bariatric surgery are all safe, effective approaches to weight loss, although the optimal timing and magnitude of preoperative weight loss require further investigation.


Subject(s)
Bariatric Surgery , Orthopedics , Humans , Nutritional Status , Energy Intake , Diet , Weight Loss , Bariatric Surgery/adverse effects
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