Nutritional Interventions for Surgical Patients

Crossmark: check for updates

Authors

  • Alexa Abdelaziz Director of Research and Development at MEND, Columbia University, New York, USA

DOI:

https://doi.org/10.17140/aftnsoj-7-173

Keywords:

Nutrition, Orthopedics, Cosmetic, Surgery, Outcomes, Supplementation, Healing, Recovery

Abstract

During a state of trauma, such as injury or surgery, the body’s nutritional needs are expected to increase. The body enters a higher metabolic state and requires more energy, the immune system is weakened due to stress, and persistent inflammation delays full return to normal function. Surgical nutritional interventions have demonstrated that targeted nutrition can enhance outcomes in acute patients and chronic conditions. This paper reviews the state of the clinical evidence on nutrition as a remedy for improving musculoskeletal and surgical patient outcomes.

References

CMS.gov. National Health Expenditure Accounts (NHEA) Data. 2020. Web site. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/National-HealthExpendData. Accessed February 28, 2021

ScienceDaily ®. American Academy of Orthopaedic Surgeons. One in two Americans have a musculoskeletal condition: New report outlines the prevalence, scope, cost and projected growth of musculoskeletal disorders in the U.S. Web site. https://www.sciencedaily.com/releases/2016/03/160301114116.htm. Accessed February 28, 2021

Dreyer HC, Owen EC, Strycker LA, Smolkowski K, Muyskens JB, Kirkpatrick TK, et al. Essential amino acid supplementation mitigates muscle atrophy after total knee arthroplasty: A randomized, double-blind, placebo-controlled trial. JB JS Open Access. 2018; 3: e0006. doi: 10.2106/JBJS.OA.18.00006

Ekinci O, Yanık S, Bebitoğlu BT, Akyüz EY, Dokuyucu A, Erdem Ş. Effect of calcium beta-hydroxy-beta-methylbutyrate (CaHMB), vitamin D, and protein supplementation on postoperative immobilization in malnourished older adult patients with hip fracture: A randomized controlled study. Nutr Clin Pract. 2016; 31: 829-835. doi: 10.1177/0884533616629628

Flakoll P, Sharp R, Baier S, Levenhagen D, Carr C, Nissen S. Effect of beta-hydroxy-beta-methylbutyrate, arginine, and lysine supplementation on strength, functionality, body composition, and protein metabolism in elderly women. Nutrition. 2004; 20: 445-451. doi: 10.1016/j.nut.2004.01.009

Negro M, Perna S, Spadaccini D, Castelli L, Calanni L, Barbero M, et al. Effects of 12 weeks of essential amino acids (EAA)based multi-ingredient nutritional supplementation on muscle mass, muscle strength, muscle power and fatigue in healthy elder ly subjects: A randomized controlled double-blind study. J Nutr Health Aging. 2019; 23: 414-424. doi: 10.1007/s12603-019-1163-4

Rathmacher JA, Pitchford LM, Khoo P, Angus H, Lang J, Lowry K, et al. Long-term effects of calcium beta-Hydroxy-be ta-methylbutyrate and vitamin D3 supplementation on muscular function in older adults with and without resistance training: A randomized, double-blind, controlled study. J Gerontol A Biol Sci Med Sci. 2020; 75: 2089-2097. doi: 10.1093/gerona/glaa218

Kirkland LL, Kashiwagi DT, Brantley S, Scheurer D, Varkey P. Nutrition in the hospitalized patient. J Hosp Med. 2013; 8: 52-58. doi: 10.1002/jhm.1969

Fulgoni VL, Keast DR, Bailey RL, Dwyer J. Foods, fortificants, and supplements: Where do Americans get their nutrients? J Nutr. 2011; 141: 1847-1854. doi: 10.3945/jn.111.142257

Dąbrowski M, Kubaszewski Ł. Enhanced recovery after sur gery–possibility of implementation in the department of ortho-Adv Food Technol Nutr Sci Open J. 2021; 7(1): 11-14. doi: 10.17140/AFTNSOJ-7-173 Abdelaziz A PUBLISHERS 14 Mini Review | Volume 7 | Number 1 | pedics and spine surgery in Poland. Polish Orthopaedics and Traumatology. 2020; 85: 121-125. doi: 10.31139/chnriop.2020.85.5-6.6

Lopez MJ, Mohiuddin SS. Biochemistry, Essential Amino Acids. In: StatPearls. (Treasure Island (FL), USA: StatPearls Publishing; 2021

Muyskens JB, Foote DM, Bigot NJ, Strycker LA, Smolkowski K, Kirkpatrick TK, et al. Cellular and morphological changes with EAA supplementation before and after total knee arthroplasty. J Appl Physiol (1985). 2019; 127: 531-545. doi: 10.1152/ japplphysiol.00869.2018

Baldissarro E, Aquilani R, Boschi F, Baiardi P, Iadarola P, Fumagalli M, et al. The hip functional retrieval after elective surgery may be enhanced by supplemented essential amino acids. Biomed Res Int. 2016; 2016: 9318329. doi: 10.1155/2016/9318329

Kim H. Glutamine as an immunonutrient. Yonsei Med J. 2011; 52: 892-897. doi: 10.3349/ymj.2011.52.6.892

Barbosa E, Fasintuch J, Moreira EaM, da Silva VRG, Pereima MJL, Fagundes RLM, et al. Supplementation of vitamin E, vitamin C, and zinc attenuates oxidative stress in burned children: a randomized, double-blind, placebo-controlled pilot study. J Burn Care Res. 2009; 30: 859-866. doi: 10.1097/BCR.0b013e-3181b487a8

Burton D, Grainne N, Hall G. Endocrine and metabolic re sponse to surgery. Continuing Education in Anaesthesia Critical Care & Pain. 2004; 4: 144-147. doi: 10.1093/bjaceaccp/mkh040

Liberman, K, Njemini R, Luiking Y, Forti LN, Verlaan S, Bauer JM, et al. Thirteen weeks of supplementation of vitamin D and leucine-enriched whey protein nutritional supplement attenuates chronic low-grade inflammation in sarcopenic older adults: the PROVIDE study. Aging Clin Exp Res. 2019; 31: 845-854. doi: 10.1007/s40520-019-01208-4

Zanchi NE, Gerlinger-Romero F, Guimarães-Ferreira L, de Siqueira Filho MA, Felitti V, Lira FS, et al. HMB supplementation: clinical and athletic performance-related effects and mechanisms of action. Amino Acids. 2011; 40: 1015-1025. doi: 10.1007/ s00726-010-0678-0

Wilkinson DJ, Hossain T, Hill DS, Phillips BE, Crossland H, Williams J, et al. Effects of leucine and its metabolite beta-hydroxy-beta-methylbutyrate on human skeletal muscle protein metabolism. J Physiol. 2013; 591: 2911-2923. doi: 10.1113/jphysiol.2013.253203

Wilson GJ, Wilson JM, Manninen AH. Effects of beta-hy droxy-beta-methylbutyrate (HMB) on exercise performance and body composition across varying levels of age, sex, and training experience: A review. Nutr Metab (Lond). 2008; 5: 1. doi: 10.1186/1743-7075-5-1

Brien S, Lewith G, Walker A, Hicks SM, Middleton D. Bromelain as a treatment for osteoarthritis: A review of clinical studies. Evid Based Complement Alternat Med. 2004; 1: 251-257. doi: 10.1093/ecam/neh035

Soheilifar S, Bidgoli M, Hooshyarfard A, Shahbazi A, Vahdatinia F, Khoshkhooie F. Effect of oral bromelain on wound healing, pain, and bleeding at donor site following free gingival grafting: A clinical trial. J Dent (Tehran). 2018; 15: 309-316

Hale LP, Greer PK, Sempowski GD. Bromelain treatment alters leukocyte expression of cell surface molecules involved in cellular adhesion and activation. Clin Immunol. 2002; 104: 183-190. doi: 10.1006/clim.2002.5254

Brown SA, Coimbra M, Coberly DM, Chao JJ, Rohrich RJ. Oral nutritional supplementation accelerates skin wound healing: A randomized, placebo-controlled, double-arm, crossover study. Plast Reconstr Surg. 2004; 114: 237-244. doi: 10.1097/01. prs.0000128818.28425.52

Murphy RA, Mourtzakis M, Chu QSC, Baracos VE, Reiman T, Mazurak VC. Supplementation with fish oil increases firstline chemotherapy efficacy in patients with advanced nonsmall cell lung cancer. Cancer. 2011; 117: 3774-3780. doi: 10.1002/ cncr.25933 Submit your article to this journal | https://openventio.org/submit-manuscript/

Published

2021-05-13

How to Cite

Alexa Abdelaziz. (2021). Nutritional Interventions for Surgical Patients. Advances in Food Technology and Nutrition Sciences, 7(1), 11–14. https://doi.org/10.17140/aftnsoj-7-173