Digital Commons Network^™

Evolution And Strengths Of School Lunch Programs In The United States And Japan, Sarah Ritterling

Honors Program: Senior Projects (Public)

School lunches around the world perform a vital role in children’s nutritional needs and overall health. These nutritional programs provide a chance for children to learn how to create a balanced meal and about the production and serving of food. However, many countries, including the United States and Japan, have taken different approaches to meet these goals, influenced by the needs of children and communities over time. The United States provides support, funding, and nutritional standards through the National School Lunch Program. Japan promotes the Basic Act of Shokuiku (food and nutrition education) within society and outlines goals for schools …

Relationship Between Nutritional Knowledge And Eating Disorder Risk Levels, Valeria Fernandez

Human Nutrition and Hospitality Management Undergraduate Honors Theses

The prevalence of disordered eating is a critical public health concern that often progresses towards the development of a diagnosable eating disorder (ED). This, in turn, has detrimental physical and psychological consequences for individuals. Organizations such as the American Society of Parenteral and Enteral Nutrition (ASPEN) and the Academy of Nutrition and Dietetics (AND) have recognized nutrition education as a crucial component of prevention and recovery. Determining the extent to which nutrition knowledge is related to risk factors for EDs is worth investigating due to its implications for healthcare approaches – especially among adolescent and young adult populations. The goal …

The Small Gtpase Rap1 In Pomc Neurons Regulates Leptin Actions And Glucose Metabolism, Kentaro Kaneko, Weisheng Lu, Yong Xu, Alexei Morozov, Makoto Fukuda

Faculty, Staff and Students Publications

The hypothalamic leptin-proopiomelanocortin (POMC) pathway is critical for regulating metabolism. POMC neurons in the arcuate nucleus respond to leptin and play a pivotal role in mediating energy and glucose balance. However, during diet-induced obesity (DIO), these neurons often develop resistance to exogenous leptin. Recently, the small GTPase Rap1 has been implicated as an inhibitor of neuronal leptin signaling; however, its specific role within POMC neurons remains unexplored. We generated tamoxifen-inducible, POMC neuron-specific Rap1 knockout mice to selectively delete both Rap1a and Rap1b isoforms in POMC neurons. By analyzing these mice through metabolic phenotyping, immunohistochemistry, and biochemical assays, we show that …

Intermittent Fasting And Cardiometabolic Health In Adults With Obesity: A Scoping Review, Tri Siswati, Lathifa Zahra Putri Nugroho, Natasya Nurul Gina, Almira Sitasari, Agus Wijanarka

Indonesian Journal of Public Health Nutrition (IJPHN)

Obesity is a significant global health challenge, with adverse impacts on cardiometabolic health such as hypertension, dyslipidemia, and insulin resistance. One promising intervention in obesity management is intermittent fasting (PI). However, scientific evidence on the impact of IF on cardiometabolic health is still limited. This study used a scoping review design to evaluate the association between IF and cardiometabolic health in obese adults. Reference sources are available in English at least abstract between 2015–2023 as well as from PubMed and Google Scholar web sources. The search keywords on PubMed are "Adult AND intermittent fasting AND cardiometabolic" and on Google Scholar …

The Effect Of Calisthenics Training On Estimated Vo₂Max Values In College Students, Rayhan Amer Imran, Triyanti Triyanti, Fathimah Sulistyowati Sigit, Mury Kuswari

Indonesian Journal of Public Health Nutrition (IJPHN)

Cardiorespiratory fitness (VO₂max) among university students is worryingly low, with more than 50% of students categorized as unfit (<41.7 mL/kg/min). This study was conducted to determine the effect of calisthenic training on estimated VO₂max values using a quasi-experimental study design on 21 male students of the Faculty of Public Health, University of Indonesia from August to October 2024. Subjects were divided into 2 groups: the intervention group (n=10) and the control group (n=11). The intervention group performed treatment in the form of calisthenics exercise for 40 minutes, and the control group received running exercise treatment for 20 minutes, with both exercises done twice a week for 4 consecutive weeks. Body weight, height, body mass index, estimated VO₂max values, body fat percentage, muscle mass, academic stress levels, sleep quality and macronutrient intake data were measured pre-and-post training and were analyzed using independent and dependent t-tests. The results showed a significant (p<0.05) difference in change on the average estimated VO₂max values between the intervention group (3.5 mL/kg/min) and the control group (11.4 mL/kg/min). It can be concluded that the changes in estimated VO₂max values were likely more effective in the running group compared to the calisthenics group.

Factors Related To The Incidence Of Hypertension Among People Above 18 Years At The Cibatu Public Health Center, Bekasi Regency, Verizka Azra, Yustiyani Yustiyani, Minsarnawati Minsarnawati, Catur Rosidati

Indonesian Journal of Public Health Nutrition (IJPHN)

Hypertension is a non-communicable disease that still becomes a public health issue. The percentage of hypertension cases at Cibatu Public Health Center increased from 31.7% in 2021 to 37% in 2022. Based on a preliminary study, hypertension was found to be the most common non-communicable disease at Cibatu Public Health Center. This study aimed to identify factors associated with the incidence of hypertension among individuals aged 18 years and older at Cibatu Public Health Center, Bekasi Regency, in 2024.We conducted a cross-sectional study in May involving 121 respondents. This study used standardized questionnaires that had been validated in previous research, …

The Relationship Between Ultra-Processed Food (Upf) Consumption, Sedentary Behavior, And Overweight Status Among Students At Sman 1 Tangerang, Banten, Indonesia, Husna Dzakya Azzahra, Zenia Elsa Fitri, Imas Arumsari

Indonesian Journal of Public Health Nutrition (IJPHN)

Overweight is a condition where excess body fat accumulates, leading to increased risks of diseases such as heart disease, stroke, diabetes, hypertension, arthritis, and cancer. The prevalence of overnutrition in adolescents aged 16-18 years has been rising over the years, from 5.7% in 2013 to 9.5% in 2018. This study aims to analyze the relationship between Ultra-Processed Food (UPF) consumption and sedentary behavior on overweight status among students at SMAN 1 Tangerang. A cross-sectional design, data were collected through interviews with 114 respondents using the SQ-FFQ Ultra-Processed Food questionnaire and the Sedentary Behavior Questionnaire (SBQ), with quota sampling employed. The …

Exploring The Non-Communicable Disease Burden In Indonesia – Findings From The 2023 Health Survey, Akifa Laila Rusyda

Indonesian Journal of Public Health Nutrition (IJPHN)

The present study rigorously examines the correlation between obesity, high-risk dietary consumption, and unhealthy lifestyles with the prevalence of non-communicable diseases (NCDs) in Indonesia. The study employed a cross-sectional study design using secondary data from the 2023 Indonesian Health Survey, analyzing 38 units (n) representing Indonesia's provinces in 2023. The correlation analysis, conducted using Pearson's test with a significance level of 95% (α<0.05), revealed significant regional disparities in the prevalence of NCDs, dietary consumption, and lifestyle factors across Indonesia. Moreover, the findings reveal a statistically significant positive correlation between obesity, high-risk food consumption, and lifestyle risk factors with the prevalence of several NCDs, including diabetes mellitus, heart disease, hypertension, and chronic kidney disease. These results underscore the potential impact of our research on public health in Indonesia. The results highlight also the urgent need for targeted public health initiatives, such as policies promoting healthier food choices, controlling the food environment, encouraging physical activity, and supporting smoking cessation to mitigate the growing burden of NCDs in Indonesia.

Maternal Dietary, Nutritional Status, And Its Association With Low-Birth Weight: A Scoping Review, Tri Siswati, Devi Septia Ningrum, Adinda Safitri, Almira Sitasari

Indonesian Journal of Public Health Nutrition (IJPHN)

Maternal diet and nutritional status during pregnancy influence birth outcomes. This review article aims to synthesize key studies examining the relationship between maternal dietary intake, nutritional status, and the occurrence of low birth weight (LBW). This study applies a scoping review from PubMed and Google Scholar (2018–2023). Observational and experimental studies were included. Articles met the criteria if they involved pregnant women aged 17+, human studies, full-text availability, and were in English or Indonesian. Fourteen studies met the inclusion criteria and were analyzed. The findings revealed that maternal intake of essential macronutrients, including energy and protein, along with key micronutrients …

Distinct Adipose Progenitor Cells Emerging With Age Drive Active Adipogenesis, Guan Wang, Gaoyan Li, Anying Song, Yutian Zhao, Jiayu Yu, Yifan Wang, Wenting Dai, Martha Salas, Hanjun Qin, Leonard Medrano, Joan Dow, Aimin Li, Brian Armstrong, Patrick T Fueger, Hua Yu, Yi Zhu, Mengle Shao, Xiwei Wu, Lei Jiang, Judith Campisi, Xia Yang, Qiong A Wang

Children’s Nutrition Research Center Staff Publications

Starting at middle age, adults often suffer from visceral adiposity and associated adverse metabolic disorders. Lineage tracing in mice revealed that adipose progenitor cells (APCs) in visceral fat undergo extensive adipogenesis during middle age. Thus, despite the low turnover rate of adipocytes in young adults, adipogenesis is unlocked during middle age. Transplantations quantitatively showed that APCs in middle-aged mice exhibited high adipogenic capacity cell-autonomously. Single-cell RNA sequencing identified a distinct APC population, the committed preadipocyte, age-enriched (CP-A), emerging at this age. CP-As demonstrated elevated proliferation and adipogenesis activity. Pharmacological and genetic manipulations indicated that leukemia inhibitory factor receptor signaling was …

Relationship Between Nutrition Knowledge And Body Composition Changes Across A Season In Collegiate Women’S Soccer, Emily M. Mowbray, Harry P. Cintineo, Kyle Sunderland

2025 Student Academic Showcase

PURPOSE: To determine the relationship between athlete preseason nutrition knowledge and changes in body composition over a competition season. METHODS: Twenty NCAA Division I women’s soccer athletes (20 ± 2 y, 167.8 ± 6.5 cm, 64.4 ± 7.2 kg) participated. Before fall training, athletes completed the Abridged Nutrition for Sport Knowledge Questionnaire (A-NSKQ) to assess nutrition knowledge. Body composition was assessed via dual-energy X-ray absorptiometry (DEXA) pre-season and one week post-season. Spearman's rank correlations examined relationships between A-NSKQ scores and DEXAderived measures (α = 0.05). RESULTS: Total A-NSKQ score showed a significant positive correlation with change in % body fat …

Shelving Stigma: A Grocery Store Client Choice Pantry Model - A Solution To Food Insecurity In Young Adults Of Marginalized Communities While Eradicating The Stigmatization Of Food Pantry Services, Anna C. Buckley

Honors Theses

An increasing number of young adults, age 18 to 35, are becoming food insecure across America, but disproportionately in urban and people of color communities. However, food pantries have remained a social stigma causing food insecure persons to avoid using a food pantry for hunger relief. Research has shown that the grocery store model for food pantries is most beneficial for staff, while also minimizing the stigma and increasing accessibility for pantry clientele. The purpose of this program proposal is to highlight the feasibility of implementation of a client choice grocery store pantry model at the NY Common Pantry (NYCP) …

The Impact Of Diet On Preeclampsia: An Observational Study Of Nutritional Influence, Trinity G. Moye, Alyssa Cunningham

Department of Nutrition Student Projects

Preeclampsia is a pregnancy-specific condition typically diagnosed after 20 weeks of gestation in women with no prior history of hypertension. Characterized by high blood pressure, proteinuria, thrombocytopenia, increased liver enzymes, and affecting the arteries carrying blood to the placenta, preeclampsia affects the health of both the mother and the fetus. Preeclampsia is disproportionately prevalent in certain populations, specifically among Black women, with various factors contributing to the higher susceptibility including socioeconomic status, education, and health distrust. These factors have been historically structured against Black women in American society. This study aims to reveal how dietary habits can play a role …

Exploring The Acute Effects Of Sedentary Behaviors On Cardiometabolic Risk In Hispanic Adolescents With Obesity: A Randomized Crossover Study, Erica G Soltero, Osamah Salim, Yiming Mirabile, Salma M Musaad

Children’s Nutrition Research Center Staff Publications

Background/Objectives: Time spent in sedentary pursuits is associated with adverse metabolic profiles. Adolescents spend 65-75% of their day in sedentary pursuits; however, evidence among youth is less conclusive. This study examined the effects of an acute 4 h bout of sedentary behaviors on cardiometabolic outcomes and energy expenditure in Hispanic adolescents (12-16 years old) with obesity (BMI% ≥ 95th).

Methods: This study used a randomized cross-over design to engage participants (N = 12) in two sedentary conditions, an active condition where youth were engaged in two hours of 'active' sitting activities (e.g., reading and puzzles) and two hours …

The Impact Of Paternal Obesity On Placental Development And Function During Pregnancy, Delaney G. Wolfe, Delaney G. Wiolfe

Department of Nutrition Student Projects

Paternal obesity is a rising concern in conception and reproductive health, with increasing evidence suggesting its impact on pregnancy outcomes. While maternal obesity's effects on fetal development and placental function are well-documented, the role of paternal obesity remains less understood. The placenta, crucial for nutrient exchange and fetal development, can be disrupted by inflammation, oxidative stress, and epigenetic modifications, potentially leading to long-term health implications for both maternal and fetal health. Understanding the paternal influence on placental development is essential for improving pregnancy outcomes and offspring
health. This study aims to investigate the relationship between paternal obesity on placental function …

Effects Of Beetroot Juice Supplementation On Power Output During Resistance Exercise In Resistance-Trained Women, Christopher B. Sottile, Sydney N. Brennan, Trevor J. Molnar, Raymond T. Gerardo, Justin M. Foster, Ryan Tran, Michael Egiazarian, Kyle S. Geppert, Abigial F. Ballhagen, Adam Pennell, Rachel Tan

Seaver College Research And Scholarly Achievement Symposium

Dietary nitrate supplementation has been reported to enhance explosive-type movements, but our understanding of the ergogenic potential of nitrate in resistance exercise and women is understudied. PURPOSE: To investigate if dietary nitrate, provided as nitrate-rich beetroot juice (BR), improved resistance exercise performance compared to nitrate-depleted beetroot juice (PL) in resistance-trained women. METHODS: Eighteen resistance-trained women were assigned in a randomized, double-blind, crossover design to consume PL (0.10 mmol nitrate) and BR (6 mmol of nitrate) 2.5 h prior to performing barbell back squats and bench press at 55% one-repetition max (1RM), 60%1RM, and 65%1RM. Power and velocity were measured via …

A Cluster Randomized Trial Of Xylitol Chewing Gum For Prevention Of Preterm Birth: The Ppax Trial, Gregory C Valentine, Kathleen M Antony, Haleh Sangi-Haghpeykar, Alexis C Wood, Rose Chirwa, Saukani Petro, Mary Dumba, Deborah Nanthuru, Cynthia Shope, Jesse Mlotha-Namarika, Jeffrey Wilkinson, Joshua Aagaard, Ellen J Aagaard, Maxim D Seferovic, Judy Levison, Peter Kazembe, Kjersti M Aagaard

Children’s Nutrition Research Center Staff Publications

Background: Maternal periodontal disease is associated with preterm and low-birthweight deliveries, but randomized trials of likely efficacious treatments (e.g., dental scaling and root planing) during pregnancy have not reduced these adverse outcomes. As an alternative, we hypothesized that periconception initiation of xylitol chewing gum would reduce the occurrence of preterm or low-birthweight deliveries among a historical high-prevalence population in Malawi.

Methods: We conducted an open-label, parallel-enrollment, matched-pair, cluster-randomized, controlled clinical trial across eight health centers (sites) in and around Lilongwe, Malawi. Sites were paired by anticipated delivery volume and randomized to prenatal and oral health education alone (active control) or …

Nutrition Education Intervention For Patients Living With Hiv Attending An Outpatient Clinic In Dubai, Uae, Souheir Mahmoud Alia

Thesis/ Dissertation Defenses

Nutrition is crucial to HIV/AIDS management. HIV affects the immune system, making infections and illnesses harder to resist. Despite the importance of nutrition for people living with HIV (PLHIV), there have been no studies of nutritional interventions for PLHIV in the MENA region. Aim: The objective of this study is to assess the baseline status of PLHIV and the impact of a lifestyle intervention on various aspects of their health and lifestyle status, including nutritional knowledge, attitude and practices (KAP), and intake of immune-boosting food/nutrients. Methods: Sixty-three patients attending an outpatient clinic in Dubai were randomly assigned to an intervention …

The Impact Of Lactoferrin And Iron-Enriched Whey On Iron Absorption, Gastrointestinal Symptoms, And Menstrual Health In Women, Mia Dustin

Student Research Symposium

Background

• Iron is essential for oxygen transport, energy metabolism, and overall health. ¹
• In the U.S., 20% of women aged 18–45 do not meet the estimated average requirement (18 mg/day). ^2,3
• Ferrous sulfate (FS) effectively improves iron levels but often causes severe gastrointestinal (GI) side effects. ⁴
• Previous research has suggested that lactoferrin, a milk-derived glycoprotein, may provide comparable iron delivery with fewer GI issues. ⁴
• Research suggests that lactoferrin, a milk-derived glycoprotein, delivers iron as effectively as ferrous sulfate, with fewer gastrointestinal issues. ⁴
• This clinical trial, conducted at USU’s Center for Human Nutrition Studies, examined the effects of …

Frequency Of Fruit And Vegetable Consumption Among Women Diagnosed With Gestational Diabetes, Hailey Koster

Student Research Symposium

• Consuming fruits and vegetables has been associated with a reduced risk of gestational diabetes and improved pregnancy outcomes. ¹

• However, the majority do not meet the recommendation of five servings per day or 400 g per day according to the World Health Organization.²

Empowering Girls In Sports: Combatting The Female Athlete Triad, Mia Dustin, Emma George, Whitney Stevenson

Student Research Symposium

The purpose of this project is to address the prevalence of the Female Athlete Triad among female high school athletes. Studies indicate that while the risk factors for the Female Athlete Triad are widespread, awareness of the condition among athletes and coaches remains low.¹ Female athletes also experience higher levels of body dissatisfaction, disordered eating patterns, and associated mental health concerns compared to their male counterparts.² ³ The prevalence of the Female Athlete Triad is particularly concerning due to its long-term implications, including low bone density, amenorrhea, muscular injuries, stress fractures, abnormal lipid profiles, irreversible bone loss, depression, low self-esteem, …

Plant-Based Substitutes For Gelatin In Gummy Bears, Neisha Christensen, Tiffany Stoker, Bethany Janes, Kaiah Thomas, Maryann Schneider

Student Research Symposium

Gummy bears are typically made using gelatin. Those who choose to follow a vegan/vegetarian diet are unable to eat products that contain gelatin, since gelatin is made from the collagen found in animal tissues. Additionally, people who avoid eating pork for religious or other reasons cannot consume gelatin, as it is commonly derived from pork.

Alternatives For Whey Protein Powder, Alleyah Murphy, Emily Jensen, Jaiden C., Spencer C.

Student Research Symposium

Protein shakes have become a popular product in the market, heavily advertised as convenient nutrient sources for active adolescents and adults. These products are widely available in grocery stores, pharmacies, and through online distributors (Deutch, 2022). Typically made with whey protein, they are unsuitable for individuals following vegan or lactose-free diets. The goal of this experiment is to evaluate the impact of substituting whey protein powder with equivalent amounts of pea, soy, and hemp seed protein powders on the taste, texture, viscosity, and protein content of vanilla protein shakes to identify the most suitable alternative

Vestibular Neurons Link Motion Sickness, Behavioural Thermoregulation And Metabolic Balance In Mice, Longlong Tu, Xing Fang, Yongjie Yang, Meng Yu, Hailan Liu, Hesong Liu, Na Yin, Jonathan C Bean, Kristine M Conde, Mengjie Wang, Yongxiang Li, Olivia Z Ginnard, Qingzhuo Liu, Yuhan Shi, Junying Han, Yi Zhu, Makoto Fukuda, Qingchun Tong, Benjamin Arenkiel, Mingshan Xue, Yang He, Chunmei Wang, Yong Xu

Children’s Nutrition Research Center Staff Publications

Motion sickness is associated with thermoregulation and metabolic control, but the underlying neural circuitry remains largely unknown. Here we show that neurons in the medial vestibular nuclei parvocellular part (MVePC) mediate the hypothermic responses induced by motion. Reactivation of motion-sensitive MVePC neurons recapitulates motion sickness in mice. We show that motion-activated neurons in the MVePC are glutamatergic (MVePCGlu), and that optogenetic stimulation of MVePCGlu neurons mimics motion-induced hypothermia by signalling to the lateral parabrachial nucleus (LPBN). Acute inhibition of MVePC-LPBN circuitry abrogates motion-induced hypothermia. Finally, we show that chronic inhibition of MVePCGlu neurons prevents diet-induced obesity and improves glucose homeostasis …

Food For Thought: The Impact Of The Gut-Brain Axis On Mental Health, Emily S. Miiller

Honors Thesis

Research regarding the role of the human microbiome has grown over the years as professionals develop a better understanding of the gut-brain axis. New studies and expanding knowledge on the relationship between the nervous system and gut microbiome promote a deeper understanding of the impact of diet on mental health. Diet plays a crucial role in maintaining a healthy balance between the gut and the brain. Incorporating nutritional modulators, such as probiotics, prebiotics, and vitamins, is crucial for supporting the gut-brain axis by influencing neurotransmitter production, managing inflammation, and promoting the growth of beneficial gut bacteria. On the other hand, …

Impact Of Diet Quality And Functional Food (Honey) On Gut Microbiota And Metabolic Health In Obesity, Sarah M. Eaton

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Understanding the impact of dietary patterns and functional foods on human health is crucial for the advancement of evidence-based nutrition choices. This dissertation investigates the effects of three a priori-defined healthful dietary patterns as well as a functional food, specifically Manuka honey, on gut health and metabolic markers in individuals with overweight and obesity. Two studies were conducted to explore these relationships. The first study, a post-hoc, cross-sectional analysis, compared the effects of three healthful dietary patterns: Healthy Eating Index-2010 (HEI-2010), Dietary Approaches to Stop Hypertension (DASH), and Mediterranean Dietary Pattern (MDP) on markers of intestinal permeability and gut microbiota …

Cultivating Community And Commerce: A Summary Of The Statewide Social And Economic Impacts Of Utah Farmers Markets, Jaclyn Pace, Bryn Watkins, Roslynn Mccann, Steven Price

Outcomes and Impact Quarterly

Data collected from six markets throughout the market seasons between 2023 and 2024 highlights the transformative impact of Utah’s farmers’ markets on the state’s economy, health, and sense of community. According to market patrons, Utah’s farmers' markets are vital economic and social hubs supporting local agriculture, small businesses, and community well-being.

Quality-Of-Care Measures For Cardio-Oncology: An Ic-Os And Acc Cardio-Oncology Leadership Council Perspective, Vijay U Rao, Anita Deswal, Daniel Lenihan, Susan Dent, Teresa Lopez-Fernandez, Alexander R Lyon, Ana Barac, Nicolas Palaskas, Ming Hui Chen, Hector R Villarraga, Diego Sadler, Courtney M Campbell, Kerry Skurka, Matt J Wagner, Matthias Totzeck, Kathryn J Ruddy, Paul Heidenreich, Randal Thomas, Daniel Addison, Sarju Ganatra, Richard Cheng, David Reeves, Arjun K Ghosh, Joerg Herrmann

Children’s Nutrition Research Center Staff Publications

This document serves as a perspective on quality assessments in the discipline of cardio-oncology. We aim to define the current landscape, identify needs for quality and outcome improvements, and propose a roadmap for establishing viable metrics to improve patient care. Specifically, this document: 1) addresses the current lack of measurable high-quality metrics in cardio-oncology and their implications; 2) highlights needs and topic-specific barriers; 3) illustrates the process and application of a measurable quality metric; and 4) provides a framework to demonstrate measurable value for the growing population of patients with cancer and cardiovascular diseases.

Demographic Clinical Trial Diversity Assessment Methods: Use Of Real-World Data, Hua Chen, Nnadozie Emechebe, Sudeep Karve, Leon Raskin, Jailene Leal, Ning Cheng, Wendy Sebby, Kim Ribeiro, Samuel Crawford

Children’s Nutrition Research Center Staff Publications

Diversity in clinical trials is defined by the inclusion of clinical trial participants from various demographic groups that are representative of the broader population impacted by a disease state. Diversity in clinical trials is critical in identifying potential differences in safety and efficacy of treatments across races, ethnicities, ages, sexes, or other variables. In the United States, clinical trial diversity is often benchmarked against US Census data, which may limit the representativeness of patient demographics in clinical trials. Disease-specific, demographic estimates from real-world data (RWD) can facilitate benchmarking of clinical trials, support trial enrollment and the development of trial diversity …

Gastroesophageal Reflux And Gastrointestinal Symptoms After Metabolic And Bariatric Surgery In Adolescents: An 8-Year Follow-Up Analysis, John B Rode, Suhail A Zeineddin, Jane C Khoury, Todd M Jenkins, Stephanie R Sisley, Anita P Courcoulas, Justin R Ryder, Marc P Michalsky, Thomas H Inge

Children’s Nutrition Research Center Staff Publications

Importance: Vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB) are the most commonly performed metabolic and bariatric surgery (MBS) procedures in adolescents and adults. Despite their safety and effectiveness, there is concern over postoperative gastrointestinal symptoms (GIS), especially gastroesophageal reflux symptoms (GERS), in those undergoing VSG.

Objective: To evaluate the long-term prevalence of GIS in adolescents who underwent RYGB or VSG.

Design, setting, and participants: This is a prospective, multicenter, observational cohort study at five academic referral centers in the United States. Patients were enrolled from February 28, 2007, through December 30, 2011. The analysis included 228 adolescents: 161 …