The group with the lowest %EWL was slightly

older, with a mean age of 48 ± 10years. Most women (90%) underwent the laparotomic banded RYGB surgical technique. More than half the surgeries (54%) were performed by the Unified Healthcare System (SUS). Before the surgery, the participants presented similar anthropometric measurements when divided into three groups according to %EWL. Anthropometric data from the participants is included in Table 1. There was a statistical difference among the groups regarding the highest and lowest weights achieved and BMI. The values were inversely proportional to the %EWL. The highest mean current weights (92.0 ± 10.1) and BMI (35.4 ± 3.2) were found in the %EWL < 50 group. The group that achieved the greatest weight loss (%EWL = 75) had a significantly shorter time Dasatinib manufacturer since surgery than the other groups (Table 1). Surgery outcome in terms of %EWL was not associated with energy and macronutrient intakes. As Table 2 shows, there was no difference among the groups with regard to the mean estimated energy requirement and energy, macronutrient and cholesterol intakes. However, the Tyrosine Kinase Inhibitor Library concentration energy requirement and total energy intake of both groups with %EWL > 50 differed significantly. Table 3 shows the median values and the probability of adequate micronutrient, the amount

of protein in grams per kilogram of weight (g/kg) and the fiber intakes in relation to the EAR

values, with AI values included when the EAR values were not available. The intakes of thiamin, riboflavin, niacin, vitamin B6, vitamin B12, iron, vitamin A, protein and zinc were adequate in all studied groups. Folic acid presented the lowest probability of adequate intake in the %EWL < 50 group. Vitamin C and E intakes were adequate only in the %EWL = 75 group (Table 3). The probability of adequate magnesium intake was very low in the %EWL < 50 and %ELW = 75 groups, while the probabilities of adequate calcium and fiber intakes were extremely low in all three groups (Table 3). Most of the study women (75.2%) took dietary supplements, and the three groups did not differ in this respect (P = .80). Weight loss is usually maximal in the first year after surgery, especially in the first six months. From 3 to 12 months after surgery, energy intake acetylcholine according to the literature varies from 500 to 1000 kcal per day [28], [29] and [30], while some authors found values of 1500 to 1700 kcal per day after 12 months [30] and [31]. Despite the inter-study variability, nutrient intake during the first year after surgery is expected to be considerably below the recommendations, since this period involves mechanical, and consequently, dietary adaptations [28]. The adaptation process should be complete two years after bariatric surgery with a stable intake of food and, thus, considered habitual food intake.