Victor Ochoa • Nutriólogo

Victor Ochoa • Nutriólogo 🔍 | Nutrición clinica.
🏥 | Especialista en obesidad, procedimientos bariátricos y enfermedades crónicas.
📍TIJ, MEX
Consultas presenciales y en linea.

Me emociona mucho compartirles que uno de mis trabajos de investigación ha sido aceptado para exposición en el 32* Congr...
25/02/2025

Me emociona mucho compartirles que uno de mis trabajos de investigación ha sido aceptado para exposición en el 32* Congreso Europeo en Obesidad en Málaga, España. 🌍🇪🇸

Este nuevo camimo en la investigación me motiva a seguir explorando nuevas formas de optimizar el tratamiento y bienestar de mis pacientes ✨

🩺 Al contrario de lo que algunas personas llegan a pensar o hacerles creer, la cirugía bariátrica NO es la solución defi...
15/01/2025

🩺 Al contrario de lo que algunas personas llegan a pensar o hacerles creer, la cirugía bariátrica NO es la solución definitiva a todos sus problemas de salud.

Si bien es una herramienta altamente efectiva para promover una pérdida de peso significativa y mejorar condiciones de salud asociadas, la cirugía bariátrica es solo el inicio de un proceso de cambio integral. 🌟

El éxito a largo plazo depende de:
✅ Adoptar hábitos alimenticios y de estilo de vida saludables 🍎
✅ Mantener una actividad física constante 🏋️‍♀️
✅ Acudir a consultas médicas y nutricionales regulares 👩‍⚕️
✅ Cuidar la salud emocional y contar con apoyo psicológico 🧠

¿Tienes dudas sobre cómo mantener los resultados después de una cirugía bariátrica? Escríbeme para ayudarte.

🍽️ Plato equilibrado en pacientes con cirugía bariátrica ⬇️⬇️Al planear tus comidas, es crucial que cada elemento de tu ...
26/08/2024

🍽️ Plato equilibrado en pacientes con cirugía bariátrica ⬇️⬇️

Al planear tus comidas, es crucial que cada elemento de tu plato cumpla un propósito en tu camino hacia una mejor salud.
Aquí te explico cómo distribuir los alimentos para obtener los máximos beneficios:

🔶 50% Proteínas de alta calidad:
Las proteínas son fundamentales para preservar y construir masa muscular, especialmente después de una cirugía bariátrica. Opta por fuentes magras como pollo, pescado, huevos, o legumbres. Estas no solo te ayudarán a mantener la masa muscular, sino que también proporcionan saciedad, ayudándote a evitar el hambre entre comidas.

🥦 30-40% Verduras crudas o cocidas:
Las verduras son ricas en fibra, vitaminas, y minerales. Incorporarlas en tu plato te asegura obtener los nutrientes necesarios para una buena digestión y una mejor salud general. Además, la fibra que contienen contribuye a la saciedad, ayudando a controlar el apetito.

🥔 10-20% Cereales o tubérculos:
Aunque en menor cantidad, los carbohidratos también son esenciales en tu dieta. Elegir cereales integrales o tubérculos como la papa, camote o avena te proporcionará la energía necesaria para tus actividades diarias.

📌 Equilibrio y moderación son clave para tu éxito.
¡Asegúrate de que cada comida esté bien balanceada para cubrir todas tus necesidades nutricionales en base a tu tolerancia!

ℹ️ℹ️ Si te interesa una asesoría personalizada, mándame mensaje directo 📲

27/07/2024

¿Cambios después de mi cirugia bariátrica? 🙄

¡Todo cambio en el estilo de vida o  hábitos de alimentación debe ser sostenible y llevadero! 🥑(Les comparto un fragment...
10/07/2024

¡Todo cambio en el estilo de vida o hábitos de alimentación debe ser sostenible y llevadero! 🥑
(Les comparto un fragmento de la conversación con uno de mis pacientes).

Cuando se está buscando implementar un plan de alimentación con distintos objetivos, se debe buscar apegarse a los hábitos y gustos ACTUALES del paciente, y a su vez, brindarle opciones.

❎❎Por ejemplo, si el paciente no acostumbra a comer verduras, no le debemos saturar su plan de cosas que no come porque evidentemente no le será sostenible

Por ello es importante PERSONALIZAR e INDIVIDUALIZAR con el enfoque a sus objetivos y conocimientos...
Si te interesa una consulta o asesoría conmigo, mándame DM 💬😉

25/05/2024

¿Cuáles cirugías bariátricas se realizan más en México? 🏥✂︎😷
Datos recabados en 2019 de cirujanos bariatras pertenecientes al Colegia Mexicano de Cirugia para la Obesidad y Enfermedades Metabólicas (.cmcoem ).
https://doi.org/10.35366/109770

Nutrición en tiempos de covid 🏥🍎Nutrition & COVID-19COVID-19 has been reported as a respiratory disease caused by the SA...
24/05/2024

Nutrición en tiempos de covid 🏥🍎
Nutrition & COVID-19

COVID-19 has been reported as a respiratory disease caused by the SARS-Cov-2 Coronavirus.

It affects all types of population, but elderly adults and people with comorbilities like Obesity or Diabetes have a higher risk of complications and mortality.

Among its different complications, it causes inflammation on pulmonary tissue as an inmune response that results as alveolar damage.
(The oxigen interchange is done in the alveoli).
There are dietary factors that activate inmune pathways that promote greater inflammation.

The nutritional risk factors that have been identified are:
- High consumption of saturated fat and refined sugars.
- Low consumption of fiber, unsaturated fats and antioxidants.
- Little or no physical activity.

Multiple studies have reported that these eating behaviors promote chronic inflammation and a less efficient inmune response.
Thus, it results important to modify eating habits and prefer a healthy lifestyle.

Soon we'll go through nutritional measures to prevent the disease and its complications.



Carbos, ¿Cuáles son mejores? 🍞🍌Carbohydrates,What are they and which ones should I consume?Carbohydrates or carbs are pa...
24/05/2024

Carbos, ¿Cuáles son mejores? 🍞🍌
Carbohydrates,
What are they and which ones should I consume?

Carbohydrates or carbs are part of the main nutrients that function as the primary source of energy for cells, tissues and organs of the body.
They can be classified in SIMPLE and COMPLEX.

SIMPLE:
Easily digested in the digestive system.
They can be found in:
- Refined cereals
- Candy
- Milk
- Juices
- Fruits (depends)
- Ultraprocessed products or w/ sugar
COMPLEX:
They take more time to be digested or don't get used completely.
They can be found in:
- Whole cereals (Rice, bread, oatmeal, vegetables)
- Legumes (beans, chickpeas)
- Fruits (depending on their fiber)
- Nuts & seeds

Complex carbs are more recommended due to their FIBER content, which is the non-digestible part of carbs that gives the fullness feeling and aids in overeating.
Fiber has also shown to reduce Cholesterol, Triglycerides, Blood sugar and reduce constipation.

Complex carb consumption is part of a complete and healthy diet.
They reduce the risk of cardiovascular disease, diabetes or gastric cancers.
They can be easily included in anyone's diet keeping in mind the apropiate intake.


¿Qué sabes de las grasas? 🧐🥑Fat, what are they and which ones should i eat?Fats are defined as macromolecules that depen...
24/05/2024

¿Qué sabes de las grasas? 🧐🥑
Fat, what are they and which ones should i eat?

Fats are defined as macromolecules that depending on their source, can be:
- Fatty Acids
- Lipids
- Oils
- Animal fats
- Vegetable fats

These fats can be divided into 2 categories:
- Saturated fats (TRANS fats included)
- Insaturated fats (Subdivided into Monounsaturated and Polyunsaturated)

SATURATED FAT
This fats hace different metabolic functions, and their consumption isn't necesarry because the body can produce them.
Elevated intake of these fats is associated on multiple studies with:
- Higher risk of cardiovascular disease.
- High LDL colesterol.
- Increased risk of inflammatory markers.
- HIgher risk of thrombosis or stroke.

There is controversial evidence on this subject, since some studies refer no direct relationship with their consumption.

UNSATURATED FAT
On multiple clinical trial, their intake (5-10% of total energy) has reported better blood parameters, such as:
- Reducing triglycerides and LDL colesterol.
- Reducing systemic inflamation.
- Protective effect to cardiovascular disease.

Replacing saturated fats with unsaturated, specially those with Omega-3 & 6 fatty acids have demonstrated to reduce cardiovascular risk.

1 out of 3 deaths in the world are a direct cause of cardiovascular disease (CVD)
In Mexico alone, Non-transmissible diseases (Hipertension, Diabetes, Obesity), represent 77% of adult deaths.
Being CVD almost the quarter part of the cause (24%).

That's why it's important to take preemptive measures on food choices, reducing saturated fats and replacing them to prevent complications.


¿Consumen suficiente proteína? 🤔⬇️Proteins,What are they and how much should I consume?As a definition, proteins are a s...
24/05/2024

¿Consumen suficiente proteína? 🤔
⬇️
Proteins,
What are they and how much should I consume?

As a definition, proteins are a set of at least 20 aminoacids linked together that possess different functions in the organism, such as:
- Structural
- Messaging
- Enzimatic
- Antibodies
- Transport/Storage

The most important units in proteins are AMINOACIDS, that participate in:
- Protein synthesis
- Formation of peptides, creatine, nitric oxide
- Hormone production
- Among others...

How much should I consume?
International guidelines recommend:
- 0.8 - 1.2 g/kg for individuals with low physical activity.
- 1.3 - 1.7 g/kg for individuals with moderate to intense physical activity.
g/kg = grams per kilogram

BUT...
New scientific evidence suggests new limits to be considered safe
Average adults: 2-3 g/kg
Athletes = 3 - 3.5 g/kg or up to 4.4.g/kg

On several interventions lasting more than 6 months with high protein intake (Above 25% total caloric intake per day).
There hasn't been any reported problemas with renal function on healthy individuals with no previous history of renal disease.
(On obese subjects, there has been reported greater fat loss and weight control under a high protein diet)

Protein consumption must meet individual requirements and taste, this can generate better attachment to a dietary plan and satiety.
Individuals with preexisting conditions such as diabetes, renal disease or digestive issues should be evaluated to measure their tolerance.

¿Qué evidencia hay en dietas de moda? ⬇️Popular diets and their long term effectsPopular or "trending" diets have the re...
24/05/2024

¿Qué evidencia hay en dietas de moda?
⬇️
Popular diets and their long term effects

Popular or "trending" diets have the reputation to give fast results on a short period of time. Normally for quick weight loss.
But they also are known for a rebound effect once you return to your regular eating habits.

Among the popular diets, we find:
- Keto diet (ketogenic)
- Intermittent fasting
- Paleo diet
- Vegan or vegetarian diet
- DASH diet
Among others.

While each time we find new scientific data about these diets, it is still unknown about their long term effects (> 1 year), or their health implications with people that practice them.

Comparing a low carb-high fat (keto) and high protein diet VS a regular diet.
There was little to NO difference on weight loss with keto or high protein diet VS regular diet on a follow up of 1-2 years on obese patients (1).

On another study comparing keto vs low fat, it was reported:
- KETO had a higher weight loss and reduced triglycerides on blood.
- KETO increased the HDL and LDL colesterol on blood (2)

On this last study comparin Fasting (Intermittent, 24 hrs, etc) VS normal diet restricted on calories, it was reported:

Fasting is NOT superior on weight loss compared to a regular restricted diet, and increases the potential for gaining back the weight when returning to normal practices (3).

This studies confirm that, even if "trending diets" can aid in weight loss, they normally don't bring best results long term and they can have potential risks if not practiced correctly.
Further investigation is needed, as well as professional supervision to follow through.

(References on last page of post)

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