Daily vitamin supplementation and hypovitaminosis after obesity surgery

Donadelli, Simara Paganini; Junqueira-Franco, Márcia Varella Morandi; Donadelli, Carlos Augusto de Mattos; Wilson, Steven E.; Ceneviva, Reginaldo; Marchini, Júlio Sérgio; Santos, José Ernesto dos; Nonino, Carla Barbosa

doi:10.1016/j.nut.2011.07.012

Cited by 61 publications

(37 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many patients will require additional micronutrient supplementation in addition to 2 daily multivitamins recommended (275 [EL 2, PCS]; 276 [EL 4, CPG]). The extent and severity of micronutrient undernutrition is related to the extent and severity of disruption of normal gastrointestinal anatomy and physiology (277 [EL 4, review]).…”

Section: Evidence Basementioning

confidence: 99%

Clinical Practice Guidelines For The Perioperative Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society, And American Society For Metabolic & Bariatric Surgery

et al. 2013

View full text Add to dashboard Cite

The development of these updated guidelines was commissioned by the AACE, TOS, and ASMBS Board of Directors and adheres to the AACE 2010 protocol for standardized production of clinical practice guidelines (CPG). Each recommendation was re-evaluated and updated based on the evidence and subjective factors per protocol. Examples of expanded topics in this update include: the roles of sleeve gastrectomy, bariatric surgery in patients with type-2 diabetes, bariatric surgery for patients with mild obesity, copper deficiency, informed consent, and behavioral issues. There are 74 recommendations (of which 56 are revised and 2 are new) in this 2013 update, compared with 164 original recommendations in 2008. There are 403 citations, of which 33 (8.2%) are EL 1, 131 (32.5%) are EL 2, 170 (42.2%) are EL 3, and 69 (17.1%) are EL 4. There is a relatively high proportion (40.4%) of strong (EL 1 and 2) studies, compared with only 16.5% in the 2008 AACE- TOS-ASMBS CPG. These updated guidelines reflect recent additions to the evidence base. Bariatric surgery remains a safe and effective intervention for select patients with obesity. A team approach to perioperative care is mandatory with special attention to nutritional and metabolic issues.

show abstract

Section: Evidence Basementioning

confidence: 99%

Clinical Practice Guidelines For The Perioperative Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society, And American Society For Metabolic & Bariatric Surgery

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Micronutrients deficiency is an important complication associated with bariatric surgery with 50% of cases of vitamin deficiency being observed at the end of the first postopesrative year, possibly arising from the substantial decrease of food intake from food intolerance and from dysabsorption [4]. …”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Gastric Sleeve and Micronutrients Supplementation: Our Experience

et al. 2012

View full text Add to dashboard Cite

Background. Laparoscopic gastric sleeve (LGS) has been recently introduced as a stand-alone, restrictive bariatric surgery. Theoretically, LGS attenuates micronutrients deficiencies and associated complications that were typically observed following malabsorptive procedures. The aim of this study was to assess some micronutrients and mineral deficiencies in patients undergoing LGS. Methods. In the period between July 2008 and April 2010, 138 obese patients (110 females and 28 males) with mean BMI 44.4 kg/m2 ± 6.5, mean age 43.9 ± 10.9 years were enrolled and underwent LGS. Patients were followed up with routine laboratory tests and anthropometric measurements and assessed for nutritional status, as regards vitamin B12, folic acid, iron, hemoglobin, calcium, and vitamin D, every three months throughout 12 months. Results. 12 months after sleeve, patients did not show iron deficiency and/or anemia; plasma calcium levels were in the normal range without supplementation from the sixth month after the operation. Vitamin B12 and folic acid were adequately supplemented for all the follow-up period. Vitamin D was in suboptimal levels, despite daily multivitamin supplementation. Conclusion. In this study, we showed that LGS is an effective surgery for the management of morbid obesity. An adequate supplementation is important to avoid micronutrients deficiencies and greater weight loss does not require higher dosage of multivitamins.

show abstract

“…Unfortunately, changes in lifestyle (diet, exercise, and behavioral therapy) for weight loss have been widely disappointing. In contrast, bariatric surgery is currently a valid option for the treatment of obesity, resulting in weight loss, control of comorbidities, and a decrease of mortality in general [6,7]. Ideal bariatric procedure should induce significant durable weight loss and relief of obesity-related co-morbidities with as few complications as possible.…”

Section: Discussionmentioning

confidence: 99%