Nutritional Status, Body Composition, and Bone Health in Women After Bariatric Surgery at a University Hospital in Rio de Janeiro

Menegati, Gigliane Cosendey; Oliveira, Louise Crovesy de; Santos, Anna Lúcia Andrade; Cohen, Larissa; Mattos, Fernanda; Mendonça, Laura Maria Carvalho de; Carneiro, João Régis Ivar; Farias, Maria Lúcia Fleiuss; Rosado, Eliane Lopes

doi:10.1007/s11695-015-1910-5

Cited by 18 publications

(24 citation statements)

References 52 publications

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“…Comparing women who did not undergo Roux-en-Y gastric bypass with a group of women matched by age, sex, and weight who did, the latter had better blood values regarding total cholesterol, low-density lipoprotein, and triglycerides but a higher mean parathyroid hormone level. These results matched with the observation of vitamin D deficiency in the later postoperative period in a prospective five-year follow-up survey [99].…”

Section: Menopause and Osteoporosissupporting

confidence: 84%

“…While there is more evidence for increased risk of osteoporosis after Roux-en-Y gastric bypass than after sleeve gastrectomy, initial research indicates that there is no significant difference [97]. Roux-en-Y gastric bypass is suggested to be involved in impaired absorption of calcium and vitamin D. As a result, secondary hyperparathyroidism accompanied by increased degradation of bone material may occur [99]. The greatest amount of bone loss takes place within the axial skeleton, such as spine and ribs, an area that is particularly vulnerable even before bariatric surgery [97].…”

Section: Menopause and Osteoporosismentioning

confidence: 99%

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Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women

Jäger

Wolicki

Spohnholz

et al. 2020

IJERPH

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This systematic literature review aims to point out sex-specific special features that are important in the bariatric treatment of women suffering from severe obesity. A systematic literature search was carried out according to Cochrane and Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) guidelines. After the literature selection, the following categories were determined: sexuality and sexual function; contraception; fertility; sex hormones and polycystic ovary syndrome; menopause and osteoporosis; pregnancy and breastfeeding; pelvic floor disorders and urinary incontinence; female-specific cancer; and metabolism, outcome, and quality of life. For each category, the current status of research is illuminated and implications for bariatric treatment are determined. A summary that includes key messages is given for each subsection. An overall result of this paper is an understanding that sex-specific risks that follow or result from bariatric surgery should be considered more in aftercare. In order to increase the evidence, further research focusing on sex-specific differences in the outcome of bariatric surgery and promising treatment approaches to female-specific diseases is needed. Nevertheless, bariatric surgery shows good potential in the treatment of sex-specific aspects for severely obese women that goes far beyond mere weight loss and reduction of metabolic risks.

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Section: Menopause and Osteoporosissupporting

confidence: 84%

Section: Menopause and Osteoporosismentioning

confidence: 99%

Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women

Jäger

Wolicki

Spohnholz

et al. 2020

IJERPH

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“…Tables 1 and 2 provide an overview of the studies to date that have evaluated iron intake after RYGB and SG. After surgery, iron intake was mostly lower or even inadequate compared with the available estimated average requirements or dietary reference intake for healthy individuals (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) . Postoperatively, the restricted dietary intake, increased satiety and reduced appetite contribute to the lower iron intake by means of a reduced intake of micronutrients (27) .…”

Section: Iron Intake After Bariatric Surgerymentioning

confidence: 99%

Iron deficiency after bariatric surgery: what is the real problem?

et al. 2018

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The growing prevalence of obesity explains the rising interest in bariatric surgery. Compared with non-surgical treatment options, bariatric surgery results in greater and sustained improvements in weight loss, obesity associated complications, all-cause mortality and quality of life. These encouraging metabolic and weight effects come with a downside, namely the risk of nutritional deficiencies. Particularly striking is the risk to develop iron deficiency. Postoperatively, the prevalence of iron deficiency varies between 18 and 53 % after Roux-en-Y gastric bypass and between 1 and 54 % after sleeve gastrectomy. Therefore, preventive strategies and effective treatment options for iron deficiency are crucial to successfully manage the iron status of patients after bariatric surgery. With this review, we discuss the risks and the contributing factors of developing iron deficiency after bariatric surgery. Furthermore, we highlight the discrepancy in the diagnosis of iron deficiency, iron deficiency anaemia and anaemia and highlight the evidence supporting the current nutritional recommendations in the field of bariatric research. In conclusion, we advocate for more nutrition-related research in patient populations in order to provide strong evidence-based guidelines after bariatric surgery.

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“…In the current series, despite of the low calcium consumption besides hypovitaminosis D, BS group did not present a higher median serum PTH. Nevertheless, the presence of secondary hyperparathyroidism among bariatric patients is still a matter of debate since some investigators reported normal levels of PTH (8,13,15), while others did not (14,18,19).…”

Section: Discussionmentioning

confidence: 99%

“…(19), what may be a caution against dumping (25). Inadequate calcium intake may contribute to impair bone homeostasis, due to increases in serum PTH and 1,25-dihydroxyvitamin D3 (1,25(OH) 2 D 3 ) (26), and a high sodium consumption may also compromises bone health (27,28).…”

Section: Discussionmentioning

confidence: 99%

Bone turnover after bariatric surgery

Melo

Froeder

Baia

et al. 2017

Arch. Endocrinol. Metab.

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Objective: The aim of the present study was to evaluate parameters of bone and mineral metabolism after bariatric surgery. Subjects and methods: This sectional study included data from medical records from 61 bariatric surgery (BS) patients (minimum period of 6 months after the procedure) and from 30 class II and III obese patients as a control group (Cont), consisting of daily dietary intake of macronutrients, calcium and sodium, serum 25(OH)D and parathyroid hormone (PTH) and other biochemical serum and urinary parameters. Bone alkaline phosphatase (BAP), leptin, fibroblast growth factor-23 (FGF-23) and deoxypyridinoline (DPYD) were determined from available banked serum and urinary samples. Results: Mean body mass index (BMI), median energy, carbohydrate, protein and sodium chloride consumption were significantly lower in the BS versus Cont, but calcium and lipids were not. No significant differences were found in ionized calcium, 25(OH)D, PTH and fibroblast growth factor 23 (FGF-23) between groups. Mean serum BAP was significantly higher for BS versus Cont and had a positive correlation with time after the surgical procedure. Mean serum leptin was significantly lower and median urinary DPYD higher in BS versus Cont. Conclusion: The present study showed an increase in bone markers of both bone formation and resorption among bariatric patients up to more than 7 years after the surgical procedure, suggesting that an increased bone turnover persists even at a very long-term follow-up in such patients. Arch Endocrinol Metab.2017;61(3):332-6.

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Nutritional Status, Body Composition, and Bone Health in Women After Bariatric Surgery at a University Hospital in Rio de Janeiro

Cited by 18 publications

References 52 publications

Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women

Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women

Iron deficiency after bariatric surgery: what is the real problem?

Bone turnover after bariatric surgery

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