Patient-Reported Adherence to Empiric Vitamin/Mineral Supplementation and Related Nutrient Deficiencies After Roux-en-Y Gastric Bypass

James, Haleigh; Lorentz, Paul A.; Collazo–Clavell, Maria L.

doi:10.1007/s11695-016-2155-7

Cited by 34 publications

(26 citation statements)

References 21 publications

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“…There is a high incidence of iron deficiency anaemia following bariatric surgery because of low dietary iron intake, reduced intestinal absorption and, for some women, menstruation 15,18,19,35–37,41,57–60,72–74,85–94 …”

Section: Postoperative Care and Biochemical Monitoringmentioning

confidence: 99%

“…Vitamin B12 absorption is adversely affected by SG, RYGB and BPD/DS as it requires an acidic environment and presence of intrinsic factor produced by the gastric parietal cells 95 . Many people have about 2‐year stores of vitamin B12; therefore, deficiency may present several years after surgery 15,18,19,40,41,47,57–59,65,73,86–89,92,93,96 . Vitamin B12 deficiency impacts adversely on the haematopoietic and nervous systems and may result in megaloblastic anaemia and irreversible neuropathies 95 .…”

Section: Postoperative Care and Biochemical Monitoringmentioning

confidence: 99%

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British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update

et al. 2020

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Bariatric surgery is recognized as the most clinically and cost-effective treatment for people with severe and complex obesity. Many people presenting for surgery have pre-existing low vitamin and mineral concentrations. The incidence of these may increase after bariatric surgery as all procedures potentially cause clinically significant micronutrient deficiencies. Therefore, preparation for surgery and long-term nutritional monitoring and follow-up are essential components of bariatric surgical care. These guidelines update the 2014 British Obesity and Metabolic Surgery Society nutritional guidelines. Since the 2014 guidelines, the working group has been expanded to include healthcare professionals working in specialist and non-specialist care as well as patient representatives. In addition, in these updated guidelines, the current evidence has been systematically reviewed for adults and adolescents undergoing the following procedures: adjustable gastric band, sleeve gastrectomy, Rouxen-Y gastric bypass and biliopancreatic diversion/duodenal switch. Using methods based on Scottish Intercollegiate Guidelines Network methodology, the levels of evidence and recommendations have been graded. These guidelines are comprehensive,

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Section: Postoperative Care and Biochemical Monitoringmentioning

confidence: 99%

Section: Postoperative Care and Biochemical Monitoringmentioning

confidence: 99%

British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update

et al. 2020

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“…Zarshenas et al reported about an inconsistent adherence of MVS intake after bariatric surgery (5) . Many other studies have shown that long-term adherence of bariatric patients to MVS intake is poor (10,(12)(13)(14)(15)(16)(17)(18) . However, it is unclear which factors contribute to patient Abbreviations: LRYGB: laparoscopic Roux-en-Y gastric bypass; LSG: Laparoscopic sleeve gastrectomy; MVS: multivitamin supplementation; OAGB/MGB: One Anastomosis/Mini-Gastric Bypass adherence in taking MVS.…”

Section: Introductionmentioning

confidence: 99%

Patient adherence to multivitamin supplementation after bariatric surgery: a narrative review

et al. 2020

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Morbid obesity is a growing problem worldwide and has subsequently resulted in a wide application of bariatric surgery to achieve long-term weight loss and improvement of obesity-related co-morbidities. In spite of these clinical benefits, vitamin deficiencies are common after bariatric surgery; therefore, lifelong multivitamin supplementation (MVS) is recommended. However, patient adherence to MVS intake is generally poor. The aim of this narrative review is to analyse which factors influence the adherence of MVS intake after bariatric surgery. To provide an extensive overview, we will discuss the different factors that influence MVS use in patients who underwent bariatric surgery, but also review the literature on MVS in other patient groups.

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“…Patients are therefore advised lifelong micronutrient supplementation [5][6]. However, adherence to these recommendations can be poor [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Patient Perspectives on Adherence with Micronutrient Supplementation After Bariatric Surgery

Mahawar

Clare²,

O’Kane

et al. 2019

OBES SURG

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Background: Adherence to post-bariatric surgery nutritional supplements can be poor and is associated with higher micronutrient deficiency rates. There is currently no available study specifically seeking patients' perspectives on the reasons behind poor adherence and how to address it. Methods: Bariatric surgery patients living in the United Kingdom were invited to take part in an anonymous survey on SurveyMonkey®. Results: A total of 529 patients (92.61 % females, mean age 47.7 years) took part. Most of these patients had undergone either a Roux-en-Y Gastric Bypass (63.0%) or Sleeve Gastrectomy (24.0 %). Most of the patients were in full-time (49.0 %, n=260/529) or part-time (15.7 %, n=83/529) employment. Approximately 54.0% (n=287/529) of the respondents reported having trouble taking all their supplements. Males were significantly more likely to report complete compliance. The most important reported reason for poor compliance was difficulty in remembering (45.6%), followed by too many tablets (16.4 %), side effects (14.3 %), cost (11.5 %), non-prescribing by GP (10.8%), bad taste (10.1 %), and not feeling the need to take (9.4 %). Patients suggested reducing the number of tablets (41.8 %), patient education (25.7 %), GP education (24.0 %), reducing the cost (18.5 %), and more information from a healthcare provider (12.5 %) or a pharmacist (5.2 %) to improve the compliance. Conclusion: This study is the first attempt to understand patient perspectives on poor adherence to postbariatric surgery nutritional recommendation. Patients offered a number of explanations and also provided with suggestions on how to improve it.

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Patient-Reported Adherence to Empiric Vitamin/Mineral Supplementation and Related Nutrient Deficiencies After Roux-en-Y Gastric Bypass

Cited by 34 publications

References 21 publications

British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update

British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update

Patient adherence to multivitamin supplementation after bariatric surgery: a narrative review

Patient Perspectives on Adherence with Micronutrient Supplementation After Bariatric Surgery

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