Can Composite Nutritional Supplement Based on the Current Guidelines Prevent Vitamin and Mineral Deficiency After Weight Loss Surgery?

Boyce, Stephen G.; Goriparthi, Richie; Clark, Jennifer; Cameron, Krystal; Roslin, Mitchell

doi:10.1007/s11695-015-1853-x

Cited by 26 publications

(20 citation statements)

References 27 publications

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“…Prevalences of iron deficiency and low haemoglobin levels ranging from 0% to 47% have been reported in people going forward for bariatric surgery 15,30–33,35–37,41,43,46,49,57–59 . Reports of folate deficiency before bariatric surgery have ranged between 0% and 63%, 15,30,34,36,50,60 and between 0% to 23% for vitamin B12 deficiency.…”

Section: Preoperative Carementioning

confidence: 99%

“…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: Preoperative Carementioning

confidence: 99%

Section: Postoperative Care and Biochemical Monitoringmentioning

confidence: 99%

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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“…Studies have demonstrated that sufficient intake of protein and iron, can realistically be obtained from diet especially if it is nutrient dense 115,141 . Use of dietary supplements is also an effective way to manage status of protein 142 , calcium, iron 141,143 , and vitamins D 115 and B 12 144 after gastric bypass. For treatment of deficiencies, although clinical trial are limited, data suggest that high-dose supplementation of iron 145 , vitamins D 142,146 and B 12 and protein 117 is effective.…”

Section: Introductionmentioning

confidence: 99%

Proceedings of the 2017 ASPEN Research Workshop—Gastric Bypass: Role of the Gut

Jain

Roux

Puri

et al. 2018

J Parenter Enteral Nutr

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The goal of the National Institutes of Health-funded American Society for Parenteral and Enteral Nutrition 2017 research workshop (RW) "Gastric Bypass: Role of the Gut" was to focus on the exciting research evaluating gut-derived signals in modulating outcomes after bariatric surgery. Although gastric bypass surgery has undoubted positive effects, the mechanistic basis of improved outcomes cannot be solely explained by caloric restriction. Emerging data suggest that bile acid metabolic pathways, luminal contents, energy balance, gut mucosal integrity, as well as the gut microbiota are significantly modulated after bariatric surgery and may be responsible for the variable outcomes, each of which was rigorously evaluated. The RW served as a timely and novel academic meeting that brought together clinicians and researchers across the scientific spectrum, fostering a unique venue for interdisciplinary collaboration among investigators. It promoted engaging discussion and evolution of new research hypotheses and ideas, driving the development of novel ameliorative, therapeutic, and nonsurgical interventions targeting obesity and its comorbidities. Importantly, a critical evaluation of the current knowledge regarding gut-modulated signaling after bariatric surgery, potential pitfalls, and lacunae were thoroughly addressed.

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“…In addition, biochemical surveillance of nutritional status every 3–6 months in the first year after surgery and annually thereafter is advised [42]. A recently performed retrospective chart review confirmed the effectiveness of the recommended supplementation doses, but also reported the patient’s compliance as substantial effect modifier [43]. Compliance could be an explanation for studies that have presented that the current recommendations for post-bariatric surgery vitamin D supplementation fails to raise 25(OH)D above the level of 30 ng/ml, that has been defined as sufficient for adults [40, 44].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of the interrelation between diet- and surgery-induced weight loss and vitamin D status

et al. 2017

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Obesity is a major global health problem and has been associated with vitamin D deficiency. Intentional weight loss may alter vitamin D status and, conversely, vitamin D supplementation has been hypothesized to aid in weight loss. A systematic literature search in PubMed/Medline identified 3,173 articles of which 37 studies (randomized controlled trials (RCT) (n=17), non-RCTs (n=20)) are summarized as effect of: (I) diet-induced weight loss on vitamin D status (n=7), (II) vitamin D supplementation on diet-induced weight loss (n=11), (III) surgery-induced weight loss on vitamin D status (n=15), and (IV) vitamin D supplementation after surgery-induced weight loss on vitamin D status (n=5). While all studies on the effect of diet-induced weight loss on vitamin D status have consistently reported increased vitamin D levels, the targeted percentage of weight loss that is necessary for an increase has varied between 5% and >10%. N=11 RCTs testing the effect of vitamin D supplementation observe that vitamin D supplementation does not result in increased weight loss, but may affect body fat loss. Vitamin D deficiency and subsequent hyperparathyroidism have been detected in post-surgery patients, and there is evidence that vitamin D supplementation improves these post-surgery complications.. We review the current evidence addressing the role of vitamin D status and supplementation in diet- and surgery induced weight loss. Subsequently, we highlight gaps in current research and suggest directions for future research including differences in vitamin D supplementation dosages, indoor vs. outdoor exercise, and the assessment of vitamin D status in different body pools.

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Can Composite Nutritional Supplement Based on the Current Guidelines Prevent Vitamin and Mineral Deficiency After Weight Loss Surgery?

Cited by 26 publications

References 27 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

Proceedings of the 2017 ASPEN Research Workshop—Gastric Bypass: Role of the Gut

A systematic review of the interrelation between diet- and surgery-induced weight loss and vitamin D status

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