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Bariatric Surgery in Adolescents: 41% vitamin D deficient - meta-analysis Nov 2023

Nutrient Deficiency After Bariatric Surgery in Adolescents: A Systematic Review and Meta-Analysis

Obes Surg 2023 Nov 22. doi: 10.1007/s11695-023-06955-y
Faraneh Zolfaghari 1, Yasaman Khorshidi 1, Nazanin Moslehi 2, Mahdieh Golzarand 3, Golaleh Asghari 4

Objective: This systematic review and meta-analysis study aimed to estimate changes in blood nutrient concentrations and nutrient deficiencies in adolescents following bariatric surgery.

Methods: We searched PubMed, Scopus, and the Web of Science to find studies published between January 2000 and August 2023. Observational studies reporting the mean blood concentration of nutrients before and after bariatric surgery or the proportion of nutrient deficiencies after the surgery in healthy adolescents were selected.

Results: Fifteen studies were included. Gastric bypass and sleeve gastrostomy were the most common types of surgery. vitamin d, iron, or ferritin, vitamin B12, calcium, and folic acid were the most studied nutrients, respectively. Other nutrients examined in the studies included zinc, phosphorus, and albumin. The serum ferritin increased by 21 mcg/L (95% CI = 10.0, 32.0 mcg/L) after the surgery, but there were no significant alterations in other nutrients. The postoperative prevalence of low albumin, ferritin, vitamin d, and vitamin B12 levels was 10%, 49%, 41%, and 20%, respectively. Also, 23% had an iron deficiency, and 10% had a calcium deficiency after bariatric surgery.

Conclusions: The serum ferritin level increased following bariatric surgery in adolescents. vitamin d and ferritin deficiencies were estimated to be present in more than one-third of adolescents after the surgery.

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Vitamin D interactions with poor gut (Celiac, IBD, and Bariatric surgery) – several studies

15+ VitaminDWiki pages with BARIATRIC in title

This list is automatically updated

Items found: 17
Title Modified
Following Bariatric surgery, weekly 50,000 IU of standard Vitamin D is not enough – Jan 2024 12 Jan, 2024
Vitamin D interactions with poor gut (Celiac, IBD, and Bariatric surgery) – several studies 22 Nov, 2023
Bariatric Surgery in Adolescents: 41% vitamin D deficient - meta-analysis Nov 2023 22 Nov, 2023
Bariatric surgery increases risk of bone fracture (less vitamin D adsorbed) - June 2023 09 Jun, 2023
Bariatric Surgery and Vitamin D - many studies 30 Apr, 2023
Poor heart rate variability for a year after Bariatric surgery if low vitamin D – Nov 2022 08 Nov, 2022
Bariatric Surgery lowered risk of severe liver disease (not a surprise) - Nov 2021 11 Nov, 2021
Weekly oral Vitamin D recommended before surgery (Bariatric in this case) – RCT June 2019 19 Jul, 2020
Bariatric Surgery is Bad for the Bone (reduce vitamin uptake, etc)– 2016 03 Nov, 2019
4 weeks of Omega-3 better than 2 week 800 calorie diet before Bariatric Surgery – RCT March 2019 23 Mar, 2019
Vitamin D probably important for Bariatric Surgery – April 2018 14 Jul, 2018
Obesity special issue in JAMA focuses on Bariatric Surgery (where the money is) – Jan 2018 20 Jan, 2018
Bones helped by Vitamin D, Physical Exercise, etc (this time - Bariatric Surgery) – RCT March 2016 30 Aug, 2017
Bariatric Surgery problems associated with season, latitude (low Vitamin D) – Dec 2015 25 Oct, 2016
Prior to Bariatric Surgery 96 percent were vitamin D deficient – July 2014 25 Oct, 2016
Bariatric surgery less than 30 ng of vitamin D – 82 pcnt teens, 100 pcnt of black teens – June 2012 25 Aug, 2014
Virtually all Bariatric Surgery patients vitamin D deficient – should we routinely supplement – Jan 2011 25 Aug, 2014