Loading...
 
Translate Register Log In Login with facebookLogin and Register

Prior to Bariatric Surgery 96 percent were vitamin D deficient – July 2014

FAT-SOLUBLE VITAMIN DEFICIENCIES AFTER BARIATRIC SURGERY COULD BE MISLEADING IF THEY ARE NOT APPROPRIATELY ADJUSTED.

Nutr Hosp. 2014 Jul 1;30(n01):118-123.
Cuesta M1, Pelaz L2, Pérez C3, Torrejón MJ4, Cabrerizo L5, Matía P6, Pérez-Ferre N7, Sánchez-Pernaute A8, Torres A9, Rubio MA10.

OBJECTIVE:
To evaluate the differences in frequency of fat-soluble vitamin deficiencies if we adjust their levels by its main carriers in plasma in patients undergoing Biliopancreatic diversion (BPD) and Roux-en-Y gastric bypass (RYGB).
RESEARCH METHODS & PROCEDURES:
We recruited 178 patients who underwent RYGB (n = 116 patients) and BPD (n = 62 patients) in a single centre. Basal data information and one-year after surgery included: anthropometric measurements, fat-soluble vitamins A, E and D, retinol binding protein (RBP) and total cholesterol as carriers of vitamin A and E respectively. Continuous data were compared using T-Student and proportions using chisquare test.
RESULTS:
There was a vitamin D deficiency of 96% of all patients, 10% vitamin A deficiency and 1.2% vitamin E deficiency prior to surgery. One year after surgery, 33% of patients were vitamin A deficient but the frequency reduced to 19% when we adjusted by RBP. We found a vitamin E deficiency frequency of 0% in RYGB and 4.8% in DBP one year after surgery. However, when we adjusted the serum levels to total cholesterol, we found an increased frequency of 8.7% in RYGB group for vitamin E deficiency and 21.4% in DBP (p = 0.04).
CONCLUSION:
We have found a different frequency of deficit for fat-soluble vitamin both in BPD and RYGB once we have adjusted for its main carriers. This is clinically relevant to prevent from overexposure and toxicity. We suggest that carrier molecules should be routinely requested when we assess fat-soluble vitamin status in patients who undergo malabsorptive procedures.

Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
PMID: 25137270


See also VitaminDWiki

Image
Overview Gut and vitamin D contains the following summary

  • Gut problems result in reduced absorption of Vitamin D, Magnesium, etc.
  • Celiac disease has a strong genetic component.
    • Most, but not all, people with celiac disease have a gene variant.
    • An adequate level vitamin D seems to decrease the probability of getting celiac disease.
    • Celiac disease causes poor absorption of nutrients such as vitamin D.
    • Bringing the blood level of vitamin D back to normal in patients with celiac disease decreases symptoms.
    • The prevalence of celiac disease, not just its diagnosis, has increased 4X in the past 30 years, similar to the increase in Vitamin D deficiency.
  • Review in Nov 2013 found that Vitamin D helped
  • Many intervention clinical trials for vitamin D to prevent or treat Gut problems (93 trials listed as of Jan 2017)
  • All items in category gut and vitamin D 131 items


Overview Obesity and Vitamin D contains the following summary


See also web

Bariatric surgery and vitamin D: key messages for surgeons and clinicians before and after bariatric surgery - June 2016
Publisher wants £85 for the PDF

See any problem with this page? Report it (FINALLY WORKS)