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Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, despite the Widespread Use of Supplements

There are few long-term nutritional studies in subjects undergoing bariatric surgery that have assessed weight regain and nutritional deficiencies. In this study, we report data 8 years after surgery on weight loss, use of dietary supplements and deficit of micronutrients in a cohort of patients fro...

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Autores principales: Lombardo, Mauro, Franchi, Arianna, Biolcati Rinaldi, Roberto, Rizzo, Gianluca, D’Adamo, Monica, Guglielmi, Valeria, Bellia, Alfonso, Padua, Elvira, Caprio, Massimiliano, Sbraccia, Paolo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123142/
https://www.ncbi.nlm.nih.gov/pubmed/33922904
http://dx.doi.org/10.3390/ijerph18094541
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author Lombardo, Mauro
Franchi, Arianna
Biolcati Rinaldi, Roberto
Rizzo, Gianluca
D’Adamo, Monica
Guglielmi, Valeria
Bellia, Alfonso
Padua, Elvira
Caprio, Massimiliano
Sbraccia, Paolo
author_facet Lombardo, Mauro
Franchi, Arianna
Biolcati Rinaldi, Roberto
Rizzo, Gianluca
D’Adamo, Monica
Guglielmi, Valeria
Bellia, Alfonso
Padua, Elvira
Caprio, Massimiliano
Sbraccia, Paolo
author_sort Lombardo, Mauro
collection PubMed
description There are few long-term nutritional studies in subjects undergoing bariatric surgery that have assessed weight regain and nutritional deficiencies. In this study, we report data 8 years after surgery on weight loss, use of dietary supplements and deficit of micronutrients in a cohort of patients from five centres in central and northern Italy. The study group consisted of 52 subjects (age: 38.1 ± 10.6 y, 42 females): 16 patients had Roux-en-Y gastric bypass (RYGB), 25 patients had sleeve gastrectomy (SG) and 11 subjects had adjustable gastric banding (AGB). All three bariatric procedures led to sustained weight loss: the average percentage excess weight loss, defined as weight loss divided by excess weight based on ideal body weight, was 60.6% ± 32.3. Despite good adherence to prescribed supplements, 80.7% of subjects (72.7%, AGB; 76.7%, SG; 93.8 %, RYGB) reported at least one nutritional deficiency: iron (F 64.3% vs. M 30%), vitamin B12 (F 16.6% vs. M 10%), calcium (F 33.3% vs. M 0%) and vitamin D (F 38.1% vs. M 60%). Long-term nutritional deficiencies were greater than the general population among men for iron and among women for vitamin B12.
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spelling pubmed-81231422021-05-16 Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, despite the Widespread Use of Supplements Lombardo, Mauro Franchi, Arianna Biolcati Rinaldi, Roberto Rizzo, Gianluca D’Adamo, Monica Guglielmi, Valeria Bellia, Alfonso Padua, Elvira Caprio, Massimiliano Sbraccia, Paolo Int J Environ Res Public Health Article There are few long-term nutritional studies in subjects undergoing bariatric surgery that have assessed weight regain and nutritional deficiencies. In this study, we report data 8 years after surgery on weight loss, use of dietary supplements and deficit of micronutrients in a cohort of patients from five centres in central and northern Italy. The study group consisted of 52 subjects (age: 38.1 ± 10.6 y, 42 females): 16 patients had Roux-en-Y gastric bypass (RYGB), 25 patients had sleeve gastrectomy (SG) and 11 subjects had adjustable gastric banding (AGB). All three bariatric procedures led to sustained weight loss: the average percentage excess weight loss, defined as weight loss divided by excess weight based on ideal body weight, was 60.6% ± 32.3. Despite good adherence to prescribed supplements, 80.7% of subjects (72.7%, AGB; 76.7%, SG; 93.8 %, RYGB) reported at least one nutritional deficiency: iron (F 64.3% vs. M 30%), vitamin B12 (F 16.6% vs. M 10%), calcium (F 33.3% vs. M 0%) and vitamin D (F 38.1% vs. M 60%). Long-term nutritional deficiencies were greater than the general population among men for iron and among women for vitamin B12. MDPI 2021-04-25 /pmc/articles/PMC8123142/ /pubmed/33922904 http://dx.doi.org/10.3390/ijerph18094541 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lombardo, Mauro
Franchi, Arianna
Biolcati Rinaldi, Roberto
Rizzo, Gianluca
D’Adamo, Monica
Guglielmi, Valeria
Bellia, Alfonso
Padua, Elvira
Caprio, Massimiliano
Sbraccia, Paolo
Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, despite the Widespread Use of Supplements
title Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, despite the Widespread Use of Supplements
title_full Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, despite the Widespread Use of Supplements
title_fullStr Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, despite the Widespread Use of Supplements
title_full_unstemmed Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, despite the Widespread Use of Supplements
title_short Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, despite the Widespread Use of Supplements
title_sort long-term iron and vitamin b12 deficiency are present after bariatric surgery, despite the widespread use of supplements
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123142/
https://www.ncbi.nlm.nih.gov/pubmed/33922904
http://dx.doi.org/10.3390/ijerph18094541
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