IMPACT OF DEFICIENT NUTRITION IN BONE MASS AFTER BARIATRIC SURGERY
Background : Essential nutrients are considered for the prevention of the bone loss that occurs after bariatric surgery. Aim : Evaluate nutrients involved in bone metabolism, and relate to serum concentrations of calcium, vitamin D, and parathyroid hormone, and the use of supplements and sun exposu...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgia Digestiva
2016-03-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000100038&tlng=en |
| _version_ | 1818891689667854336 |
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| author | Tatiana Munhoz da Rocha Lemos COSTA Mariana PAGANOTO Rosana Bento RADOMINSKI Victoria Zeghbi Cochenski BORBA |
| author_facet | Tatiana Munhoz da Rocha Lemos COSTA Mariana PAGANOTO Rosana Bento RADOMINSKI Victoria Zeghbi Cochenski BORBA |
| author_sort | Tatiana Munhoz da Rocha Lemos COSTA |
| collection | DOAJ |
| description | Background : Essential nutrients are considered for the prevention of the bone loss that occurs after bariatric surgery. Aim : Evaluate nutrients involved in bone metabolism, and relate to serum concentrations of calcium, vitamin D, and parathyroid hormone, and the use of supplements and sun exposure on the bone mass of patients who had undergone gastric bypass surgery. Methods : An observational study, with patients who had undergone the surgery 12 or more months previously, operated group (OG), compared to a control group (CG). Results : Were included 56 in OG and 27 in the CG. The mean age was 36.4±8.5 years. The individuals in the OG, compared to CG, consumed inadequate amounts of protein and daily calcium. The OG had a higher prevalence of low sun exposure, lower levels of 25OH Vitamin D (21.3±10.9 vs. 32.1±11.8 ng/dl), and increased serum levels of parathyroid hormone (68.1±32.9 vs. 39.9±11.9 pg/ml, p<0.001). Secondary hyperparathyroidism was present only in the OG (41.7%). The mean lumbar spine bone mineral density was lower in the OG. Four individuals from the OG had low bone mineral density for chronological age, and no one from the CG. Conclusion : The dietary components that affect bone mass in patients undergoing bariatric surgery were inadequate. The supplementation was insufficient and the sun exposure was low. These changes were accompanied by secondary hyperparathyroidism and a high prevalence of low bone mass in lumbar spine in these subjects. |
| first_indexed | 2024-12-19T17:44:48Z |
| format | Article |
| id | doaj.art-057efce139054652b98d92d392cff898 |
| institution | Directory Open Access Journal |
| issn | 0102-6720 |
| language | English |
| last_indexed | 2024-12-19T17:44:48Z |
| publishDate | 2016-03-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj.art-057efce139054652b98d92d392cff8982022-12-21T20:12:06ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202016-03-01291384210.1590/0102-6720201600010010IMPACT OF DEFICIENT NUTRITION IN BONE MASS AFTER BARIATRIC SURGERYTatiana Munhoz da Rocha Lemos COSTAMariana PAGANOTORosana Bento RADOMINSKIVictoria Zeghbi Cochenski BORBABackground : Essential nutrients are considered for the prevention of the bone loss that occurs after bariatric surgery. Aim : Evaluate nutrients involved in bone metabolism, and relate to serum concentrations of calcium, vitamin D, and parathyroid hormone, and the use of supplements and sun exposure on the bone mass of patients who had undergone gastric bypass surgery. Methods : An observational study, with patients who had undergone the surgery 12 or more months previously, operated group (OG), compared to a control group (CG). Results : Were included 56 in OG and 27 in the CG. The mean age was 36.4±8.5 years. The individuals in the OG, compared to CG, consumed inadequate amounts of protein and daily calcium. The OG had a higher prevalence of low sun exposure, lower levels of 25OH Vitamin D (21.3±10.9 vs. 32.1±11.8 ng/dl), and increased serum levels of parathyroid hormone (68.1±32.9 vs. 39.9±11.9 pg/ml, p<0.001). Secondary hyperparathyroidism was present only in the OG (41.7%). The mean lumbar spine bone mineral density was lower in the OG. Four individuals from the OG had low bone mineral density for chronological age, and no one from the CG. Conclusion : The dietary components that affect bone mass in patients undergoing bariatric surgery were inadequate. The supplementation was insufficient and the sun exposure was low. These changes were accompanied by secondary hyperparathyroidism and a high prevalence of low bone mass in lumbar spine in these subjects.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000100038&tlng=enBariatric surgeryBone mineral densityNutrients deficiencySupplementationSun exposure |
| spellingShingle | Tatiana Munhoz da Rocha Lemos COSTA Mariana PAGANOTO Rosana Bento RADOMINSKI Victoria Zeghbi Cochenski BORBA IMPACT OF DEFICIENT NUTRITION IN BONE MASS AFTER BARIATRIC SURGERY ABCD: Arquivos Brasileiros de Cirurgia Digestiva Bariatric surgery Bone mineral density Nutrients deficiency Supplementation Sun exposure |
| title | IMPACT OF DEFICIENT NUTRITION IN BONE MASS AFTER BARIATRIC SURGERY |
| title_full | IMPACT OF DEFICIENT NUTRITION IN BONE MASS AFTER BARIATRIC SURGERY |
| title_fullStr | IMPACT OF DEFICIENT NUTRITION IN BONE MASS AFTER BARIATRIC SURGERY |
| title_full_unstemmed | IMPACT OF DEFICIENT NUTRITION IN BONE MASS AFTER BARIATRIC SURGERY |
| title_short | IMPACT OF DEFICIENT NUTRITION IN BONE MASS AFTER BARIATRIC SURGERY |
| title_sort | impact of deficient nutrition in bone mass after bariatric surgery |
| topic | Bariatric surgery Bone mineral density Nutrients deficiency Supplementation Sun exposure |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000100038&tlng=en |
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