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Mayana Alves Baad V, Chaves Pereira de Holanda N, Fonseca Nogueira Alves J, Bandeira F, Célia Oliveira dos Santos A, Alves Marcelino da Silva A, Cinthia Ferro Cavalcante T. Vitamin D Concentration Changes after Bariatric Surgery. J Obes 2023; 2023:4828052. [PMID: 37771449 PMCID: PMC10533296 DOI: 10.1155/2023/4828052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 04/11/2023] [Accepted: 08/28/2023] [Indexed: 09/30/2023] Open
Abstract
Introduction Bariatric surgery causes physiological and anatomical changes in the gastrointestinal tract that interfere with intestinal absorption and, consequently, with the nutritional status, especially about vitamin D. The aim of the study was to evaluate the vitamin D levels and body composition of these patients in the Roux-en-Y gastric bypass (RYGB) and vertical sleeve gastrectomy (VSG) types of surgery. Methods The retrospective cohort study included a population of 120 patients aged between 18 and 65 years, with class II or III obesity, undergoing bariatric surgery procedures (VSG or RYGB-type). Data were collected on the degree of obesity, age, average time since surgery, and gender. The individuals underwent a complete physical examination, measuring blood pressure, weight, height, waist, and neck circumference. In addition to calculating the percentage of loss of body weight and assessing body fat, the food frequency and physical activity of these patients were evaluated. Blood was collected, and the insulin variables, hydroxyvitamin D (25OHD), were analyzed. Results There was a significant difference between groups only for PTH, total BMD, and insulin variables. A significant intragroup difference was found in the variables' body mass index (BMI) and vitamin D for the vertical sleeve gastrectomy group and BMI for the RYGB group. Conclusion The analysis between the groups of procedures, similarity in body composition and postsurgical vitamin D levels, with significant differences only for PTH, BMD, and insulin variables, demonstrates that both procedures are effective in reducing fat mass.
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Affiliation(s)
| | - Narriane Chaves Pereira de Holanda
- Faculty of Medical Sciences, University of Pernambuco, Recife, Pernambuco, Brazil
- Department of Endocrinology, Federal University of Paraiba, João Pessoa, Paraíba, Brazil
| | | | - Francisco Bandeira
- Faculty of Medical Sciences, University of Pernambuco, Recife, Pernambuco, Brazil
| | | | - Amanda Alves Marcelino da Silva
- Faculty of Medical Sciences, University of Pernambuco, Recife, Pernambuco, Brazil
- Department of Nutrition, University of Pernambuco, Petrolina, Pernambuco, Brazil
| | - Taisy Cinthia Ferro Cavalcante
- Faculty of Medical Sciences, University of Pernambuco, Recife, Pernambuco, Brazil
- Department of Nutrition, University of Pernambuco, Petrolina, Pernambuco, Brazil
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de Holanda NCP, Baad VMA, Bezerra LR, de Lima SKM, Filho JM, de Holanda Limeira CC, Cavalcante TCF, Montenegro ACP, Bandeira F. Secondary Hyperparathyroidism, Bone Density, and Bone Turnover After Bariatric Surgery: Differences Between Roux-en-Y Gastric Bypass and Sleeve Gastrectomy. Obes Surg 2021; 31:5367-5375. [PMID: 34635988 DOI: 10.1007/s11695-021-05739-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 10/01/2021] [Accepted: 10/05/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE Bariatric surgery may lead to metabolic bone disease. MATERIALS AND METHODS In this cross-sectional study, we compared the prevalence of secondary hyperparathyroidism (SHPT), impact on bone mass and turnover markers, and serum leptin after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) in 117 patients (91% female, 51% RYGB, age 41.8 ± 6.7 years, time of surgery 4.3 ± 3.4 years) at different times (1-2 years, > 2 and < 5 years and ≥ 5 years). Body composition, bone mineral density (BMD), by dual-energy X-ray absorptiometry, and bone parameters (PTH, serum calcium, 25OHD, alkaline phosphatase (AP), C-telopeptide (CTX)) were analyzed. RESULTS Prevalence of SHPT (PTH ≥ 65 pg/ml) was 26%, RYGB > SG (18.4% vs. 7.8%, p = 0.039), despite similar 25OHD and calcium levels. Mean PTH, CTX, and AP were higher in RYGB vs. SG (61.3 ± 29.5 vs 49.5 ± 32.3 pg/ml, p = 0.001; 0.596 ± 0.24 vs. 0.463 ± 0.23 ng/ml; 123.9 ± 60.8 vs. 100.7 ± 62.0 U/l). There were 13.5% decreases in femoral neck BMD in all patients, over the study period. In the last group, the RYGB group showed greater bone loss in total body BMD (1.016 vs. 1.151 g/cm2, - 8.1%, p = 0.003) and total femur BMD (1.164 vs. 1.267 g/cm2, - 11.7%, p = 0.007). Mean leptin was lower in the RYGB vs. SG group, with no correlation with BMD in any site. CONCLUSION Our data suggest a more deleterious role of RYGB on bone remodeling up to 5 years postoperatively in comparison with SG.
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Affiliation(s)
- Narriane Chaves Pereira de Holanda
- Department of Endocrinology, Federal University of Paraiba, Governador Antônio da Silva Mariz, 601, Portal Do Sol, João Pessoa, PB, CEP: 58046-518, Brazil.
- Post-Graduated Program in Health Sciences, University of Pernambuco Medical School, Recife, Brazil.
| | | | - Louise Rayra Bezerra
- Division of Endocrinology and Diabetes, Agamenon Magalhães Hospital, University of Pernambuco Medical School, Recife, Brazil
| | - Silvane Katarine Medeiros de Lima
- Department of Endocrinology, Federal University of Paraiba, Governador Antônio da Silva Mariz, 601, Portal Do Sol, João Pessoa, PB, CEP: 58046-518, Brazil
| | - Joao Modesto Filho
- Department of Endocrinology, Federal University of Paraiba, Governador Antônio da Silva Mariz, 601, Portal Do Sol, João Pessoa, PB, CEP: 58046-518, Brazil
| | - Caio Chaves de Holanda Limeira
- Department of Endocrinology, Federal University of Paraiba, Governador Antônio da Silva Mariz, 601, Portal Do Sol, João Pessoa, PB, CEP: 58046-518, Brazil
| | | | | | - Francisco Bandeira
- Post-Graduated Program in Health Sciences, University of Pernambuco Medical School, Recife, Brazil
- Division of Endocrinology and Diabetes, Agamenon Magalhães Hospital, University of Pernambuco Medical School, Recife, Brazil
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Vieira Souza Silva B, da Cruz Andrade PM, Mayana Alves Baad V, de Melo Valença PA, Aparecida Menezes V, Colares Amorim V, Bandeira Ferreira Santos da Franca C. Prevalência e fatores associados à autopercepção negativa em saúde dos adolescentes: uma revisão sistemática. RBPS 2016. [DOI: 10.5020/18061230.2016.p595] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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