Efficacy of multivitamin support following bariatric surgery in patients with obesity: a prospective observational study.
Bariatric surgery
Micronutrients
Multivitamin support
Obesity
Journal
Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113
Informations de publication
Date de publication:
07 May 2024
07 May 2024
Historique:
received:
30
11
2023
accepted:
02
04
2024
medline:
8
5
2024
pubmed:
8
5
2024
entrez:
7
5
2024
Statut:
epublish
Résumé
Bariatric surgery (BS), an effective treatment for severe obesity and its comorbidities, may result in micronutrient and vitamin deficiencies. This monocentric prospective observational study aimed at evaluating the efficacy of a specifically designed vitamin/mineral formula (Bariatrifast, BIOITALIA S.r.l., Italy) for preventing and treating micronutrient deficiencies in patients submitted to BS. Twenty patients with severe obesity (mean weight and BMI: 123.5 kg (range 88-174) and 43.3 kg/m All patients achieved a significant weight loss (mean - 34.7 ± 11.8 kg). No deficiencies of various vitamins/micronutrients were detected during the entire study period. The serum concentrations of vitamin B12, 25-OH Vitamin D and folic acid increased over the follow-up period compared with V0 (mean increase 243 ng/L, 23 µg /L, 8 µg/L, respectively). Compared to RYGB, patients who underwent sleeve gastrectomy showed higher levels of 25-OH vitamin D at V2, V3 and V4 (all p < 0.05), and higher levels of Vitamin B12 and folic acid at V4 (p < 0.05 and p < 0.005, respectively). No adverse events were reported. Following VSG or RYGB, Bariatrifast administration was associated with normal values of essential micronutrients, and it was well-tolerated without evidence of gastrointestinal side effects. Clinical Trial Registration ClinicalTrials.gov, identifiers NCT06152965.
Identifiants
pubmed: 38714632
doi: 10.1007/s40519-024-01655-7
pii: 10.1007/s40519-024-01655-7
doi:
Substances chimiques
Vitamins
0
Micronutrients
0
Banques de données
ClinicalTrials.gov
['NCT06152965']
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
34Informations de copyright
© 2024. The Author(s).
Références
Janssen F, Bardoutsos A, Vidra N (2020) Obesity prevalence in the long-term future in 18 European countries and in the USA. Obes Facts 13(5):514–527
pubmed: 33075798
pmcid: 7670332
doi: 10.1159/000511023
Blüher M (2019) Obesity: global epidemiology and pathogenesis. Nat Rev Endocrinol 15(5):288–298
pubmed: 30814686
doi: 10.1038/s41574-019-0176-8
World Health Organization. Obesity and overweight fact sheet; 2016. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight . Accessed 18 Sept 2021.
Yumuk V, Tsigos C, Fried M, Schindler K, Busetto L, Micic D, Toplak H (2015) European guidelines for obesity management in adults. Obes Facts 8(6):402–424
pubmed: 26641646
pmcid: 5644856
doi: 10.1159/000442721
Toplak H, Woodward E, Yumuk V, Oppert JM, Halford JC, Frühbeck G (2015) 2014 EASO position statement on the use of anti-obesity drugs. Obes Facts 8(3):166–174
pubmed: 25968960
pmcid: 5644876
doi: 10.1159/000430801
Di Lorenzo N, Antoniou SA, Batterham RL, Busetto L, Godoroja D, Iossa A, Carrano FM, Agresta F, Alarçon I, Azran C, Bouvy N, Balaguè Ponz C, Buza M, Copaescu C, De Luca M, Dicker D, Di Vincenzo A, Felsenreich DM, Francis NK, Fried M, Gonzalo Prats B, Goitein D, Halford JCG, Herlesova J, Kalogridaki M, Ket H, Morales-Conde S, Piatto G, Prager G, Pruijssers S, Pucci A, Rayman S, Romano E, Sanchez-Cordero S, Vilallonga R, Silecchia G (2020) Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC. EASO and ESPCOP Surg Endosc 34(6):2332–2358
pubmed: 32328827
doi: 10.1007/s00464-020-07555-y
Gildea A, Shukla S, Parretti H, Khan O (2023) Referral criteria and assessment for bariatric surgery: summary of updated NICE guidance. BMJ 382:1880
pubmed: 37643791
doi: 10.1136/bmj.p1880
Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H, Scopinaro N (2017) Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg 27(9):2279–2289
pubmed: 28405878
pmcid: 5562777
doi: 10.1007/s11695-017-2666-x
Adams TD, Davidson LE, Litwin SE, Kim J, Kolotkin RL, Nanjee MN, Gutierrez JM, Frogley SJ, Ibele AR, Brinton EA, Hopkins PN, McKinlay R, Simper SC, Hunt SC (2017) Weight and metabolic outcomes 12 years after gastric bypass. N Engl J Med 377(12):1143–1155
pubmed: 28930514
pmcid: 5737957
doi: 10.1056/NEJMoa1700459
Patel JJ, Mundi MS, Hurt RT, Wolfe B, Martindale RG (2017) Micronutrient deficiencies after bariatric surgery: an emphasis on vitamins and trace minerals [formula: see text]. Nutr Clin Pract 32(4):471–480
pubmed: 28609642
doi: 10.1177/0884533617712226
Busetto L, Dicker D, Azran C, Batterham RL, Farpour-Lambert N, Fried M, Hjelmesæth J, Kinzl J, Leitner DR, Makaronidis JM, Schindler K, Toplak H, Yumuk V (2017) Practical recommendations of the obesity management task force of the European Association for the study of obesity for the post-bariatric surgery medical management. Obes Facts 10(6):597–632
pubmed: 29207379
pmcid: 5836195
doi: 10.1159/000481825
Barazzoni R, Gortan CG (2020) Double burden of malnutrition in persons with obesity. Rev Endocr Metab Disord 21(3):307–313
pubmed: 32766943
pmcid: 7455581
doi: 10.1007/s11154-020-09578-1
Tabesh MR, Maleklou F, Ejtehadi F, Alizadeh Z (2019) Nutrition, physical activity, and prescription of supplements in pre- and post-bariatric surgery patients: a practical guideline. Obes Surg 29(10):3385–3400
pubmed: 31367987
doi: 10.1007/s11695-019-04112-y
Coupaye M, Rivière P, Breuil MC, Castel B, Bogard C, Dupré T, Flamant M, Msika S, Ledoux S (2014) Comparison of nutritional status during the first year after sleeve gastrectomy and Roux-en-Y gastric bypass. Obes Surg 24(2):276–283
pubmed: 24122661
doi: 10.1007/s11695-013-1089-6
Verger EO, Aron-Wisnewsky J, Dao MC, Kayser BD, Oppert JM, Bouillot JL, Torcivia A, Clément K (2016) Micronutrient and protein deficiencies after gastric bypass and sleeve gastrectomy: a 1-year follow-up. Obes Surg 26(4):785–796
pubmed: 26205215
doi: 10.1007/s11695-015-1803-7
Aron-Wisnewsky J, Verger EO, Bounaix C, Dao MC, Oppert JM, Bouillot JL, Chevallier JM, Clément K (2016) Nutritional and protein deficiencies in the short term following both gastric bypass and gastric banding. PLoS ONE 11(2):e0149588
pubmed: 26891123
pmcid: 4758752
doi: 10.1371/journal.pone.0149588
Bray GA, Heisel WE, Afshin A, Jensen MD, Dietz WH, Long M, Kushner RF, Daniels SR, Wadden TA, Tsai AG, Hu FB, Jakicic JM, Ryan DH, Wolfe BM, Inge TH (2018) The science of obesity management: an endocrine society scientific statement. Endocr Rev 39(2):79–132
pubmed: 29518206
pmcid: 5888222
doi: 10.1210/er.2017-00253
Krzizek EC, Brix JM, Herz CT, Kopp HP, Schernthaner GH, Schernthaner G, Ludvik B (2018) Prevalence of micronutrient deficiency in patients with morbid obesity before bariatric surgery. Obes Surg 28(3):643–648
pubmed: 28849358
doi: 10.1007/s11695-017-2902-4
Kobylińska M, Antosik K, Decyk A, Kurowska K (2022) Malnutrition in obesity: is it possible? Obes Facts 15(1):19–25
pubmed: 34749356
doi: 10.1159/000519503
O’Kane M, Parretti HM, Pinkney J, Welbourn R, Hughes CA, Mok J, Walker N, Thomas D, Devin J, Coulman KD, Pinnock G, Batterham RL, Mahawar KK, Sharma M, Blakemore AI, McMillan I, Barth JH (2020) British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery-2020 update. Obes Rev 21(11):e13087
pubmed: 32743907
pmcid: 7583474
doi: 10.1111/obr.13087
Aguas-Ayesa M, Yárnoz-Esquíroz P, Olazarán L, Gómez-Ambrosi J, Frühbeck G (2023) Precision nutrition in the context of bariatric surgery. Rev Endocr Metab Disord. https://doi.org/10.1007/s11154-023-09794-5:1-13
doi: 10.1007/s11154-023-09794-5:1-13
pubmed: 36928810
pmcid: 10020075
Argyrakopoulou G, Konstantinidou SK, Dalamaga M, Kokkinos A (2022) Nutritional deficiencies before and after bariatric surgery: prevention and treatment. Curr Nutr Rep 11(2):95–101
pubmed: 35174473
doi: 10.1007/s13668-022-00400-9
Pereira-Santos M, Costa PR, Assis AM, Santos CA, Santos DB (2015) Obesity and vitamin D deficiency: a systematic review and meta-analysis. Obes Rev 16(4):341–349
pubmed: 25688659
doi: 10.1111/obr.12239
Giustina A, di Filippo L, Facciorusso A, Adler RA, Binkley N, Bollerslev J, Bouillon R, Casanueva FF, Cavestro GM, Chakhtoura M, Conte C, Donini LM, Ebeling PR, Fassio A, Frara S, Gagnon C, Latella G, Marcocci C, Mechanick JI, Minisola S, Rizzoli R, Santini F, Shaker JL, Sempos C, Ulivieri FM, Virtanen JK, Napoli N, Schafer AL, Bilezikian JP (2023) Vitamin D status and supplementation before and after Bariatric Surgery: Recommendations based on a systematic review and meta-analysis. Rev Endocr Metab Disord. https://doi.org/10.1007/s11154-023-09831-3
doi: 10.1007/s11154-023-09831-3
pubmed: 37665480
pmcid: 10950986
Inge TH, Courcoulas AP, Jenkins TM, Michalsky MP, Helmrath MA, Brandt ML, Harmon CM, Zeller MH, Chen MK, Xanthakos SA, Horlick M, Buncher CR (2016) Weight loss and health status 3 years after bariatric surgery in adolescents. N Engl J Med 374(2):113–123
pubmed: 26544725
doi: 10.1056/NEJMoa1506699
Al-Mutawa A, Al-Sabah S, Anderson AK, Al-Mutawa M (2018) Evaluation of nutritional status post laparoscopic sleeve gastrectomy-5-year outcomes. Obes Surg 28(6):1473–1483
pubmed: 29197046
doi: 10.1007/s11695-017-3041-7
Peterson LA, Cheskin LJ, Furtado M, Papas K, Schweitzer MA, Magnuson TH, Steele KE (2016) Malnutrition in bariatric surgery candidates: multiple micronutrient deficiencies prior to surgery. Obes Surg 26(4):833–838
pubmed: 26297429
doi: 10.1007/s11695-015-1844-y
van Rutte PW, Aarts EO, Smulders JF, Nienhuijs SW (2014) Nutrient deficiencies before and after sleeve gastrectomy. Obes Surg 24(10):1639–1646
pubmed: 24706197
doi: 10.1007/s11695-014-1225-y
Aasheim ET, Hofsø D, Hjelmesaeth J, Birkeland KI, Bøhmer T (2008) Vitamin status in morbidly obese patients: a cross-sectional study. Am J Clin Nutr 87(2):362–369
pubmed: 18258626
doi: 10.1093/ajcn/87.2.362
Parrott J, Frank L, Rabena R, Craggs-Dino L, Isom KA, Greiman L (2017) American society for metabolic and bariatric surgery integrated health nutritional guidelines for the surgical weight loss patient 2016 update: micronutrients. Surg Obes Relat Dis 13(5):727–741
pubmed: 28392254
doi: 10.1016/j.soard.2016.12.018
Sandvik J, Bjerkan KK, Græslie H, Hoff DAL, Johnsen G, Klöckner C, Mårvik R, Nymo S, Hyldmo ÅA, Kulseng BE (2021) Iron deficiency and anemia 10 years after Roux-en-Y gastric bypass for severe obesity. Front Endocrinol (Lausanne) 12:679066
pubmed: 34630319
doi: 10.3389/fendo.2021.679066
Bjørklund G, Peana M, Pivina L, Dosa A, Aaseth J, Semenova Y, Chirumbolo S, Medici S, Dadar M, Costea DO (2021) Iron deficiency in obesity and after bariatric surgery. Biomolecules 11(5):613
pubmed: 33918997
pmcid: 8142987
doi: 10.3390/biom11050613
Mechanick JI, Apovian C, Brethauer S, Garvey WT, Joffe AM, Kim J, Kushner RF, Lindquist R, Pessah-Pollack R, Seger J, Urman RD, Adams S, Cleek JB, Correa R, Figaro MK, Flanders K, Grams J, Hurley DL, Kothari S, Seger MV, Still CD (2020) Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures—2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Surg Obes Relat Dis 16(2):175–247
pubmed: 31917200
doi: 10.1016/j.soard.2019.10.025
Guéant JL, Guéant-Rodriguez RM, Alpers DH (2022) Vitamin B12 absorption and malabsorption. Vitam Horm 119:241–274
pubmed: 35337622
doi: 10.1016/bs.vh.2022.01.016
Al Mansoori A, Shakoor H, Ali HI, Feehan J, Al Dhaheri AS, Cheikh Ismail L, Bosevski M, Apostolopoulos V, Stojanovska L (2021) The effects of bariatric surgery on vitamin b status and mental health. Nutrients 13(4):1383
pubmed: 33923999
pmcid: 8073305
doi: 10.3390/nu13041383
Kwon Y, Ha J, Lee YH, Kim D, Lee CM, Kim JH, Park S (2022) Comparative risk of anemia and related micronutrient deficiencies after Roux-en-Y gastric bypass and sleeve gastrectomy in patients with obesity: an updated meta-analysis of randomized controlled trials. Obes Rev 23(4):e13419
pubmed: 35048495
doi: 10.1111/obr.13419
Antoniewicz A, Kalinowski P, Kotulecka KJ, Kocoń P, Paluszkiewicz R, Remiszewski P, Zieniewicz K (2019) Nutritional deficiencies in patients after Roux-en-Y gastric bypass and sleeve gastrectomy during 12-month follow-up. Obes Surg 29(10):3277–3284
pubmed: 31201694
doi: 10.1007/s11695-019-03985-3
Institute of Medicine Standing Committee on the Scientific Evaluation of Dietary Reference I, its Panel on Folate OBV, Choline. The National Academies Collection: Reports funded by National Institutes of Health. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B(6), Folate, Vitamin B(12), Pantothenic Acid, Biotin, and Choline, https://doi.org/10.17226/6015 . Washington (DC): National Academies Press (US) Copyright © 1998, National Academy of Sciences; 1998.
Khan KM, Jialal I. Folic acid deficiency. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright©2023, StatPearls Publishing LLC; 2023.
Lupoli R, Lembo E, Saldalamacchia G, Avola CK, Angrisani L, Capaldo B (2017) Bariatric surgery and long-term nutritional issues. World J Diabetes 8(11):464–474
pubmed: 29204255
pmcid: 5700383
doi: 10.4239/wjd.v8.i11.464
Paccou J, Caiazzo R, Lespessailles E, Cortet B (2022) Bariatric surgery and osteoporosis. Calcif Tissue Int 110(5):576–591
pubmed: 33403429
doi: 10.1007/s00223-020-00798-w
Schafer AL (2017) Vitamin D and intestinal calcium transport after bariatric surgery. J Steroid Biochem Mol Biol 173:202–210
pubmed: 28027914
doi: 10.1016/j.jsbmb.2016.12.012
Yu EW, Kim SC, Sturgeon DJ, Lindeman KG, Weissman JS (2019) Fracture risk after Roux-en-Y gastric bypass vs adjustable gastric banding among medicare beneficiaries. JAMA Surg 154(8):746–753
pubmed: 31090893
pmcid: 6537834
doi: 10.1001/jamasurg.2019.1157
Ahlin S, Peltonen M, Sjöholm K, Anveden Å, Jacobson P, Andersson-Assarsson JC, Taube M, Larsson I, Lohmander LS, Näslund I, Svensson PA, Carlsson LMS (2020) Fracture risk after three bariatric surgery procedures in Swedish obese subjects: up to 26 years follow-up of a controlled intervention study. J Intern Med 287(5):546–557
pubmed: 32128923
doi: 10.1111/joim.13020
Ablett AD, Boyle BR, Avenell A (2019) Fractures in adults after weight loss from bariatric surgery and weight management programs for obesity: systematic review and meta-analysis. Obes Surg 29(4):1327–1342
pubmed: 30725431
doi: 10.1007/s11695-018-03685-4
Maghrabi AH, Wolski K, Abood B, Licata A, Pothier C, Bhatt DL, Nissen S, Brethauer SA, Kirwan JP, Schauer PR, Kashyap SR (2015) Two-year outcomes on bone density and fracture incidence in patients with T2DM randomized to bariatric surgery versus intensive medical therapy. Obesity (Silver Spring) 23(12):2344–2348
pubmed: 26193177
doi: 10.1002/oby.21150
Hofsø D, Nordstrand N, Johnson LK, Karlsen TI, Hager H, Jenssen T, Bollerslev J, Godang K, Sandbu R, Røislien J, Hjelmesaeth J (2010) Obesity-related cardiovascular risk factors after weight loss: a clinical trial comparing gastric bypass surgery and intensive lifestyle intervention. Eur J Endocrinol 163(5):735–745
pubmed: 20798226
pmcid: 2950661
doi: 10.1530/EJE-10-0514
Courcoulas AP, Goodpaster BH, Eagleton JK, Belle SH, Kalarchian MA, Lang W, Toledo FG, Jakicic JM (2014) Surgical vs medical treatments for type 2 diabetes mellitus: a randomized clinical trial. JAMA Surg 149(7):707–715
pubmed: 24899268
pmcid: 4106661
doi: 10.1001/jamasurg.2014.467
Buscemi S, Buscemi C, Corleo D, De Pergola G, Caldarella R, Meli F, Randazzo C, Milazzo S, Barile AM, Rosafio G, Settipani V, Gurrera S, Borzì AM, Ciaccio M (2021) Obesity and circulating levels of vitamin d before and after weight loss induced by a very low-calorie ketogenic diet. Nutrients 13(6):1829
pubmed: 34071985
pmcid: 8226843
doi: 10.3390/nu13061829
Wiley KD, Gupta M. Vitamin B1 (thiamine) deficiency. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright© 2023, StatPearls Publishing LLC; 2023.
Lange J, Königsrainer A (2019) Malnutrition as a complication of bariatric surgery—a clear and present danger? Visc Med 35(5):305–311
pubmed: 31768394
pmcid: 6873028
doi: 10.1159/000503040
Stroh C, Meyer F, Manger T (2014) Beriberi, a severe complication after metabolic surgery - review of the literature. Obes Facts 7(4):246–252
pubmed: 25095897
pmcid: 5644786
doi: 10.1159/000366012
Martel JL, Kerndt CC, Doshi H, Franklin DS. Vitamin B1 (thiamine). StatPearls. Treasure Island (FL): StatPearls Publishing Copyright© 2023, StatPearls Publishing LLC; 2023.
Institute of Medicine Panel on M. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc, https://doi.org/10.17226/10026 . Washington (DC): National Academies Press (US) Copyright 2001 by the National Academy of Sciences. All rights reserved; 2001.
Alvarez-Leite JI (2004) Nutrient deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care 7(5):569–575
pubmed: 15295278
doi: 10.1097/00075197-200409000-00010
Moizé V, Andreu A, Flores L, Torres F, Ibarzabal A, Delgado S, Lacy A, Rodriguez L, Vidal J (2013) Long-term dietary intake and nutritional deficiencies following sleeve gastrectomy or Roux-En-Y gastric bypass in a mediterranean population. J Acad Nutr Diet 113(3):400–410
pubmed: 23438491
doi: 10.1016/j.jand.2012.11.013
Smelt HJM, Pouwels S, Smulders JF, Hazebroek EJ (2020) Patient adherence to multivitamin supplementation after bariatric surgery: a narrative review. J Nutr Sci 9:e46
pubmed: 33101663
pmcid: 7550964
doi: 10.1017/jns.2020.41
Neri B, Bigarelli P, Filippi F, Belligoli A, Bettini S, Busetto L, di Cola RS, Giardiello C, Paolini B, Del Ciondolo I (2020) Efficacy evaluation of a medical food supplementation as prevention and therapy of nutritional deficiency in bariatric surgery. IJMDAT 3:e235