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Nutrients 2018, 10(1), 67; https://doi.org/10.3390/nu10010067

Nutritional Status of Bariatric Surgery Candidates

1
Department of Food Science and Nutrition, College of Life Sciences, Kuwait University, Kuwait City 13034, Kuwait
2
Department of Surgery, College of Medicine, Kuwait University, Kuwait City 13034, Kuwait
3
Computer Science Department, College of Computing Sciences and Engineering, Kuwait University, Kuwait City 13034, Kuwait
*
Author to whom correspondence should be addressed.
Received: 20 December 2017 / Revised: 4 January 2018 / Accepted: 8 January 2018 / Published: 11 January 2018
(This article belongs to the Special Issue Nutrition and Bariatric Surgery)
Full-Text   |   PDF [250 KB, uploaded 11 January 2018]

Abstract

Obesity is a global epidemic affecting populations globally. Bariatric surgery is an effective treatment for morbid obesity, and has increased dramatically. Bariatric surgery candidates frequently have pre-existing nutritional deficiencies that might exacerbate post-surgery. To provide better health care management pre- and post-bariatric surgery, it is imperative to establish the nutritional status of prospective patients before surgery. The aim of this study was to assess and provide baseline data on the nutritional status of bariatric candidates. A retrospective study was conducted on obese patients who underwent bariatric surgery from 2008 to 2015. The medical records of 1538 patients were reviewed for this study. Pre-operatively, the most commonly observed vitamin deficiencies were Vitamin D (76%) and Vitamin B12 (16%). Anemia and iron status parameters were low in a considerable number of patients before surgery, as follows: hemoglobin 20%, mean corpuscular volume (MCV) 48%, ferritin 28%, serum iron 51%, and transferrin saturation 60%. Albumin and transferrin were found to be low in 10% and 9% of the patients, respectively, prior to surgery. In addition to deficiencies, a great number of patients had hypervitaminosis pre-operatively. Excess levels of Vitamin B6 (24%) was the most remarkable. The findings in this study advocate a close monitoring and tailored supplementation pre- and post-bariatric surgery. View Full-Text
Keywords: bariatric surgery; obesity; nutrients bariatric surgery; obesity; nutrients
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Al-Mutawa, A.; Anderson, A.K.; Alsabah, S.; Al-Mutawa, M. Nutritional Status of Bariatric Surgery Candidates. Nutrients 2018, 10, 67.

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