UPDATE ON MICRONUTRIENTS IN BARIATRIC SURGERY: A COMPREHENSIVE SYSTEMATIC REVIEW
DOI:
https://doi.org/10.61841/sv6tjj09Keywords:
Obesity, bariatric surgery, micronutrientAbstract
Background: Obesity is a major problem in the world and bariatric surgery is an effective solution for weight loss and resolving related health issues. There are three different types of bariatric surgeries. However, nutritional imbalances are a common issue after these procedures. Therefore, individuals who opt for bariatric surgery require continuous monitoring of their micronutrient levels and ongoing supplementation. This study aims to serve as a comprehensive systematic review of updates on micronutrients in bariatric surgery in the literature of the last 10 years.
Methods: This review adhered to the PRISMA 2020 guidelines and analyzed English literature published between 2014 and 2024, inclusive of full-text articles. Articles such as editorials, review papers from the same journal, and those without a DOI were not included in the review. The literature was obtained from various online platforms, including PubMed, SagePub, and Science Direct.
Result: Our team of researchers initially collected 3165 articles from credible sources that included PubMed, SagePub, and Science Direct. Following a rigorous three-level screening process, only six articles were found to be directly relevant to our ongoing systematic review and were then selected for further analysis through thorough full-text reading.
Conclusion: Bariatric surgery, especially RYGB, can cause micronutrient deficiencies. Vitamin deficiencies (A, D) are common and iron deficiency anemia is prevalent. Zinc, copper, and selenium deficiencies can also occur. Regular supplement intake is crucial to maintain optimal micronutrient levels.
References
Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2020). Prevalence of Obesity and Severe Obesity Among Adults: United States, 2017-2018. NCHS Data Brief, 360, 1–8.
Salminen, P., Helmio, M., Ovaska, J., Juuti, A., Leivonen, M., Peromaa-Haavisto, P., Hurme, S., Soinio, M., Nuutila, P., & Victorzon, M. (2018). Effect of laparoscopic sleeve gastrectomy vs laparoscopic roux-en-y gastric bypass onweight loss at 5 years among patients with morbid obesity the SLEEVEPASS randomized clinical trial. JAMA - Journal of the American Medical Association, 319(3), 241–254. https://doi.org/10.1001/jama.2017.20313
Angrisani, L., Santonicola, A., Iovino, P., Formisano, G., Buchwald, H., & Scopinaro, N. (2015). Bariatric Surgery Worldwide 2013. Obesity Surgery, 25(10), 1822–1832. https://doi.org/10.1007/s11695-015-1657-z
Mechanick, J. I., Apovian, C., Brethauer, S., Garvey, W. T., Joffe, A. M., Kim, J., Kushner, R. F., Richard Lindquist, Pessah-Pollack, R., Seger, J., Urman, R. D., Adams, S., Cleek, J. B., Correa, R., Figaro, M. K., Flanders, K., Grams, J., Hurley, D. L., Kothari, S., … Still, C. D. (2019). 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. Endocrine Practice, 25, 1–75. https://doi.org/10.4158/GL-2019-0406
Chamberlain, C., Terry, R., Shtayyeh, T., & Martinez, C. (2021). Recognizing postoperative nutritional complications of bariatric surgery in the primary care patient: A narrative review. Journal of the American Osteopathic Association, 121(1), 105–112. https://doi.org/10.7556/jaoa.2020.135
Gao, Z., Liang, Y., Huang, S., Wu, Z., Li, M., & Yang, J. (2023). Prevalence and associated factors of vitamin D deficiency after Roux-en-Y gastric bypass: a systematic review and meta-analysis. International Journal of Surgery (London, England), 109(12), 4273–4285. https://doi.org/10.1097/JS9.0000000000000732
Stocker, R., Ceyhan, M., Schönenberger, K. A., Stanga, Z., & Reber, E. (2022). Nutrient and fluid requirements in post-bariatric patients performing physical activity: A systematic review. Nutrition, 97. https://doi.org/10.1016/j.nut.2021.111577
Mozaffar, B., & Idris, I. (2023). A Literature Review of Taste Change and Zinc Deficiency After Bariatric Surgery: Could There Be a Causal Link Obesity Surgery, 33(1), 313–331. https://doi.org/10.1007/s11695-022-06197-4
Dagan, S. S., Goldenshluger, A., Globus, I., Schweiger, C., Kessler, Y., Sandbank, G. K., Ben-Porat, T., & Sinai, T. (2017). Nutritional recommendations for adult bariatric surgery patients: Clinical practice. Advances in Nutrition, 8(2), 382–394. https://doi.org/10.3945/an.116.014258
Weng, T. C., Chang, C. H., Dong, Y. H., Chang, Y. C., & Chuang, L. M. (2015). Anaemia and related nutrient deficiencies after Roux-en-Y gastric bypass surgery: A systematic review and meta-analysis. BMJ Open, 5(7), 1–11. https://doi.org/10.1136/bmjopen-2014-006964
Cui, Y., Zhang, D., Wang, L., Liu, X., Wang, C., Tian, S., & Li, M. (2023). Which nutritional prognosis is better? comparison of the three most commonly performed bariatric surgeries: A systematic review and network meta-analysis. Frontiers in Surgery, 9(January), 1–9. https://doi.org/10.3389/fsurg.2022.1065715
Manzoni, A. P. D. da S., & Weber, M. B. (2015). Skin changes after bariatric surgery. Anais Brasileiros de Dermatologia, 90(2), 157–166. https://doi.org/10.1590/abd1806-4841.20153139
Chackhtoura, M., Nakhoul, N., Shawwa, K., Mantzoros, C., & Fuleihan, G. E.-H. (2016). Hypovitaminosis D in Bariatric Surgery: A Systematic Review of Observational Studies. METABOLISM, 176(3), 139–148. https://doi.org/10.1016/j.metabol.2015.12.004.Hypovitaminosis
Heber, D., Greenway, F. L., Kaplan, L. M., Livingston, E., Salvador, J., & Still, C. (2010). Endocrine and nutritional management of the post-bariatric surgery patient: An endocrine society clinical practice guideline. Journal of Clinical Endocrinology and Metabolism, 95(11), 4823–4843. https://doi.org/10.1210/jc.2009-2128
Schroeder, R., Harrison, D., & McGraw, S. (2016). Treatment of adult obesity with bariatric surgery. Encyclopedia of Endocrine Diseases, 442–458. https://doi.org/10.1016/B978-0-12-801238-3.65164-4
Stein, J., Stier, C., Raab, H., & Weiner, R. (2014). Review article: The nutritional and pharmacological consequences of obesity surgery. Alimentary Pharmacology and Therapeutics, 40(6), 582–609. https://doi.org/10.1111/apt.12872
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