Williams Susan E, Cooper Karen, Richmond Bradford, Schauer Philip
Center for Nutrition and Metabolic Medicine, Greene Memorial Hospital Advanced Medical Group, Xenia, OH 45385, USA.
Cleve Clin J Med. 2008 May;75(5):333-4, 336, 338 passim. doi: 10.3949/ccjm.75.5.333.
Chronic vitamin D deficiency, inadequate calcium intake, and secondary hyperparathyroidism are common in obese individuals, placing them at risk for low bone mass and metabolic bone disease. After bariatric surgery, they are at even higher risk, owing to malabsorption and decreased oral intake. Meticulous preoperative screening, judicious use of vitamin and mineral supplements, addressing modifiable risk factors, and monitoring the absorption of key nutrients postoperatively are essential in preventing metabolic bone disease in bariatric surgery patients.
慢性维生素D缺乏、钙摄入不足和继发性甲状旁腺功能亢进在肥胖个体中很常见，使他们面临低骨量和代谢性骨病的风险。减肥手术后，由于吸收不良和口服摄入量减少，他们面临的风险更高。细致的术前筛查、明智地使用维生素和矿物质补充剂、解决可改变的风险因素以及术后监测关键营养素的吸收，对于预防减肥手术患者的代谢性骨病至关重要。
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