Wang Cunchuan, Guan Bingsheng, Yang Wah, Yang Jingge, Cao Guo, Lee Shing
Department of General Surgery, First Affiliated Hospital of Jinan University, Guangzhou, China.
Department of General Surgery, First Affiliated Hospital of Jinan University, Guangzhou, China.
Surg Obes Relat Dis. 2016 Mar-Apr;12(3):629-634. doi: 10.1016/j.soard.2015.12.009. Epub 2015 Dec 9.
Electrolyte and nutritional deficiencies have been reported in Western populations seeking bariatric surgery. However, data are scarce for Chinese patients.
To investigate the prevalence of electrolyte and nutritional deficiencies in Chinese bariatric surgery candidates and to explore their associations with patients' demographic data.
University hospital, China.
Demographical data of 211 patients presenting for bariatric surgery were collected on gender, age, body mass index (BMI) and waist circumference (WC). Blood biochemical data were collected on some nutrients (hemoglobin, albumin, globulin, folate, vitamin B12, calcium, phosphorus, iron, ferritin, magnesium, parathyroid hormone [PTH], and vitamin D) and some electrolytes (potassium, sodium, and chloride).
Deficiencies were found for hemoglobin (2.8%), albumin (11.8%), globulin (1.4%), folate (32.2%), vitamin B12 (4.7%), corrected calcium (13.7%), phosphorus (10.4%), iron (9.0%), ferritin (1.9%), vitamin D (80.0%), potassium (5.7%), sodium (7.6%), and chloride (15.6%). Secondary hyperparathyroidism was found in 17.3%; no hypomagnesemia was encountered. A significant correlation was observed between age and folate, corrected calcium and PTH levels (r = .257, -.206, and .273, respectively; P<.05). Greater BMI was associated with lower albumin and folate (r = -.338 and -.370, respectively) and with higher globulin and phosphorus levels (r = .267 and .138, respectively). Folate deficiency was more common in the 18- to 30-year-old age group (P = .042) and the patients with BMI>45 kg/m(2) (P = .001). WC had an association with rates of albumin, folate, and corrected calcium deficiencies, as well as hemoglobin, albumin, and globulin, folate, phosphorus, and ferritin levels.
Electrolyte and nutritional deficiencies are common in Chinese bariatric surgery candidates. Routine evaluation of electrolyte and nutritional levels should be carried out in this population.
在寻求减肥手术的西方人群中，已报道存在电解质和营养缺乏情况。然而，关于中国患者的数据却很稀少。
调查中国减肥手术候选者中电解质和营养缺乏的患病率，并探讨其与患者人口统计学数据的关联。
中国的大学医院。
收集了211名前来接受减肥手术患者的人口统计学数据，包括性别、年龄、体重指数（BMI）和腰围（WC）。收集了一些营养素（血红蛋白、白蛋白、球蛋白、叶酸、维生素B12、钙、磷、铁、铁蛋白、镁、甲状旁腺激素[PTH]和维生素D）和一些电解质（钾、钠和氯）的血液生化数据。
发现存在以下缺乏情况：血红蛋白（2.8%）、白蛋白（11.8%）、球蛋白（1.4%）、叶酸（32.2%）、维生素B12（4.7%）、校正钙（13.7%）、磷（10.4%）、铁（9.0%）、铁蛋白（1.9%）、维生素D（80.0%）、钾（5.7%）、钠（7.6%）和氯（15.6%）。发现17.3%的患者存在继发性甲状旁腺功能亢进；未发现低镁血症。观察到年龄与叶酸、校正钙和PTH水平之间存在显著相关性（r分别为0.257、-0.206和0.273；P<0.05）。较高的BMI与较低的白蛋白和叶酸相关（r分别为-0.338和-0.370），与较高的球蛋白和磷水平相关（r分别为0.267和0.138）。叶酸缺乏在18至30岁年龄组（P = 0.042）和BMI>45 kg/m²的患者中更为常见（P = 0.001）。腰围与白蛋白、叶酸和校正钙缺乏率以及血红蛋白、白蛋白、球蛋白、叶酸、磷和铁蛋白水平有关。
中国减肥手术候选者中电解质和营养缺乏情况常见。应对该人群进行电解质和营养水平的常规评估。
