Department of Food Science and Nutrition, College of Life Sciences, Kuwait University, Kuwait City 13034, Kuwait.
Department of Surgery, College of Medicine, Kuwait University, Kuwait City 13034, Kuwait.
Nutrients. 2018 Jan 11;10(1):67. doi: 10.3390/nu10010067.
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 B (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.
肥胖是一种影响全球人口的全球性流行疾病。减重手术是治疗病态肥胖的有效方法，其应用已经显著增加。减重手术患者通常存在预先存在的营养缺乏，这可能会使术后情况恶化。为了在减重手术前后提供更好的医疗保健管理，在手术前确定潜在患者的营养状况至关重要。本研究旨在评估和提供减重候选者的营养状况基线数据。本研究对 2008 年至 2015 年接受减重手术的肥胖患者进行了回顾性研究。对 1538 名患者的病历进行了回顾。术前，最常见的维生素缺乏是维生素 D（76%）和维生素 B（16%）。在手术前，相当数量的患者存在贫血和铁状态参数低下，如下：血红蛋白 20%、平均红细胞体积（MCV）48%、铁蛋白 28%、血清铁 51%和转铁蛋白饱和度 60%。术前白蛋白和转铁蛋白分别有 10%和 9%的患者水平较低。除了缺乏症之外，许多患者术前还存在维生素过多症。最显著的是维生素 B₆（24%）过量。本研究的结果主张在减重手术前后密切监测和针对性补充。
