Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Queensland, 4029, Australia.
Faculty of Medicine, University of Queensland, Brisbane, Australia.
Obes Surg. 2018 Nov;28(11):3640-3657. doi: 10.1007/s11695-018-3392-8.
The restrictive and/or malabsorptive nature of bariatric surgery may increase the risk for micronutrient deficiencies. This systematic review aimed to identify and critique the evidence for vitamin A, B1, C or E deficiencies associated with bariatric surgery.
This review utilised PRISMA and MOOSE frameworks with NHMRC evidence hierarchy and the American Dietetic Association bias tool to assess the quality of articles.
Twenty-one articles were included and once critiqued all studies were of level IV grade and neutral or negative in quality. The relevance of measuring micronutrient supplementation and inflammatory markers for validity of serum vitamins is absent within the literature.
Future research is needed to investigate the risk of deficiency for these procedures with focus on confounders to serum micronutrients.
减重手术的限制和/或吸收不良特性可能会增加微量营养素缺乏的风险。本系统评价旨在确定和评价与减重手术相关的维生素 A、B1、C 或 E 缺乏的证据。
本研究采用 PRISMA 和 MOOSE 框架，以及 NHMRC 证据分层和美国饮食协会偏倚工具来评估文章的质量。
共纳入 21 篇文章，经评价后，所有研究均为 IV 级，质量为中性或负面。文献中缺乏测量微量营养素补充和炎症标志物对血清维生素有效性的相关性。
需要进一步研究这些手术的缺乏风险，重点关注对血清微量营养素的混杂因素。
