Jawara Dawda, Ufearo Daniel M, Murtha Jacqueline A, Fayanju Oluwadamilola M, Gannon Bryan M, Ravelli Michele N, Funk Luke M
Department of Surgery, University of Wisconsin, Madison, Wisconsin.
University of Wisconsin, Madison, Wisconsin.
Surg Obes Relat Dis. 2024 Mar;20(3):283-290. doi: 10.1016/j.soard.2023.09.022. Epub 2023 Sep 27.
Bariatric surgery has been associated with numerous micronutrient deficiencies. Several observational studies have found that these deficiencies are more common in racially/ethnically minoritized patients.
To conduct a systematic review to investigate whether racially/ethnically minoritized patients experience worse nutritional outcomes after bariatric surgery.
University of Wisconsin-Madison.
PubMed, CINAHL, PsychINFO, and Cochrane databases were queried. We searched for manuscripts that reported micronutrient levels or conditions related to micronutrient deficiencies according to race/ethnicity (White, African American/Black, and Hispanic) after laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass between 2002 and 2022. Eleven micronutrients (vitamins A, B1 [thiamine], B12, D, E, K, calcium, copper, folate, iron, and zinc), and four conditions (anemia, bone loss, fractures, and hyperparathyroidism) were assessed.
Abstracts from 953 manuscripts were screened; 18 full-text manuscripts were reviewed for eligibility, and ten met the inclusion criteria. Compared to White patients, African Americans had a higher prevalence of thiamine, vitamin D, and vitamin A deficiencies. There were no differences in calcium and vitamin B12 deficiencies. The other six micronutrients were not assessed according to race/ethnicity. Hyperparathyroidism was more prevalent in African Americans than White patients in the three studies that evaluated it. The prevalence of fractures was mixed. Anemia and bone loss were not evaluated according to race/ethnicity.
Although the literature on micronutrient outcomes following bariatric surgery according to race/ethnicity is limited, African Americans appear to experience a higher prevalence of vitamin deficiencies and associated conditions. Qualitative and quantitative research to explore these disparities is warranted.
减肥手术与多种微量营养素缺乏有关。多项观察性研究发现，这些缺乏症在种族/族裔少数群体患者中更为常见。
进行一项系统评价，以调查种族/族裔少数群体患者在减肥手术后是否会出现更差的营养结局。
威斯康星大学麦迪逊分校。
检索了PubMed、CINAHL、PsychINFO和Cochrane数据库。我们搜索了2002年至2022年期间，在腹腔镜袖状胃切除术或Roux-en-Y胃旁路术后，根据种族/族裔（白人、非裔美国人/黑人、西班牙裔）报告微量营养素水平或与微量营养素缺乏相关状况的手稿。评估了11种微量营养素（维生素A、B1[硫胺素]、B12、D、E、K、钙、铜、叶酸、铁和锌）以及4种状况（贫血、骨质流失、骨折和甲状旁腺功能亢进）。
筛选了953篇手稿的摘要；对18篇全文手稿进行了资格审查，其中10篇符合纳入标准。与白人患者相比，非裔美国人硫胺素、维生素D和维生素A缺乏的患病率更高。钙和维生素B12缺乏方面没有差异。其他6种微量营养素未按种族/族裔进行评估。在三项评估甲状旁腺功能亢进的研究中，非裔美国人比白人患者更普遍。骨折的患病率情况不一。贫血和骨质流失未按种族/族裔进行评估。
尽管根据种族/族裔进行减肥手术后微量营养素结局的文献有限，但非裔美国人似乎维生素缺乏及相关状况的患病率更高。有必要进行定性和定量研究以探讨这些差异。
