A Pilot Study of Nutritional Status Prior to Bariatric Surgery in South China

Objective: The was a pilot study to assess the biochemical and historical information about bariatric patients before undergoing the surgery in the aim of identifying nutritional deficiencies and their prevalence from 2015 to 2020.Methods: Clinical data of 247 patients (105 males and 142 females) were included. Vitamins, trace elements, electrolytes, albumin, globulin, hemoglobin, folate, ferritin, microalbuminuria (MAU), and parathyroid hormone (PTH) levels were determined to explore the nutritional status according to gender, age, high body mass index (BMI), and waist circumstance (WC).Results: The mean age, mean BMI, and mean WC of the candidates were 32.95 ± 10.46 years, 38.01 ± 7.11 kg/m2, and 117.04 ± 16.18 cm, respectively. The prevalence of preoperative nutritional deficiencies was 76.88% for 25 (OH) vitamin D, 19.84% for globulin, 11.74% for albumin, 11.02% for sodium, 8.33% for folic acid, 10.48% (male) and 6.34% (female) for chloride, 4.05% for calcium, 3.07% (male) and 0.70%(female) for ferritin, 11.90% for elevated PTH, and 44.96% for MAU. Males exhibited increased prevalence of globulin and MAU relative to females (P < 0.05). Older groups are more likely to exhibit albumin deficiency (P = 0.007), globulin deficiency (P = 0.003), and zinc deficiency (P = 0.015). In addition, 25 (OH) D deficiency and albumin deficiency were more common in patients with BMI ≥ 47.5 kg/m2 (P = 0.049 and 0.015, respectively). Wider WC (≥150 cm) exhibited higher rates of albumin deficiencies (P = 0.011).Conclusion: Electrolyte and nutritional deficiencies were common in patients prior to bariatric surgery in South China. Routine evaluation of electrolyte and nutritional levels should be carried out in this population.

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POS1383 THE ASSOCIATION BETWEEN BARIATRIC SURGERY AND DUPUYTREN DISEASE: A COHORT STUDY FROM SWEDISH NATIONWIDE HEALTHCARE REGISTRIES

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.4067 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 974.3-975

Author(s):

T. Burkard ◽

J. Lane ◽

D. Holmberg ◽

A. M. Burden ◽

D. Furniss

Keyword(s):

Bariatric Surgery ◽

Body Mass Index ◽

Weight Loss ◽

Cohort Study ◽

Secondary Care ◽

High Body Mass Index ◽

Null Result ◽

Increased Risk ◽

Dupuytren Disease

Background:Dupuytren disease (DD) is multifactorial, with several genetic and environmental risk factors contributing to disease susceptibility. High body mass index, however, was suggested to be protective of DD.1 The impact of weight loss among obese patients on DD has not been assessed to date.Objectives:To assess the association between bariatric surgery and DD in a secondary care setting.Methods:We performed a propensity score (PS)-matched cohort study using data from Swedish nationwide healthcare registries (patient registry [secondary care], causes of death registry, prescribed drug registry). Patients aged 30-79 years who underwent bariatric surgery between 2006 and 2019 were matched to up to 2 obese bariatric surgery-free patients (called unexposed patients) based on their PS. PS-matching was carried out in risk set sampling to reduce selection bias, within 4 sequential cohort entry blocks to account for time trend biases. The outcome DD was defined as a diagnosis of DD in secondary care or partial or total fasciotomy of wrist or hand. After a 1-year run-in period, patients were followed in an “as-treated” approach. We applied Cox proportional hazard regression to calculate hazard ratios (HR) with 95% confidence intervals (CIs) of incident DD among bariatric surgery patients when compared to obese unexposed patients overall, and in subgroups of age, sex, bariatric surgery type, and by duration of follow-up.Results:A total of 34 959 bariatric surgery patients were PS-matched to 54 769 obese unexposed patients. A total of 71.6% of bariatric surgery patients were women. Bariatric surgery patients had a mean age of 45.5 years and a mean follow-up of 6.9 years. All patient characteristics in obese unexposed patients were highly similar. We observed 126 and 136 severe DD cases among bariatric surgery and obese unexposed patients, respectively. The risk of DD was significantly increased in bariatric surgery patients compared to obese unexposed patients (HR = 1.30, 95% CI 1.02-1.65). The risk of DD was higher in women (HR = 1.36, 95% CI 1.00-1.84) than in men (HR = 1.05, 95% CI 0.70-1.58). Age did not modify the risk of DD among bariatric surgery patients compared to obese unexposed patients. Malabsorptive bariatric surgery yielded an increased risk of DD when compared to obese unexposed patients (HR = 1.33, 95% CI 1.04-1.71), while restrictive bariatric surgery yielded a null result. The risk of DD increased with duration of follow-up (>5 years of follow-up: HR = 1.63, 95% CI 1.14-2.34, null result in earlier follow-up).Conclusion:Our results suggest that substantial weight loss is associated with a latent increased risk of severe DD in an obese population. This observation further strengthens current evidence that high body mass index is protective against DD. The latency of risk increase of DD after bariatric surgery may suggest that slowly adapting metabolic changes may be part of the mechanism of DD emergence.References:[1]Hacquebord JH, Chiu VY, Harness NG. The Risk of Dupuytren Surgery in Obese Individuals. J Hand Surg Am. 2017, 42: 149–55.Acknowledgements:We thank Prof. Dr. Jesper Lagergren (Karolinksa Institutet, Stockholm, Sweden) for hosting Dr. Theresa Burkard for a research stay at the Upper Gastrointestinal Surgery Group and making the data available for use. Furthermore, we thank Dr. Giola Santoni (Karolinksa Institutet, Stockholm, Sweden) for her technical support.Disclosure of Interests:None declared

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When to resume bariatric surgery after COVID-19 pandemic?: results of patients’ and surgeons’ survey

BMC Surgery ◽

10.1186/s12893-021-01145-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alicja Dudek ◽

Michał Wysocki ◽

Maciej Walędziak ◽

Jacek Szeliga ◽

Monika Proczko-Stepaniak ◽

...

Keyword(s):

Bariatric Surgery ◽

Body Mass Index ◽

World Health ◽

Online Surveys ◽

The World ◽

Bariatric Patients ◽

Group 2 ◽

Health Organization ◽

Current Body Mass Index ◽

Group 1

Abstract Background Coronavirus Disease 2019 is affecting most countries around the world, including Poland. In response, all elective surgeries have been postponed. We asked patients and surgeons when they want bariatric surgery to resume after pandemic. The main aim of the study was to determine patients’ and surgeons’ expectations about when to resume bariatric surgery regarding COVID-19 pandemic state. Methods The study was conducted in two groups: Group 1—bariatric patients; Group 2—bariatric surgeons. Two online surveys were distributed. Results A total of 895 patients, 299 before, 596 after surgery and 32 surgeons took part in survey. All patients and surgeons declared willingness to resume bariatric surgeries after pandemic and responded that they should be resumed immediately the World Health Organization announces end of pandemic (42%). The majority of patients before surgery answered that bariatric procedures should be resumed immediately the number of daily incidents begins to decrease (53%). In the patient group, current body mass index (p < 0.001) and contact with COVID+/quarantined persons (p < 0.001) had impact on the response to resumption of bariatric procedures. Conclusions Patients opted to wait for bariatric surgery until the oncological queue has become shorter. Surgeons presented a readiness to resume both procedures in parallel.

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When to Resume Bariatric Surgery after COVID-19 Pandemic? – Results of Patients’ and Surgeons’ Survey.

10.21203/rs.3.rs-39705/v1 ◽

2020 ◽

Author(s):

Aicja Dudek ◽

Alicja Dudek ◽

Michał Wysocki ◽

Maciej Walędziak ◽

Jacek Szeliga ◽

...

Keyword(s):

Bariatric Surgery ◽

Body Mass Index ◽

World Health ◽

Online Surveys ◽

The World ◽

Bariatric Patients ◽

Group 2 ◽

Health Organization ◽

Current Body Mass Index ◽

Group 1

Abstract BackgroundCOVID-19 is affecting most countries around the world, including Poland. In response, all elective surgeries have been postponed. We asked patients and surgeons when they want bariatric surgery to resume after pandemic. The main aim of the study was to determine patients’ and surgeons’ expectations about when to resume bariatric surgery regarding COVID-19 pandemic state.MethodsThe study was conducted in two groups: Group 1 – bariatric patients; Group 2 – bariatric surgeons. Two online surveys were distributed.Results A total of 895 patients, 299 before, 596 after surgery and 32 surgeons took part in survey. All patients and surgeons declared willingness to resume bariatric surgeries after pandemic and responded that they should be resumed immediately the World Health Organization announces end of pandemic (42%). The majority of patients before surgery answered that bariatric procedures should be resumed immediately the number of daily incidents begins to decrease (53%). In the patient group, current body mass index (p<0.001) and contact with COVID+/quarantined persons (p<0.001) had impact on the response to resumption of bariatric procedures.ConclusionsPatients opted to wait for bariatric surgery until the oncological queue has become shorter. Surgeons presented a readiness to resume both procedures in parallel.

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Home Parenteral Nutrition in Patients with Systemic Sclerosis: A Retrospective Review of 12 Cases

The Journal of Rheumatology ◽

10.3899/jrheum.110896 ◽

2012 ◽

Vol 39 (5) ◽

pp. 1004-1007 ◽

Cited By ~ 14

Author(s):

HANI JAWA ◽

GAIL FERNANDES ◽

OLIVIA SAQUI ◽

JOHANNE P. ALLARD

Keyword(s):

Body Mass Index ◽

Systemic Sclerosis ◽

Nutritional Status ◽

Parenteral Nutrition ◽

Functional Status ◽

Total Parenteral Nutrition ◽

Retrospective Review ◽

Karnofsky Score ◽

The Mean ◽

The University

Objective.To evaluate the effect of home total parenteral nutrition (HTPN) on the nutritional and functional status of patients with systemic sclerosis (SSc).Methods.Retrospective review of SSc patients from the HTPN database at the University Health Network, Toronto, Canada, from 1998 to 2010.Results:In total 12 subjects (9 females, 3 males) with SSc were identified. At initiation of HTPN, the age was 48.75 ± 3.94 years and the median body mass index was 16.8 kg/m2 (range 12.3–21.3). This significantly increased to 18.3 kg/m2 (17.0–21.7) at 6 months and to 19.7 kg/m2 (17.0–24.6) at 12 months. The mean Karnofsky score at baseline was 58.00 ± 3.27, and the score at 12 months of 39.00 ± 13.29 did not change significantly.Conclusion.HTPN improved the nutritional status of these patients with SSc but it did not improve their functional status.

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Obesity and bariatric intervention in patients with chronic renal disease

Journal of International Medical Research ◽

10.1177/0300060519843755 ◽

2019 ◽

Vol 47 (6) ◽

pp. 2326-2341 ◽

Cited By ~ 3

Author(s):

Maria Irene Bellini ◽

Filippo Paoletti ◽

Paul Elliot Herbert

Keyword(s):

Bariatric Surgery ◽

Body Mass Index ◽

Body Mass ◽

Chronic Renal Disease ◽

High Body Mass Index ◽

Obesity Paradox ◽

The Body ◽

Definitive Evidence ◽

Metabolic Conditions ◽

Transplant Candidates

Obesity is associated with chronic metabolic conditions that directly and indirectly cause kidney parenchymal damage. A review of the literature was conducted to explore existing evidence of the relationship between obesity and chronic kidney disease as well as the role of bariatric surgery in improving access to kidney transplantation for patients with a high body mass index. The review showed no definitive evidence to support the use of a transplant eligibility cut-off parameter based solely on the body mass index. Moreover, in the pre-transplant scenario, the obesity paradox is associated with better patient survival among obese than non-obese patients, although promising results of bariatric surgery are emerging. However, until more information regarding improvement in outcomes for obese kidney transplant candidates is available, clinicians should focus on screening of the overall frailty condition of transplant candidates to ensure their eligibility and addition to the wait list.

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Nutritional Support for Bariatric Surgery Patients: The Skin beyond the Fat

Nutrients ◽

10.3390/nu13051565 ◽

2021 ◽

Vol 13 (5) ◽

pp. 1565

Author(s):

Paolo Toninello ◽

Alvise Montanari ◽

Franco Bassetto ◽

Vincenzo Vindigni ◽

Antonio Paoli

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Postoperative Period ◽

Body Contouring ◽

Massive Weight Loss ◽

Water Soluble ◽

Nutritional Deficiencies ◽

Multivitamin Supplementation ◽

Bariatric Patients ◽

The Aesthetic

Body contouring surgery after the massive weight loss due to bariatric surgery deals with different kinds of complications. The aim of this review is to analyze the role that some nutrients may play in tissue healing after surgery, thus helping plastic surgeons to improve the aesthetic and health outcomes in massive weight loss patients under a multidisciplinary approach. As a matter of fact, preoperative nutritional deficiencies have been shown for vitamins and minerals in a large percentage of post-bariatric patients. Preoperative deficiencies mainly concern iron, zinc, selenium, and vitamins (both fat-soluble and water-soluble), but also total protein. During the postoperative period, these problems may increase because of the patients’ very low intake of vitamins and minerals after bariatric surgery (below 50% of the recommended dietary allowance) and the patients’ low compliance with the suggested multivitamin supplementation (approximately 60%). In the postoperative period, more attention should be given to nutritional aspects in regard to the length of absorptive area and the percentage of weight loss.

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Nutritional status prior to bariatric surgery for severe obesity: a review

Medicine and Pharmacy Reports ◽

10.15386/mpr-2094 ◽

2021 ◽

Author(s):

Daniela Mureșan Ciobârcă ◽

Adriana Florinela Cătoi ◽

Cătălin Copăescu ◽

Doina Miere ◽

Gianina Crișan

Keyword(s):

Bariatric Surgery ◽

Nutritional Status ◽

Severe Obesity ◽

Food Choices ◽

Poor Quality ◽

Nutritional Deficiencies ◽

Background Information ◽

Obese Patients ◽

Micronutrient Deficiencies ◽

Oral Supplementation

Obesity pandemic represents a threat to public health of paramount importance. Bariatric surgery represents the most effective and long-lasting treatment for severe obesity so far. The nutritional status of obese patients seeking bariatric surgery is impaired prior to surgery because of prevalent nutritional deficiencies. In addition, excess micronutrient levels may also occur, although this finding is not common. The onset of nutritional anomalies encountered in bariatric surgery candidates might stem from the following: obesity itself, poor quality food choices, preoperative weight loss or insufficient/excessive preoperative oral supplementation with vitamins and minerals. Nutritional management should begin preoperatively and should include a comprehensive assessment in order to identify those patients with clinical or subclinical deficiencies and hypervitaminoses. This paper provides background information on the nutritional status of bariatric surgery candidates, as well as on the prevalence and clinical significance of the most common micronutrient deficiencies and excess levels reported preoperatively among these patients.

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Nutrition status of pregnant women in selected internally displaced persons camp in Delta state, Nigeria

International Journal of Pregnancy & Child Birth ◽

10.15406/ipcb.2021.07.00223 ◽

2021 ◽

Vol 7 (2) ◽

pp. 30-34

Author(s):

Enifome Akpotu ◽

Faith Diorgu

Keyword(s):

Body Mass Index ◽

Nutritional Status ◽

Pregnant Women ◽

P Value ◽

Internally Displaced Persons ◽

Chi Square ◽

Internally Displaced ◽

Poor Nutritional Status ◽

The Mean ◽

Internally Displaced Person

Introduction: The recent flood situation in Nigeria has contributed to the upsurge in the percentage of Internally Displace Persons particularly in the Delta State. Children and pregnant women are more venerable. Poor Nutritional status internally displaced person is a major occurrence. This has a serious implication for pregnant women in Nigeria. Assessing nutritional status of pregnant women will help in prioritizing need and intervention problems for internally displaced person, therefore this study will assess a Nutritional status of pregnant women in Selected internally displaced persons camps in Delta state Methods: A cross sectional study was conducted among pregnant women in four selected internally displaced person camps in Delta State, November 2019. A total of 99 pregnant women were randomly selected from each camp. A structured questionnaire was used to collect socio-demographic data from respondents, Body mass index and mid upper arm circumference with assessed result were compared with standard criteria for nutritional status. Data was clean and entered into SPSS Version 22. Descriptive statistics was used and inferential statistic, chi square and logistic regression was use for predicting variables after adjusting for confounders. Result: The mean body mass index of respondent was 23.5 (±3.9) which indicate a good nutritional health status, however 9.3% had poor nutritional status with BMI (>18.5). Also the mean distribution of MUAC was 27.5(±3.6) cm indicating good nutritional status of (<23cm), although 27.8% had poor nutritional status with (MUAC ≥23cm). chi square test, economic status (X2=9.794, (P=0.020<0.05), antenatal visit of at least twice in present ( X2=5.946, P=0.015) and pregnancy and present trimester (X2=12.939, P=0.002<0.05) were significantly associated with nutritional status of pregnant women. On regression analysis only ANC visit (OR= 3.134, Cl=1.226-8.013, p-value=0.17) and present trimester of pregnant women (OR=0.75,Cl=0.016-0.352, p-value=0.01) were significant Conclusion and recommendation: Poor nutritional status among pregnant women in this study is high, there is need to develop programs that focuses on educating mothers on the need of good nutrition in Nigeria.

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Body composition of women with and without dynapenia defined by different cut-off points

Revista de Nutrição ◽

10.1590/1678-9865202134e200084 ◽

2021 ◽

Vol 34 ◽

Author(s):

Lucas dos SANTOS ◽

Camille Giehl Martins MIRANDA ◽

Tasso Carvalho Barberino de SOUZA ◽

Thais Alves BRITO ◽

Marcos Henrique FERNANDES ◽

...

Keyword(s):

Body Mass Index ◽

Body Composition ◽

Nutritional Status ◽

Postmenopausal Women ◽

Muscle Mass ◽

Handgrip Strength ◽

The Body ◽

Electrical Bioimpedance ◽

Central Fat ◽

The Mean

ABSTRACT Objective To compare body composition of postmenopausal women with and without dynapenia, defined by different cut-off points. Methods Body composition was assessed by electrical bioimpedance and the nutritional status by the body mass index. Dynapenia was diagnosed according to handgrip strength, using the following cut-off points: handgrip strength <16kgf and <20 kgf. Results A total of 171 women (50 to 92 years of age) participated in the investigation. The mean age of non-dynapenic and dynapenic women (handgrip strength <20kgf) was 69.4±8.2 and 74.5±8.2 years, respectively. The mean age of women with dynapenia (handgrip strength <16kgf) was 75.0±10.1 years and non-dynapenic women, 71.1±8.2 years. It was found that dynapenic women, with handgrip strength <20 and <16kgf, had an average of 2.38 and 2.47kg less muscle mass respectively, when compared to non-dynapenic women (p<0.05). However, there was no difference in muscle mass between the different dynapenic groups. Non-dynapenic women (handgrip strength ≥20kgf) had more total (3.55kg) and central fat (1.47kg) (p<0.05). Conclusion Dynapenic women, diagnosed considering both cutoff points, had less total and segmental muscle mass compared to non-dynapenic women. In addition, dynapenic women with handgrip strength <20kgf had lower total and trunk adiposity.

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The Role of Sleeve Gastrectomy on Preventing Type 2 Diabetes Mellitus

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2017.074 ◽

2017 ◽

Vol 5 (3) ◽

pp. 316-318 ◽

Cited By ~ 1

Author(s):

Serdar Olt ◽

Sabri Ã–zdaÅŸ ◽

Mehmet Åžirik

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Bariatric Surgery ◽

Body Mass Index ◽

Type 2 Diabetes Mellitus ◽

Body Mass ◽

P Value ◽

Obese Patients ◽

The Mean

AIM: To investigate the effect of bariatric surgery on HbA1c and serum cortisol levels in morbidly obese patients without type 2 diabetes mellitus.MATERIALS AND METHODS: Twenty-nine patients who underwent sleeve gastrectomy and whose body mass index was> 40 were included in the present study. Patients' files were reviewed retrospectively. Those with diabetes mellitus and those with age <18 were excluded from the study. Pre-operative and 1-year post operative data were documented. The obtained data were analysed by SPSS statistical program.RESULTS: The mean age of the patients was 27.4 Â± 8.4. 5 of the patients were male, and 24 were female. The mean body mass index of the patients was 44 Â± 2.3. 1 patient [3.4%] had hypertension. Four patients [13.7%] had gastroesophageal reflux disease. The number of smokers was 7 [24.1%], and the number of alcohol users was 3 [10.3%]. There was a statistically significant decrease in HbA1c, body mass index values after operation [p value <0.01], but cortisol was not different [p value = 0.72].CONCLUSION: In this present study we found that bariatric surgery caused a significant decrease in HbA1c levels in non-diabetic patients, suggesting that bariatric surgery may prevent Type 2 Diabetes Mellitus in obese patients.

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