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Obesity Surgery
Published in: Obesity Surgery 10/2010

01-10-2010 | Allied Care

Bone Mineral Density and Nutritional Profile in Morbidly Obese Women

Authors: Daniela Schaan Casagrande, Giuseppe Repetto, Claudio Corá Mottin, Rodolfo Schneider, Jacqueline Rizzolli, Myriam Moretto, Alexandre Vontobel Padoin, Beatriz D’Agord Schaan

Published in: Obesity Surgery | Issue 10/2010

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Abstract

Background

Morbid obesity may be associated with malnutrition. Because it is important to assess the preoperative nutritional/metabolic status and bone mineral density of these patients, this study was designed aiming to evaluate bone metabolism/mineral density and nutritional profile in morbidly obese women.

Methods

Thirty-three morbidly obese women in preoperative care for obesity surgery were enrolled. Blood samples were drawn to determine nutritional and metabolic status, and dual-energy X-ray absorptiometry (DXA) was performed to evaluate bone mineral density; 24-h recall and food frequency questionnaire (FFQ) were also evaluated.

Results

Twenty-seven (81.8%) women were premenopausal and six (18.2%) were postmenopausal. The mean body mass index was 43.2 ± 4.8 kg/m2, and 91% were Caucasian. Insulin-resistant subjects comprised 81.8% of the sample. The median (25–75 percentile) of the total intake of 24-h recall was 3,081 (2,718–3,737) and for FFQ 2,685 (2,284–4,400) calories. FFQ underestimated total energy value intake. The median of calcium was higher when evaluated by the FFQ as compared with the 24-h recall. Protein and lipid intakes were lower if evaluated by the FFQ as compared to the 24-h recall. Vitamin D levels were low in 18 (81.8%) patients. In one premenopausal woman, bone mineral density was low in the lumbar spine (L1–L4), and in one postmenopausal woman it was low in L1–L4, femoral neck and 1/3 proximal radius.

Conclusions

In this study, the nutritional status of morbidly obese women was good, except for markers of bone metabolism, with no detectable differences between pre- and postmenopausal women.
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Metadata
Title
Bone Mineral Density and Nutritional Profile in Morbidly Obese Women
Authors
Daniela Schaan Casagrande
Giuseppe Repetto
Claudio Corá Mottin
Rodolfo Schneider
Jacqueline Rizzolli
Myriam Moretto
Alexandre Vontobel Padoin
Beatriz D’Agord Schaan
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 10/2010
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-010-0121-3

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