Skip to main content
Top
Published in: Obesity Surgery 10/2013

01-10-2013 | Review Article

Vitamin D Deficiency in Pregnancy after Bariatric Surgery

Authors: Marina Medeiros, Cláudia Saunders, Cristiane B. Chagas, Silvia E. Pereira, Carlos Saboya, Andréa Ramalho

Published in: Obesity Surgery | Issue 10/2013

Login to get access

Abstract

The objective of this study was to describe the main factors related to the installation and/or aggravation of vitamin D deficiency (VDD) and its clinical consequences in pregnant women after bariatric surgery. An electronic search on VDD in pregnancy and after bariatric surgery was conducted in publications from 1998 until 2012 that presented studies performed in humans. We provided an overview of VDD after bariatric surgery, in pregnancy, and in pregnancy in women who underwent bariatric surgery. In view of the high percentage of VDD postoperatively and the role of this vitamin in pregnancy, we recommend the investigation of vitamin D nutritional status in prenatal care.
Literature
1.
go back to reference Viégas M, Vasconcelos RS, Neves AP, et al. Bariatric surgery and bone metabolism: a systematic review. Arq Bras Endocrinol Metabol. 2010;54(2):158–63.CrossRefPubMed Viégas M, Vasconcelos RS, Neves AP, et al. Bariatric surgery and bone metabolism: a systematic review. Arq Bras Endocrinol Metabol. 2010;54(2):158–63.CrossRefPubMed
2.
go back to reference Rocha FA, Cattai GBP, Nardo CCS, et al. Tratamento da obesidade: possibilidades atuais do procedimento cirúrgico e do convencional. Rev UEM. 2009;20(1):131–43. Rocha FA, Cattai GBP, Nardo CCS, et al. Tratamento da obesidade: possibilidades atuais do procedimento cirúrgico e do convencional. Rev UEM. 2009;20(1):131–43.
6.
go back to reference Facchiano E, Iannelli A, Santulli P, et al. Pregnancy after laparoscopic bariatric surgery: comparative study of adjustable gastric banding and Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2012;8(4):429–33.CrossRefPubMed Facchiano E, Iannelli A, Santulli P, et al. Pregnancy after laparoscopic bariatric surgery: comparative study of adjustable gastric banding and Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2012;8(4):429–33.CrossRefPubMed
7.
go back to reference Pedrosa IV, Burgos MGPA, Souza NC, et al. Aspectos nutricionais em obesos antes e após a cirurgia bariátrica. Rev Col Bras Cir. 2009;36(4):316–22.CrossRefPubMed Pedrosa IV, Burgos MGPA, Souza NC, et al. Aspectos nutricionais em obesos antes e após a cirurgia bariátrica. Rev Col Bras Cir. 2009;36(4):316–22.CrossRefPubMed
8.
go back to reference Nomura RM, Dias MC, Igai AM, et al. Avaliação da vitalidade fetal e resultados perinatais em gestações após gastroplastia com derivação em Y de Roux. Rev Assoc Med Bras. 2010;56(6):670–4.CrossRefPubMed Nomura RM, Dias MC, Igai AM, et al. Avaliação da vitalidade fetal e resultados perinatais em gestações após gastroplastia com derivação em Y de Roux. Rev Assoc Med Bras. 2010;56(6):670–4.CrossRefPubMed
9.
go back to reference Lima JG, Nóbrega LHC, Mesquita JB, et al. Gestação após gastroplastia para tratamento de obesidade mórbida: série de casos e revisão da literatura. Rev Bras Ginecol Obstet. 2006;28(2):107–11.CrossRef Lima JG, Nóbrega LHC, Mesquita JB, et al. Gestação após gastroplastia para tratamento de obesidade mórbida: série de casos e revisão da literatura. Rev Bras Ginecol Obstet. 2006;28(2):107–11.CrossRef
10.
go back to reference Schuch NJ, Garcia VC, Martini LA. Vitamina D e doenças endocrinometabólicas. Arq Bras Endocrinol Metab. 2009;53(5):625–33.CrossRef Schuch NJ, Garcia VC, Martini LA. Vitamina D e doenças endocrinometabólicas. Arq Bras Endocrinol Metab. 2009;53(5):625–33.CrossRef
11.
go back to reference Ricieri RA. Consequências das alterações gastrointestinais em indivíduos submetidos à cirurgia bariátrica. Trabalho de conclusão de curso [Licenciatura em Educação Física]. Maringá (PR): Universidade Estadual de Maringá (UEM); 2010. Ricieri RA. Consequências das alterações gastrointestinais em indivíduos submetidos à cirurgia bariátrica. Trabalho de conclusão de curso [Licenciatura em Educação Física]. Maringá (PR): Universidade Estadual de Maringá (UEM); 2010.
12.
go back to reference Leffelaar ER, Vrijkotte TG, van Eijsden M, et al. Maternal early pregnancy vitamin D status in relation to fetal and neonatal growth: results of the multi-ethnic Amsterdam Born Children and their Development cohort. Br J Nutr. 2010;104(1):108–17.CrossRefPubMed Leffelaar ER, Vrijkotte TG, van Eijsden M, et al. Maternal early pregnancy vitamin D status in relation to fetal and neonatal growth: results of the multi-ethnic Amsterdam Born Children and their Development cohort. Br J Nutr. 2010;104(1):108–17.CrossRefPubMed
13.
go back to reference Sørensen IM, Joner G, Jenum PA, et al. Maternal serum levels of 25-hydroxy-vitamin D during pregnancy and risk of type 1 diabetes in the offspring. Diabetes. 2012;61(1):175–8.CrossRefPubMed Sørensen IM, Joner G, Jenum PA, et al. Maternal serum levels of 25-hydroxy-vitamin D during pregnancy and risk of type 1 diabetes in the offspring. Diabetes. 2012;61(1):175–8.CrossRefPubMed
14.
go back to reference Erkkola M, Kaila M, Nwaru BI, et al. Maternal vitamin D intake during pregnancy is inversely associated with asthma and allergic rhinitis in 5-year-old children. Clin Exp Allergy. 2009;39(6):875–82.CrossRefPubMed Erkkola M, Kaila M, Nwaru BI, et al. Maternal vitamin D intake during pregnancy is inversely associated with asthma and allergic rhinitis in 5-year-old children. Clin Exp Allergy. 2009;39(6):875–82.CrossRefPubMed
15.
go back to reference Melo ASO, Assunção PL, Gondim SSR, et al. Estado nutricional materno, ganho de peso gestacional e peso ao nascer. Rev Bras Epidemiol. 2007;10(2):249–57.CrossRef Melo ASO, Assunção PL, Gondim SSR, et al. Estado nutricional materno, ganho de peso gestacional e peso ao nascer. Rev Bras Epidemiol. 2007;10(2):249–57.CrossRef
16.
go back to reference Magdaleno Jr R, Pereira BG, Chaim EA, et al. Pregnancy after bariatric surgery: a current view of maternal, obstetrical and perinatal challenges. Arch Gynecol Obstet. 2012;285(3):559–66.CrossRefPubMed Magdaleno Jr R, Pereira BG, Chaim EA, et al. Pregnancy after bariatric surgery: a current view of maternal, obstetrical and perinatal challenges. Arch Gynecol Obstet. 2012;285(3):559–66.CrossRefPubMed
17.
go back to reference Stone RA, Huffman J, Istwan N, et al. Pregnancy outcomes following bariatric surgery. J Women's Health (Larchmt). 2011;20(9):1363–6.CrossRef Stone RA, Huffman J, Istwan N, et al. Pregnancy outcomes following bariatric surgery. J Women's Health (Larchmt). 2011;20(9):1363–6.CrossRef
18.
go back to reference Seabra G, Padilha PC, Queiroz JA, et al. Sobrepeso e obesidade pré-gestacionais: prevalência e desfechos associados à gestação. Rev Bras Ginecol Obstet. 2011;33(11):348–53.PubMed Seabra G, Padilha PC, Queiroz JA, et al. Sobrepeso e obesidade pré-gestacionais: prevalência e desfechos associados à gestação. Rev Bras Ginecol Obstet. 2011;33(11):348–53.PubMed
19.
go back to reference Galtier F, Raingeard I, Renard E, et al. Optimizing the outcome of pregnancy in obese women: from pregestacional to long-term management. Diabetes Metab. 2008;34(1):19–25.CrossRefPubMed Galtier F, Raingeard I, Renard E, et al. Optimizing the outcome of pregnancy in obese women: from pregestacional to long-term management. Diabetes Metab. 2008;34(1):19–25.CrossRefPubMed
20.
go back to reference Brockelsby J, Dresner M. Obesity and pregnancy. Curr Anaesth Crit Care. 2006;17(3):125–9.CrossRef Brockelsby J, Dresner M. Obesity and pregnancy. Curr Anaesth Crit Care. 2006;17(3):125–9.CrossRef
21.
go back to reference Holick MF, Chen TC, Lu Z, et al. Vitamin D and skin physiology: a D-lightful story. J Bone Miner Res. 2007;22 Suppl 2:V28–33.CrossRefPubMed Holick MF, Chen TC, Lu Z, et al. Vitamin D and skin physiology: a D-lightful story. J Bone Miner Res. 2007;22 Suppl 2:V28–33.CrossRefPubMed
22.
go back to reference Binkley N, Ramamurthy R, Krueger D, et al. Low vitamin D status: definition, prevalence, consequences and correction. Endocrinol Metab Clin North Am. 2010;39(2):287–301.CrossRefPubMed Binkley N, Ramamurthy R, Krueger D, et al. Low vitamin D status: definition, prevalence, consequences and correction. Endocrinol Metab Clin North Am. 2010;39(2):287–301.CrossRefPubMed
23.
go back to reference Hyppönen E, Power C. Hypovitaminoses D in British adults at age 45 y: nationwide cohort study of dietary and lifestyle predictors. Am J Clin Nutr. 2007;85(3):860–8.PubMed Hyppönen E, Power C. Hypovitaminoses D in British adults at age 45 y: nationwide cohort study of dietary and lifestyle predictors. Am J Clin Nutr. 2007;85(3):860–8.PubMed
24.
go back to reference Macdonald HM, Mavroeidi A, Barr RJ, et al. Vitamin D status in postmenopausal women living at higher latitudes in the UK in relation to bone health, overweight, sunlight exposure and dietary vitamin D. Bone. 2008;42(5):996–1003.CrossRefPubMed Macdonald HM, Mavroeidi A, Barr RJ, et al. Vitamin D status in postmenopausal women living at higher latitudes in the UK in relation to bone health, overweight, sunlight exposure and dietary vitamin D. Bone. 2008;42(5):996–1003.CrossRefPubMed
25.
go back to reference Brock K, Huang WY, Fraser DR, et al. Low vitamin D status is associated with physical inactivity, obesity and low vitamin D intake in a large us sample of healthy middle-aged men and women. J Steroid Biochem Mol Biol. 2010;121(1–2):462–6.CrossRefPubMed Brock K, Huang WY, Fraser DR, et al. Low vitamin D status is associated with physical inactivity, obesity and low vitamin D intake in a large us sample of healthy middle-aged men and women. J Steroid Biochem Mol Biol. 2010;121(1–2):462–6.CrossRefPubMed
26.
go back to reference Forrest KY, Stuhldreher WL. Prevalence and correlates of vitamin D deficiency in US adults. Nutr Res. 2011;31(1):48–54.CrossRefPubMed Forrest KY, Stuhldreher WL. Prevalence and correlates of vitamin D deficiency in US adults. Nutr Res. 2011;31(1):48–54.CrossRefPubMed
27.
go back to reference Fish E, Beverstein G, Olson D, et al. Vitamin D status of morbidly obese bariatric surgery patients. J Surg Res. 2010;164(2):198–202.CrossRefPubMed Fish E, Beverstein G, Olson D, et al. Vitamin D status of morbidly obese bariatric surgery patients. J Surg Res. 2010;164(2):198–202.CrossRefPubMed
28.
go back to reference Aarts E, van Groningen L, Horst R, et al. Vitamin D absorption: consequences of gastric bypass surgery. Eur J Endocrinol. 2011;164(5):827–32.CrossRefPubMed Aarts E, van Groningen L, Horst R, et al. Vitamin D absorption: consequences of gastric bypass surgery. Eur J Endocrinol. 2011;164(5):827–32.CrossRefPubMed
29.
go back to reference Gemmel K, Santry HP, Prachand VN, et al. Vitamin D deficiency in preoperative bariatric surgery patients. Surg Obes Relat Dis. 2009;5(1):54–9.CrossRefPubMed Gemmel K, Santry HP, Prachand VN, et al. Vitamin D deficiency in preoperative bariatric surgery patients. Surg Obes Relat Dis. 2009;5(1):54–9.CrossRefPubMed
31.
go back to reference Mourão DM, Sales NS, Coelho SB, et al. Biodisponibilidade de vitaminas lipossolúveis. Rev Nutr. 2005;18(4):529–39.CrossRef Mourão DM, Sales NS, Coelho SB, et al. Biodisponibilidade de vitaminas lipossolúveis. Rev Nutr. 2005;18(4):529–39.CrossRef
32.
go back to reference Earthman CP, Beckman LM, Masodkar K, et al. The link between obesity and low circulating 25-hydroxyvitamin D concentrations: considerations and implications. Int J Obes (Lond). 2012;36(3):387–96.CrossRef Earthman CP, Beckman LM, Masodkar K, et al. The link between obesity and low circulating 25-hydroxyvitamin D concentrations: considerations and implications. Int J Obes (Lond). 2012;36(3):387–96.CrossRef
33.
go back to reference Compher CW, Badellino KO, Boullata JI. Vitamin D and the bariatric surgical patient: a review. Obes Surg. 2008;18(2):220–4.CrossRefPubMed Compher CW, Badellino KO, Boullata JI. Vitamin D and the bariatric surgical patient: a review. Obes Surg. 2008;18(2):220–4.CrossRefPubMed
34.
go back to reference Shin JS, Choi MY, Longtine MS, et al. Vitamin D effects on pregnancy and the placenta. Placenta. 2010;31(12):1027–34.CrossRefPubMed Shin JS, Choi MY, Longtine MS, et al. Vitamin D effects on pregnancy and the placenta. Placenta. 2010;31(12):1027–34.CrossRefPubMed
35.
go back to reference Barrett H, McElduff A. Vitamin D and pregnancy: an old problem revisited. Best Pract Res Clin Endocrinol Metab. 2010;24(4):527–39.CrossRefPubMed Barrett H, McElduff A. Vitamin D and pregnancy: an old problem revisited. Best Pract Res Clin Endocrinol Metab. 2010;24(4):527–39.CrossRefPubMed
36.
go back to reference Kovacs CS. Vitamin D, in pregnancy and lactation: maternal, fetal, and neonatal outcomes from human and animal studies. Am J Clin Nutr. 2008;88(2):520S–8S.PubMed Kovacs CS. Vitamin D, in pregnancy and lactation: maternal, fetal, and neonatal outcomes from human and animal studies. Am J Clin Nutr. 2008;88(2):520S–8S.PubMed
37.
go back to reference Liu NQ, Hewison M. Vitamin D, the placenta and pregnancy. Arch Biochem Biophys. 2012;523(1):37–47.CrossRefPubMed Liu NQ, Hewison M. Vitamin D, the placenta and pregnancy. Arch Biochem Biophys. 2012;523(1):37–47.CrossRefPubMed
38.
go back to reference Wagner CL, Taylor SN, Dawodu A, et al. Vitamin D and its role during pregnancy in attaining optimal health of mother and fetus. Nutrients. 2012;4(3):208–30.CrossRefPubMed Wagner CL, Taylor SN, Dawodu A, et al. Vitamin D and its role during pregnancy in attaining optimal health of mother and fetus. Nutrients. 2012;4(3):208–30.CrossRefPubMed
39.
go back to reference Adams JS, Hewison M. Extrarenal expression of the 25-hydroxyvitamin D-1-hydroxylase. Arch Biochem Biophys. 2012;523(1):95–102.CrossRefPubMed Adams JS, Hewison M. Extrarenal expression of the 25-hydroxyvitamin D-1-hydroxylase. Arch Biochem Biophys. 2012;523(1):95–102.CrossRefPubMed
40.
go back to reference Christakos S, Ajibade DV, Dhawan P, et al. Vitamin D: metabolism. Endocrinol Metab Clin North Am. 2010;39(2):243–53.CrossRefPubMed Christakos S, Ajibade DV, Dhawan P, et al. Vitamin D: metabolism. Endocrinol Metab Clin North Am. 2010;39(2):243–53.CrossRefPubMed
41.
go back to reference Bodnar LM, Krohn MA, Simhan HN. Maternal vitamin D deficiency is associated with bacterial vaginosis in the first trimester of pregnancy. J Nutr. 2009;139(6):1157–61.CrossRefPubMed Bodnar LM, Krohn MA, Simhan HN. Maternal vitamin D deficiency is associated with bacterial vaginosis in the first trimester of pregnancy. J Nutr. 2009;139(6):1157–61.CrossRefPubMed
42.
go back to reference Romero R, Espinoza J, Gonçalves LF, et al. The role of inflammation and infection in preterm birth. Semin Reprod Med. 2007;25(1):21–39.CrossRefPubMed Romero R, Espinoza J, Gonçalves LF, et al. The role of inflammation and infection in preterm birth. Semin Reprod Med. 2007;25(1):21–39.CrossRefPubMed
43.
go back to reference Viljakainen HT, Saarnio E, Hytinantti T, et al. Maternal vitamin D status determines bone variables in the newborn. J Clin Endocrinol Metab. 2010;95(4):1749–57.CrossRefPubMed Viljakainen HT, Saarnio E, Hytinantti T, et al. Maternal vitamin D status determines bone variables in the newborn. J Clin Endocrinol Metab. 2010;95(4):1749–57.CrossRefPubMed
44.
go back to reference Marwaha RK, Tandon N, Chopra S, et al. Vitamin D status in pregnant Indian women across trimesters and different seasons and its correlation with neonatal serum 25-hydroxyvitamin D levels. Br J Nutr. 2011;106(9):1383–9.CrossRefPubMed Marwaha RK, Tandon N, Chopra S, et al. Vitamin D status in pregnant Indian women across trimesters and different seasons and its correlation with neonatal serum 25-hydroxyvitamin D levels. Br J Nutr. 2011;106(9):1383–9.CrossRefPubMed
45.
go back to reference Holmes VA, Barnes MS, Alexander HD, et al. Vitamin D deficiency and insufficiency in pregnant women: a longitudinal study. Br J Nutr. 2009;102(6):876–81.CrossRefPubMed Holmes VA, Barnes MS, Alexander HD, et al. Vitamin D deficiency and insufficiency in pregnant women: a longitudinal study. Br J Nutr. 2009;102(6):876–81.CrossRefPubMed
46.
go back to reference Bodnar LM, Catov JM, Roberts JM, et al. Prepregnancy obesity predicts poor vitamin D status in mothers and their neonates. J Nutr. 2007;137(11):2437–42.PubMed Bodnar LM, Catov JM, Roberts JM, et al. Prepregnancy obesity predicts poor vitamin D status in mothers and their neonates. J Nutr. 2007;137(11):2437–42.PubMed
47.
go back to reference Merewood A, Mehta SD, Chen TC, et al. Association between vitamin D deficiency and primary cesarean section. J Clin Endocrinol Metab. 2009;94(3):940–5.CrossRefPubMed Merewood A, Mehta SD, Chen TC, et al. Association between vitamin D deficiency and primary cesarean section. J Clin Endocrinol Metab. 2009;94(3):940–5.CrossRefPubMed
48.
go back to reference Pedrosa MAC, Castro ML. Papel da vitamina D na função neuro-muscular. Arq Bras Endocrinol Metab. 2005;49(4):495–502.CrossRef Pedrosa MAC, Castro ML. Papel da vitamina D na função neuro-muscular. Arq Bras Endocrinol Metab. 2005;49(4):495–502.CrossRef
49.
go back to reference Bischoff-Ferrari HA, Giovannucci E, Willett WC, et al. Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes. Am J Clin Nutr. 2006;84(1):18–28.PubMed Bischoff-Ferrari HA, Giovannucci E, Willett WC, et al. Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes. Am J Clin Nutr. 2006;84(1):18–28.PubMed
51.
go back to reference Baker AM, Haeri S, Camargo Jr CA, et al. A nested case–control study of midgestation vitamin D deficiency and risk of severe preeclampsia. J Clin Endocrinol Metab. 2010;95(11):5105–9.CrossRefPubMed Baker AM, Haeri S, Camargo Jr CA, et al. A nested case–control study of midgestation vitamin D deficiency and risk of severe preeclampsia. J Clin Endocrinol Metab. 2010;95(11):5105–9.CrossRefPubMed
52.
go back to reference Maghbooli Z, Hossein-Nezhad A, Karimi F, et al. Correlation between vitamin D3 deficiency and insulin resistance in pregnancy. Diabetes Metab Res Rev. 2008;24(1):27–32.CrossRefPubMed Maghbooli Z, Hossein-Nezhad A, Karimi F, et al. Correlation between vitamin D3 deficiency and insulin resistance in pregnancy. Diabetes Metab Res Rev. 2008;24(1):27–32.CrossRefPubMed
53.
go back to reference Krishnaveni GV, Veena SR, Winder NR, et al. Maternal vitamin D status during pregnancy and body composition and cardiovascular risk markers in Indian children: the Mysore Parthenon. Am J Clin Nutr. 2011;93(3):628–35.CrossRefPubMed Krishnaveni GV, Veena SR, Winder NR, et al. Maternal vitamin D status during pregnancy and body composition and cardiovascular risk markers in Indian children: the Mysore Parthenon. Am J Clin Nutr. 2011;93(3):628–35.CrossRefPubMed
54.
go back to reference Morley R, Carlin JB, Pasco JA, et al. Maternal 25-hydroxyvitamin D and parathyroid hormone concentrations and offspring birth size. J Clin Endocrinol Metab. 2006;91(3):906–12.CrossRefPubMed Morley R, Carlin JB, Pasco JA, et al. Maternal 25-hydroxyvitamin D and parathyroid hormone concentrations and offspring birth size. J Clin Endocrinol Metab. 2006;91(3):906–12.CrossRefPubMed
55.
go back to reference Almeida SS, Zanatta DP, Rezende FF. Imagem corporal, ansiedade e depressão em pacientes obesos submetidos à cirurgia bariátrica. Estud Psicol. 2012;17(1):153–60.CrossRef Almeida SS, Zanatta DP, Rezende FF. Imagem corporal, ansiedade e depressão em pacientes obesos submetidos à cirurgia bariátrica. Estud Psicol. 2012;17(1):153–60.CrossRef
56.
go back to reference Gomes GS, Rosa MA, Faria HRM. Perfil nutricional dos pacientes de pós-operatório de cirurgia bariátrica. Nutrir Gerais. 2009;3(5):462–76. Gomes GS, Rosa MA, Faria HRM. Perfil nutricional dos pacientes de pós-operatório de cirurgia bariátrica. Nutrir Gerais. 2009;3(5):462–76.
58.
go back to reference Lin E, Armstrong-Moore D, Liang Z, et al. Contribution of adipose tissue to plasma 25 hydroxyvitamin D concentrations during weight loss following gastric bypass surgery. Obesity (Silver Spring). 2011;19(3):588–94.CrossRef Lin E, Armstrong-Moore D, Liang Z, et al. Contribution of adipose tissue to plasma 25 hydroxyvitamin D concentrations during weight loss following gastric bypass surgery. Obesity (Silver Spring). 2011;19(3):588–94.CrossRef
59.
go back to reference Aasheim ET, Björkman S, Søvik TT, et al. Vitamin status after bariatric surgery: a randomized study of gastric bypass and duodenal switch. Am J Clin Nutr. 2009;90(1):15–22.CrossRefPubMed Aasheim ET, Björkman S, Søvik TT, et al. Vitamin status after bariatric surgery: a randomized study of gastric bypass and duodenal switch. Am J Clin Nutr. 2009;90(1):15–22.CrossRefPubMed
60.
go back to reference Xanthakos SA. Nutritional deficiencies in obesity and after bariatric surgery. Pediatr Clin North Am. 2009;56(5):1105–21.CrossRefPubMed Xanthakos SA. Nutritional deficiencies in obesity and after bariatric surgery. Pediatr Clin North Am. 2009;56(5):1105–21.CrossRefPubMed
61.
go back to reference Signori C, Zalesin KC, Franklin B, et al. Effect of gastric bypass on vitamin D and secondary hyperparathyroidism. Obes Surg. 2010;20(7):949–52.CrossRefPubMed Signori C, Zalesin KC, Franklin B, et al. Effect of gastric bypass on vitamin D and secondary hyperparathyroidism. Obes Surg. 2010;20(7):949–52.CrossRefPubMed
62.
go back to reference Jin J, Stellato TA, Hallowell PT, et al. Utilization of preoperative patient factors to predict postoperative vitamin D deficiency for patients undergoing gastric bypass. J Gastrointest Surg. 2009;13(6):1052–7.CrossRefPubMed Jin J, Stellato TA, Hallowell PT, et al. Utilization of preoperative patient factors to predict postoperative vitamin D deficiency for patients undergoing gastric bypass. J Gastrointest Surg. 2009;13(6):1052–7.CrossRefPubMed
63.
go back to reference Flores L, Osaba MJ, Andreu A, et al. Calcium and vitamin D supplementation after gastric bypass should be individualized to improve or avoid hyperparathyroidism. Obes Surg. 2010;20(6):738–43.CrossRefPubMed Flores L, Osaba MJ, Andreu A, et al. Calcium and vitamin D supplementation after gastric bypass should be individualized to improve or avoid hyperparathyroidism. Obes Surg. 2010;20(6):738–43.CrossRefPubMed
64.
go back to reference Carlin AM, Rao DS, Yager KM, et al. Treatment of vitamin D depletion after Roux-en-Y gastric bypass: a randomized prospective clinical trial. Surg Obes Relat Dis. 2009;5(4):444–9.CrossRefPubMed Carlin AM, Rao DS, Yager KM, et al. Treatment of vitamin D depletion after Roux-en-Y gastric bypass: a randomized prospective clinical trial. Surg Obes Relat Dis. 2009;5(4):444–9.CrossRefPubMed
65.
go back to reference Weintraub AY, Levy A, Levi I, et al. Effect of bariatric surgery on pregnancy outcome. Int J Gynaecol Obstet. 2008;103(3):246–51.CrossRefPubMed Weintraub AY, Levy A, Levi I, et al. Effect of bariatric surgery on pregnancy outcome. Int J Gynaecol Obstet. 2008;103(3):246–51.CrossRefPubMed
66.
go back to reference Lapolla A, Marangon M, Dalfrà MG, et al. Pregnancy outcome in morbidly obese women before, after laparoscopic gastric banding. Obes Surg. 2010;20(9):1251–7.CrossRefPubMed Lapolla A, Marangon M, Dalfrà MG, et al. Pregnancy outcome in morbidly obese women before, after laparoscopic gastric banding. Obes Surg. 2010;20(9):1251–7.CrossRefPubMed
67.
go back to reference Sapre N, Munting K, Pandita A, et al. Pregnancy following gastric bypass surgery: what is the expected course and outcome? N Z Med J. 2009;122(1306):33–42.PubMed Sapre N, Munting K, Pandita A, et al. Pregnancy following gastric bypass surgery: what is the expected course and outcome? N Z Med J. 2009;122(1306):33–42.PubMed
68.
go back to reference Karmon A, Sheiner E. Pregnancy after bariatric surgery: a comprehensive review. Arch Gynecol Obstet. 2008;277(5):381–8.CrossRefPubMed Karmon A, Sheiner E. Pregnancy after bariatric surgery: a comprehensive review. Arch Gynecol Obstet. 2008;277(5):381–8.CrossRefPubMed
69.
go back to reference Patel JA, Patel NA, Thomas RL, et al. Pregnancy outcomes after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(1):39–45.CrossRefPubMed Patel JA, Patel NA, Thomas RL, et al. Pregnancy outcomes after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(1):39–45.CrossRefPubMed
70.
go back to reference Sheiner E, Menes TS, Silverberg D, et al. Pregnancy outcome of patients with gestational diabetes mellitus following bariatric surgery. Am J Obstet Gynecol. 2006;194(2):431–5.CrossRefPubMed Sheiner E, Menes TS, Silverberg D, et al. Pregnancy outcome of patients with gestational diabetes mellitus following bariatric surgery. Am J Obstet Gynecol. 2006;194(2):431–5.CrossRefPubMed
71.
go back to reference Sheiner E, Edri A, Balaban E, et al,. Pregnancy outcome of patients who conceive during or after the first year following bariatric surgery. Am J Obstet Gynecol. 2011;204(1):50.CrossRefPubMed Sheiner E, Edri A, Balaban E, et al,. Pregnancy outcome of patients who conceive during or after the first year following bariatric surgery. Am J Obstet Gynecol. 2011;204(1):50.CrossRefPubMed
72.
go back to reference González Navarro I, Pereira Cunill JL, Serrano Aguayo P, et al. Resultados materno-fetales de la gestación tras cirugía bariátrica. Nutr Hosp. 2011;26(2):376–83.PubMed González Navarro I, Pereira Cunill JL, Serrano Aguayo P, et al. Resultados materno-fetales de la gestación tras cirugía bariátrica. Nutr Hosp. 2011;26(2):376–83.PubMed
Metadata
Title
Vitamin D Deficiency in Pregnancy after Bariatric Surgery
Authors
Marina Medeiros
Cláudia Saunders
Cristiane B. Chagas
Silvia E. Pereira
Carlos Saboya
Andréa Ramalho
Publication date
01-10-2013
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2013
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-013-1045-5

Other articles of this Issue 10/2013

Obesity Surgery 10/2013 Go to the issue