Skip to main content
Top
Published in: Obesity Surgery 5/2016

01-05-2016 | Brief Communication

Treatment for Vitamin D Deficiency Prior to Bariatric Surgery: a Prospective Cohort Study

Authors: Leigh A. Peterson, Lawrence J. Cheskin, Michael A. Schweitzer, Thomas H. Magnuson, Kimberley E. Steele

Published in: Obesity Surgery | Issue 5/2016

Login to get access

Abstract

Background

Since obesity increases vitamin D deficiency (VDD) risk, bariatric surgery candidates are high-risk. Previously, we documented 71.4 % VDD at our center.

Objectives

To investigate diagnosis and treatment for VDD in our bariatric candidates.

Methods

25(OH)D, if pending, and supplementation (form, dosing, frequency) were prospectively documented in 265 candidates.

Results

Candidates were 83.0 % female, 48.9 % white, age 43 ± 13 years and BMI 46.3 ± 10.5 kg/m2. 25(OH)D was available for 18.5 %: 35.7 % VDD 39.3 % insufficiency. VDD history did not differ by demographics or procedure, as with those tested versus not.

Conclusion

VDD testing was lower than clinically-indicated. Of those tested, 35.7 % were deficient and 39.3 % insufficient. We previously reported higher rates: 71.4 % deficiency, 92.9 % insufficiency. Thus, many candidates are untested but high-risk.
Literature
1.
go back to reference Khan H, Kunutsor S, Franco OH, et al. Vitamin D, type 2 diabetes and other metabolic outcomes: a systematic review and meta-analysis of prospective studies. Proc Nutr Soc. 2013;72:89–97.CrossRefPubMed Khan H, Kunutsor S, Franco OH, et al. Vitamin D, type 2 diabetes and other metabolic outcomes: a systematic review and meta-analysis of prospective studies. Proc Nutr Soc. 2013;72:89–97.CrossRefPubMed
2.
go back to reference McGill AT, Stewart JM, Lithander FE, et al. Relationships of low serum vitamin D3 with anthropometry and markers of the metabolic syndrome and diabetes in overweight and obesity. Nutr J. 2008;7:4.CrossRefPubMedPubMedCentral McGill AT, Stewart JM, Lithander FE, et al. Relationships of low serum vitamin D3 with anthropometry and markers of the metabolic syndrome and diabetes in overweight and obesity. Nutr J. 2008;7:4.CrossRefPubMedPubMedCentral
3.
go back to reference Pacifico L, Anania C, Osborn JF, et al. Low 25(OH)D3 levels are associated with total adiposity, metabolic syndrome, and hypertension in Caucasian children and adolescents. Eur J Endocrinol. 2011;165:603–11.CrossRefPubMed Pacifico L, Anania C, Osborn JF, et al. Low 25(OH)D3 levels are associated with total adiposity, metabolic syndrome, and hypertension in Caucasian children and adolescents. Eur J Endocrinol. 2011;165:603–11.CrossRefPubMed
4.
go back to reference Zittermann A, Ernst JB, Gummert JF, et al. Vitamin D supplementation, body weight and human serum 25-hydroxyvitamin D response: a systematic review. Eur J Nutr. 2014;53:367–74.CrossRefPubMed Zittermann A, Ernst JB, Gummert JF, et al. Vitamin D supplementation, body weight and human serum 25-hydroxyvitamin D response: a systematic review. Eur J Nutr. 2014;53:367–74.CrossRefPubMed
5.
go back to reference Peterson LA, Cheskin LJ, Furtado M. et al. Malnutrition in bariatric surgery candidates: multiple micronutrient deficiencies prior to surgery. Obes Surg 2015. doi:10.1007/s11695-015-1844-y Peterson LA, Cheskin LJ, Furtado M. et al. Malnutrition in bariatric surgery candidates: multiple micronutrient deficiencies prior to surgery. Obes Surg 2015. doi:10.​1007/​s11695-015-1844-y
6.
go back to reference Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006;295:1549–55.CrossRefPubMed Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006;295:1549–55.CrossRefPubMed
7.
go back to reference Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96:1911–30.CrossRefPubMed Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96:1911–30.CrossRefPubMed
8.
go back to reference Ross AC, Manson JE, Abrams SA, et al. The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab. 2011;96:53–8.CrossRefPubMedPubMedCentral Ross AC, Manson JE, Abrams SA, et al. The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab. 2011;96:53–8.CrossRefPubMedPubMedCentral
9.
go back to reference Whitlock G, Lewington S, Sherliker P, et al. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009;373:1083–96.CrossRefPubMed Whitlock G, Lewington S, Sherliker P, et al. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009;373:1083–96.CrossRefPubMed
Metadata
Title
Treatment for Vitamin D Deficiency Prior to Bariatric Surgery: a Prospective Cohort Study
Authors
Leigh A. Peterson
Lawrence J. Cheskin
Michael A. Schweitzer
Thomas H. Magnuson
Kimberley E. Steele
Publication date
01-05-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 5/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2115-2

Other articles of this Issue 5/2016

Obesity Surgery 5/2016 Go to the issue