Abstract
Individuals with extreme obesity who qualify for bariatric surgery are frequently vitamin D deficient before and after surgery. The anatomical changes that occur during some bariatric procedures may lead to decreased absorption of vitamin D, although vitamin D absorption and metabolism has not been quantified or compared across surgeries, and multiple other factors could influence vitamin D status in these individuals. Vitamin D treatment and dosing studies show that there is variability in how individuals respond to supplementation regimens regardless of the bariatric procedure. It is unknown if improving vitamin D status before and/or after bariatric surgery can affect health-related outcomes in this population beyond the traditional roles of vitamin D. Vitamin D has been purported to positively influence a variety of obesity-related comorbidities. Furthermore, in light of the potential role of vitamin D in immunity and inflammation, it seems important to consider the ramifications of vitamin D deficiency in the postbariatric individual in the critical care setting and particularly in the context of aging. Additional research is needed to develop evidence-based guidelines for optimal treatment of vitamin D deficiency in individuals before and after bariatric surgery and to determine the impact of vitamin D repletion on non-bone health-related outcomes in these individuals.
Original language | English (US) |
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Pages (from-to) | 751-758 |
Number of pages | 8 |
Journal | Nutrition in Clinical Practice |
Volume | 29 |
Issue number | 6 |
DOIs | |
State | Published - Dec 20 2014 |
Bibliographical note
Publisher Copyright:© 2014 American Society for Parenteral and Enteral Nutrition.
Keywords
- bariatric surgery
- biliopancreatic diversion
- duodenal switch
- gastric band
- gastric bypass
- malabsorption
- obesity
- sleeve gastrectomy
- vitamin D
- vitamin D deficiency