Micronutrient status assessment in Saudi patients prior to laparoscopic sleeve gastrectomy: a retrospective study

• Rimah A SALEEM ^[1] ; Majed M RAMADAN ^[2] ; Muhammad S SHEIKH ^[1] ; Juhaina S BAJAMAN ^[1] ; Samah H ZARROUG ^[1] ; Ghada A GARAWEEN ^[1] ; Noara K ALHUSSEINI ^[1]
  1. [1] Alfaisal University

     Alfaisal University

     Arabia Saudí

     
  2. [2] King Abdullah International Medical Research Center (KAIMRC), King Saud Bin Abdulaziz University for Health Sciences
• Localización: Nutrición clínica y dietética hospitalaria, ISSN 0211-6057, Vol. 43, Nº. 4, 2023, págs. 238-243
• Idioma: inglés
• DOI: 10.12873/434saleem
• Enlaces
  • Texto completo
• Resumen

  • Objective: This study aimed to investigate demographic trends and characteristics of Saudi patients undergoing LSG in different regions of the country.

    Methods: We retrospectively collected preoperative data from 285 patients who underwent LSG between 2016 and 2021 at a tertiary care centre. Patients' demographic data including the body mass index (BMI) and blood profiles before LSG, were analysed.

    Results: The mean patient age was 46 years, and the mean preoperative BMI was 36.50 kg/m2. Females comprised more than two-thirds of the patients (69%). Among the pre-operative blood parameters, haemoglobin and vitamin B1 deficiency were noticeable in both sexes.

    Conclusion: This predictive analysis could assist surgeons in identifying common deficiencies and expected post-surgical micronutrient deficiencies relevant to undesirable complications.

• Referencias bibliográficas
  • Chooi, Y.C., C. Ding, and F. Magkos, The epidemiology of obesity. Metabolism, 2019. 92: p. 6-10.
  • Althumiri, N.A., et al., Obesity in Saudi Arabia in 2020: Prevalence, Distribution, and Its Current Association with Various Health Conditions....
  • Alfadda, A.A., et al., The Saudi clinical practice guideline for the management of overweight and obesity in adults. Saudi Med J, 2016. 37(10):...
  • Bal, B.S., et al., Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol, 2012. 8(9): p. 544-56.
  • Arterburn, D.E., et al., Benefits and Risks of Bariatric Surgery in Adults: A Review. JAMA, 2020. 324(9): p. 879-887.
  • Burguera, B., et al., Critical assessment of the current guidelines for the management and treatment of morbidly obese patients. J Endocrinol...
  • Mechanick, J.I., et al., Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric...
  • Angrisani, L., et al., Bariatric Surgery Survey 2018: Similarities and Disparities Among the 5 IFSO Chapters. Obesity Surgery, 2021. 31(5):...
  • Yehoshua, R.T., et al., Laparoscopic sleeve gastrectomy--volume and pressure assessment. Obes Surg, 2008. 18(9): p. 1083-8.
  • McCarty, T.R., P. Jirapinyo, and C.C. Thompson, Effect of Sleeve Gastrectomy on Ghrelin, GLP-1, PYY, and GIP Gut Hormones: A Systematic Review...
  • Aron-Wisnewsky, J., et al., Nutritional and Protein Deficiencies in the Short Term following Both Gastric Bypass and Gastric Banding. PLoS...
  • Astrup, A. and S. Bügel, Overfed but undernourished: recognizing nutritional inadequacies/deficiencies in patients with overweight or obesity....
  • Chamberlain, C., et al., Recognizing postoperative nutritional complications of bariatric surgery in the primary care patient: a narrative...
  • AlAli, M.N., et al., Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature...
  • Peterli, R., et al., Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid...
  • English, W.J. and D.B. Williams, Metabolic and Bariatric Surgery: An Effective Treatment Option for Obesity and Cardiovascular Disease. Prog...
  • Aljaaly, E.A., Perioperative nutrition care and dietetic practices in the scope of bariatric surgery in Saudi Arabia using adapted protocols...
  • Rives-Lange, C., et al., Seventy years of bariatric surgery: A systematic mapping review of randomized controlled trials. Obes Rev, 2022....
  • Al-Alyani, H., et al., Vitamin D deficiency in Saudi Arabians: A reality or simply hype: A meta-analysis (2008-2015). J Family Community Med,...
  • Walston, S., Y. Al-Harbi, and B. Al-Omar, The changing face of healthcare in Saudi Arabia. Ann Saudi Med, 2008. 28(4): p. 243-50.
  • Rahman, R., The Privatization of Health Care System in Saudi Arabia. Health Serv Insights, 2020. 13: p. 1178632920934497.
  • Rubino, F., et al., Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical...
  • Aly, S., K. Hachey, and L.I.M. Pernar, Gender disparities in weight loss surgery. Mini-invasive Surgery, 2020. 4: p. 21.
  • Ahmed, A.E., et al., The influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia. Diabetes Metab Syndr...
  • Aldriweesh, M.A., et al., The Incidence and Risk Factors of Cholelithiasis Development After Bariatric Surgery in Saudi Arabia: A Two-Center...
  • AlEid, A., et al., The utility of esophagogastroduodenoscopy and Helicobacter pylori screening in the preoperative assessment of patients...
  • Cooper, A.J., et al., Sex/Gender Differences in Obesity Prevalence, Comorbidities, and Treatment. Curr Obes Rep, 2021. 10(4): p. 458-466.
  • Kochkodan, J., D.A. Telem, and A.A. Ghaferi, Physiologic and psychological gender differences in bariatric surgery. Surg Endosc, 2018. 32(3):...
  • Al Watban, Z.H., et al., Patient awareness about the indications and complications of sleeve gastrectomy. J Family Med Prim Care, 2020. 9(1):...
  • Al-Kadi, A. and L. Al-Sulaim, Role of bariatric surgery on psychological and social outcomes of patients: A systematic review. Pol Przegl...
  • Soetan, K.O., C.O. Olaiya, and O.E. Oyewole, The importance of mineral elements for humans, domestic animals and plants: A review. African...
  • Cai, X., et al., Potassium and Obesity/Metabolic Syndrome: A Systematic Review and Meta-Analysis of the Epidemiological Evidence. Nutrients,...
  • Piuri, G., et al., Magnesium in Obesity, Metabolic Syndrome, and Type 2 Diabetes. Nutrients, 2021. 13(2).
  • de Baaij, J.H., J.G. Hoenderop, and R.J. Bindels, Magnesium in man: implications for health and disease. Physiol Rev, 2015. 95(1): p. 1-46.
  • Galan, P., et al., Dietary magnesium intake in a French adult population. Magnes Res, 1997. 10(4): p. 321-8.
  • Throop, J.L., M.E. Kerl, and L.A. Cohn, Albumin in health and disease: protein metabolism and function. Compend Contin Educ Pract Vet, 2004....
  • de Luis, D.A., et al., Micronutrient status in morbidly obese women before bariatric surgery. Surgery for Obesity and Related Diseases, 2013....
  • May, J.E., et al., Three neglected numbers in the CBC: The RDW, MPV, and NRBC count. Cleve Clin J Med, 2019. 86(3): p. 167-172.
  • Ausk, K.J. and G.N. Ioannou, Is obesity associated with anemia of chronic disease? A population-based study. Obesity (Silver Spring), 2008....
  • Akter, R., et al., Effect of Obesity on Hemoglobin Concentration. Mymensingh medical journal : MMJ, 2017. 26(2): p. 230-234.
  • Aigner, E., A. Feldman, and C. Datz, Obesity as an emerging risk factor for iron deficiency. Nutrients, 2014. 6(9): p. 3587-600.
  • Sánchez, A., et al., Micronutrient Deficiencies in Morbidly Obese Women Prior to Bariatric Surgery. Obes Surg, 2016. 26(2): p. 361-8.
  • Muñoz, M., et al., Iron deficiency and anaemia in bariatric surgical patients: causes, diagnosis and proper management. Nutr Hosp, 2009. 24(6):...
  • Al-Mulhim, A.S., Laparoscopic Sleeve Gastrectomy and Nutrient Deficiencies: A Prospective Study. Surg Laparosc Endosc Percutan Tech, 2016....
  • Krzizek, E.-C., et al., Prevalence of Micronutrient Deficiency in Patients with Morbid Obesity Before Bariatric Surgery. Obesity Surgery,...
  • van Rutte, P.W., et al., Nutrient deficiencies before and after sleeve gastrectomy. Obes Surg, 2014. 24(10): p. 1639-46.
  • Vranić, L., I. Mikolašević, and S. Milić, Vitamin D Deficiency: Consequence or Cause of Obesity? Medicina, 2019. 55(9): p. 541.
  • Bâ, A., Metabolic and Structural Role of Thiamine in Nervous Tissues. Cellular and Molecular Neurobiology, 2008. 28(7): p. 923-931.
  • Carrodeguas, L., et al., Preoperative thiamine deficiency in obese population undergoing laparoscopic bariatric surgery. Surg Obes Relat Dis,...
  • Dagan, S.S., et al., Nutritional Status Prior to Laparoscopic Sleeve Gastrectomy Surgery. Obesity Surgery, 2016. 26(9): p. 2119-2126.
  • Elmadfa, I., et al., The thiamine status of adult humans depends on carbohydrate intake. Int J Vitam Nutr Res, 2001. 71(4): p. 217-21.
  • Whitfield, K.C., et al., Thiamine deficiency disorders: diagnosis, prevalence, and a roadmap for global control programs. Annals of the New...