Work

Serum 25(OH) Vitamin D Levels in Severely Obese Patients Evaluated Before Bariatric Surgery

Year: 2020

Type: article

Abstract: Objective: Obesity is a risk factor for vitamin D deficiency, which is reported to be detected differently in each population.This study aimed to evaluate the 25(OH) vitamin D (25(OH)D) levels, intact parathormone (iPTH) levels, and their relationship with body mass index (BMI) in obese patients, screened prior to bariatric surgery.Material and Methods: This retrospective study comprised of 1.082 obese patients (41±10 years, female/male: 823/259) who were candidates for bariatric surgery.BMI, waist circumference (WC), serum 25(OH)D, iPTH, calcium, phosphorus values of these patients were recorded from patient files.Results: BMI, WC, iPTH, and 25(OH)D levels were 48±8.9 kg/m², 128±11.9cm, 64±36 pg/mL, and 15±18 ng/mL, respectively.Mean 25(OH)D level of 79.1% of the patients belonged to the deficiency range.Very low 25(OH) vitamin D levels (<10 ng/mL) were witnessed among 40.9% (443/1.082) of the study group.Female obese subjects possessed significantly lower serum 25(OH)D levels as compared to male obese patients.Significant negative correlations were perceived between 25(OH)D levels and iPTH (r=-0.34,p<0.0001),BMI (r=-0.20,p<0.0001), and waist circumferences (r=-0.14, p=0.002) in the whole group.Multivariate analysis indicated that BMI to be an independent risk factor for vitamin D deficiency.Conclusion: A high rate of vitamin D deficiency was documented in our morbidly obese patients who were candidates for bariatric surgery.BMI is a determinant of 25(OH)D levels.It is essential to screen for vitamin D deficiency and possible osteomalacia among the candidates for bariatric surgery of obese patients and should be treated appropriately before bariatric surgery.

Source: Turkish Journal of Endocrinology and Metabolism

DOI: 10.25179/tjem.2019-71778

Authors: Hatice Gizem GÜNHAN, Meliha Melin UYGUR, Eren İMRE, Onur ELBASAN, Dilek GOGAS YAVUZ

Institution: Marmara University

Language: English

Topic: Vitamin D Research Studies

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W3034797525