Malnutrition in obesity before and after bariatric surgery

Dis Mon. 2020 Feb;66(2):100866. doi: 10.1016/j.disamonth.2019.06.008. Epub 2019 Jul 10.

Abstract

Bariatric surgeries are considered the only effective way of weight loss therapy in morbidly obese patients, i.e. body mass index ≥ 35. However, micronutrient deficiencies and malnutrition are common after most bariatric procedures and thus, pre- and postoperative nutritional assessment and corrections are advised. The present review is presented in an effort to describe in some detail about prevalence, and mechanisms of macro- and micronutrient deficiencies in obese and post-bariatric surgery individuals. We also aimed to summarize the data on screening and supplementation of macro- and micronutrients before and after bariatric surgeries.

Keywords: Bariatric surgery; Biliopancreatic bypass with duodenal switch; Micronutrients; Obesity; Roux-en-Y gastric bypass; Sleeve gastrectomy.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery / adverse effects*
  • Bariatric Surgery / statistics & numerical data
  • Bariatric Surgery / trends
  • Biliopancreatic Diversion / adverse effects
  • Body Mass Index
  • Female
  • Gastrectomy / adverse effects
  • Gastric Bypass / adverse effects
  • Humans
  • Male
  • Malnutrition / epidemiology
  • Malnutrition / etiology*
  • Metabolic Syndrome / complications
  • Metabolic Syndrome / epidemiology
  • Micronutrients / deficiency*
  • Nutrition Assessment
  • Obesity, Morbid / epidemiology
  • Obesity, Morbid / metabolism
  • Obesity, Morbid / physiopathology
  • Obesity, Morbid / surgery*
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Prevalence
  • Sarcopenia / complications
  • Sarcopenia / epidemiology
  • Waist-Hip Ratio / methods

Substances

  • Micronutrients