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Obesity Surgery

, Volume 19, Issue 9, pp 1250–1255 | Cite as

Serum Magnesium Status After Gastric Bypass Surgery in Obesity

  • Hans-Erik JohanssonEmail author
  • Björn Zethelius
  • Margareta Öhrvall
  • Magnus Sundbom
  • Arvo Haenni
Research Article

Abstract

Background

Roux-en-Y gastric bypass (RYGBP) has become a common surgical procedure to treat morbid obesity. Furthermore, it strongly reduces the incidence of type 2 diabetes and mortality. However, there is scant information on how magnesium status is affected by RYGBP surgery. Previous bariatric surgery methods, like jejunoileal bypass, are associated with hypomagnesemia.

Methods

Twenty-one non-diabetic morbidly obese patients who underwent RYGBP were evaluated before and 1 year after surgery and compared to a matched morbidly obese control group regarding serum magnesium. Groups were matched regarding weight, BMI, abdominal sagittal diameter and fasting glucose, blood pressure, and serum magnesium concentrations before surgery in the RYGBP group.

Results

The serum magnesium concentrations increased by 6% from 0.80 to 0.85 mmol/l (p = 0.019) in the RYGBP group while a decrease by 4% (p = 0.132) was observed in the control group. The increase in magnesium concentration at the 1-year follow-up in the RYGBP group was accompanied by a decreased abdominal sagittal diameter (r2 = 0.32, p = 0.009), a lowered BMI (r2 = 0.28, p = 0.0214), a lowered glucose concentration (r2 = 0.28, p = 0.027) but not by a lowered insulin concentration (p = 0.242), a lowered systolic (p = 0.789) or a lowered diastolic (p = 0.785) blood pressure.

Conclusion

RYGBP surgery in morbidly obese subjects is characterized by reduced visceral adiposity, lowered plasma glucose, and increased circulating magnesium concentrations. The inverse association between lowered central obesity, lowered plasma glucose and increased magnesium concentrations, needs further detailed studies to identify underlying mechanisms.

Keywords

Morbid obesity Gastric bypass surgery Magnesium 

Notes

Acknowledgements

Funding was by research grants from The Family Ernfors Fund for Diabetes Research, the Swedish Diabetes Association, the Erik, Karin and Gösta Selander fund, Uppsala University, and The Thuring family foundation.

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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Hans-Erik Johansson
    • 1
    Email author
  • Björn Zethelius
    • 1
  • Margareta Öhrvall
    • 1
  • Magnus Sundbom
    • 2
  • Arvo Haenni
    • 1
  1. 1.Department of Public Health and Caring Sciences/GeriatricsUppsala UniversityUppsalaSweden
  2. 2.Department of Surgical SciencesUppsala University HospitalUppsalaSweden

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