Obesity Surgery

, Volume 28, Issue 11, pp 3640–3657 | Cite as

Does Bariatric Surgery Cause Vitamin A, B1, C or E Deficiency? A Systematic Review

  • Carrie-Anne LewisEmail author
  • Susan de Jersey
  • George Hopkins
  • Ingrid Hickman
  • Emma Osland
Review Article



The restrictive and/or malabsorptive nature of bariatric surgery may increase the risk for micronutrient deficiencies. This systematic review aimed to identify and critique the evidence for vitamin A, B1, C or E deficiencies associated with bariatric surgery.


This review utilised PRISMA and MOOSE frameworks with NHMRC evidence hierarchy and the American Dietetic Association bias tool to assess the quality of articles.


Twenty-one articles were included and once critiqued all studies were of level IV grade and neutral or negative in quality. The relevance of measuring micronutrient supplementation and inflammatory markers for validity of serum vitamins is absent within the literature.


Future research is needed to investigate the risk of deficiency for these procedures with focus on confounders to serum micronutrients.


Bariatric surgery Micronutrient Vitamin Mineral Deficiency 



This review was funded by the Health Practitioners Research Scheme, Queensland Health and the Royal Brisbane and Women’s Hospital Postgraduate Scholarship, Queensland Health.

Compliance with Ethical Standards

Conflict of Interest

Ms. Lewis has no conflict of interest to declare. Dr. de Jersey has no conflict of interest to declare. Dr. Hopkins reports personal fees from Johnson & Johnson and Medtronic, outside of this submitted work. Dr. Hickman has no conflict of interest to declare. Ms. Osland has no conflict of interest to declare.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Informed consent does not apply in this study.

Supplementary material

11695_2018_3392_MOESM1_ESM.doc (149 kb)
ESM 1 (DOC 149 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Nutrition and DieteticsRoyal Brisbane and Women’s HospitalHerstonAustralia
  2. 2.Faculty of MedicineUniversity of QueenslandBrisbaneAustralia
  3. 3.School of Exercise and Nutrition ScienceQueensland University of TechnologyBrisbaneAustralia
  4. 4.Department of SurgeryRoyal Brisbane and Women’s HospitalHerstonAustralia
  5. 5.Mater Research Institute-UQUniversity of QueenslandBrisbaneAustralia
  6. 6.Department of Nutrition and DieteticsPrincess Alexandra HospitalBrisbaneAustralia
  7. 7.School of Human Movements and Nutrition ScienceUniversity of QueenslandBrisbaneAustralia

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