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Vitamin D Deficiency Before Bariatric Surgery: Should Supplement Intake Be Routinely Prescribed?

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Abstract

Background

Before bariatric surgery, we demonstrate a 96% rate of vitamin D deficiency in morbidly obese French patients: should supplement intake be routinely prescribed? We conducted a prospective observational study to demonstrate the prevalence of vitamin D deficiency in morbidly obese patients awaiting bariatric surgery.

Methods

Clinical and biological data were collected on 50 successive patients.

Results

Data showed vitamin D deficiency in 96% (25-OH vitamin D = 31 ± 13 nmol/l), with a cut-point of 50 nmol/l. Secondary hyperparathyroidism was found in 44% of patients with hypovitaminosis D (parathyroid hormone (PTH), 59 ± 24 pg/ml). Impaired PTH level concerned 89% of this group, considering the cut-point at 30 pg/ml. No significant correlation appeared between vitamin D and calcium or phosphate levels.

Conclusions

Before surgery, we demonstrated a higher incidence of vitamin D deficiency in morbidly obese French patients as compared to the general population. The incidence was also higher than previous American studies. Screening for hypovitaminosis D may routinely be considered in morbid obesity. Long-term observation is, however, needed to assess the advantages and potential side effects of systematic vitamin D supplements.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Service de Diabétologie-Endocrinologie-Nutrition, Hôpital Européen Georges Pompidou, Paris, France

    Roxane Ducloux, Estelle Nobécourt, Negib Elian & Jean-Jacques Altman

  2. Hôpital Européen Georges Pompidou, Service de Chirurgie Digestive, Paris, France

    Jean-Marc Chevallier

  3. Hôpital Européen Georges Pompidou, Paris, France

    Hervé Ducloux

  4. Université Paris-Descartes, Faculté de Médecine, Paris, France

    Roxane Ducloux

Authors
  1. Roxane Ducloux
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  2. Estelle Nobécourt
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  3. Jean-Marc Chevallier
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  4. Hervé Ducloux
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  5. Negib Elian
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  6. Jean-Jacques Altman
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Corresponding author

Correspondence to Roxane Ducloux.

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Ducloux, R., Nobécourt, E., Chevallier, JM. et al. Vitamin D Deficiency Before Bariatric Surgery: Should Supplement Intake Be Routinely Prescribed?. OBES SURG 21, 556–560 (2011). https://doi.org/10.1007/s11695-010-0352-3

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