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Nutritional Status Prior to Laparoscopic Sleeve Gastrectomy Surgery

Obesity Surgery volume 26, pages 2119–2126 (2016)Cite this article

An Erratum to this article was published on 05 July 2017

This article has been updated

Abstract

Background

Two main causes for nutrient deficiencies following bariatric surgery (BS) are pre-operative deficiencies and favoring foods with high-energy density and poor micronutrient content. The aims of this study were to evaluate nutritional status and gender differences and the prevalence of nutritional deficiencies among candidates for laparoscopic sleeve gastrectomy (LSG) surgery.

Methods

A cross-sectional analysis of pre-surgery data collected as part of a randomized clinical trial on 100 morbidly obese patients with non-alcoholic fatty liver disease (NAFLD) admitted to LSG surgery at Assuta Medical Center between February 2014 and January 2015. Anthropometrics, food intake, and fasting blood tests were evaluated during the baseline visit.

Results

One-hundred patients completed the pre-operative measurements (60 % female) with a mean age of 41.9 ± 9.8 years and a mean BMI of 42.3 ± 4.7 kg/m2. Pre-operatively, deficiencies for iron, ferritin, folic acid, vitamin B1, vitamin B12, vitamin D, and hemoglobin were 6, 1, 1, 6, 0, 22, and 6 %, respectively. Pre-surgery, mean energy, protein, fat, and carbohydrate intake were 2710.7 ± 1275.7 kcal/day, 114.2 ± 48.5, 110.6 ± 54.5, and 321.6 ± 176.1 gr/day, respectively. The intakes for iron, calcium, folic acid, vitamin B12, and vitamin B1 were below the Dietary Reference Intake (DRI) recommendations for 46, 48, 58, 14, and 34 % of the study population, respectively.

Conclusion

We found a low prevalence of nutritional deficiencies pre-operatively except for vitamin D. Most micronutrient intake did not reach the DRI recommendations, despite high-caloric and macronutrient intake indicating a poor dietary quality.

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Change history

  • 05 July 2017

    An erratum to this article has been published.

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Author information

Affiliations

  1. Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel

    Shiri Sherf Dagan, Andrei Keidar, David Goitein & Oren Shibolet

  2. Assuta Medical Center, Tel Aviv, Israel

    Shiri Sherf Dagan, Asnat Raziel, Nasser Sakran & David Goitein

  3. Department Gastroenterology, Tel-Aviv Medical Center, 6 Weizman St., 6423906, Tel-Aviv, Israel

    Shiri Sherf Dagan, Shira Zelber-Sagi, Muriel Webb & Oren Shibolet

  4. School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel

    Shira Zelber-Sagi

  5. The Department of Surgery, Rabin Medical Center, Campus Beilinson, Petach Tiqva, Israel

    Andrei Keidar

  6. Department of Surgery A, Emek Medical Center, Afula, Israel

    Nasser Sakran

  7. Department of Surgery C, Sheba Medical Center, Tel Hashomer, Israel

    David Goitein

Authors
  1. Shiri Sherf Dagan
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  2. Shira Zelber-Sagi
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  3. Muriel Webb
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  4. Andrei Keidar
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  5. Asnat Raziel
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  6. Nasser Sakran
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  7. David Goitein
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  8. Oren Shibolet
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Corresponding author

Correspondence to Oren Shibolet.

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Conflict of Interest

Authors declare that they have no conflict of interest. Our study received grant from The Israeli Ministry of Health “Food and nutrition with implications on public health” (grant number 3–10470).

Ethical Approval

All procedures performed in this study were approved by the institutional research committees in both participating hospitals and in accordance with the ethical standards of the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was pre-registered in the NIH registration website (TRIAL no. NCT01922830).

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

Funding

The Research Projects and Fellowships Fund on Food and Nutrition with Implications on Public Health (grant number 3–10470).

Additional information

An erratum to this article is available at https://doi.org/10.1007/s11695-017-2815-2.

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Dagan, S.S., Zelber-Sagi, S., Webb, M. et al. Nutritional Status Prior to Laparoscopic Sleeve Gastrectomy Surgery. OBES SURG 26, 2119–2126 (2016). https://doi.org/10.1007/s11695-016-2064-9

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  • DOI: https://doi.org/10.1007/s11695-016-2064-9

Keywords

  • Obesity
  • Bariatric surgery
  • Micronutrient deficiencies
  • Dietary supplements
  • Food intake