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Nutritional Intake and Prevalence of Nutritional Deficiencies Prior to Surgery in a Spanish Morbidly Obese Population

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Abstract

Background

The prevalence of obesity in Spain is on the rise with the consequent increase in bariatric surgery. Studies in non-Mediterranean populations have shown that micronutrient deficits are present before surgery. However, there is no data on this topic in a Spanish population.

Methods

We evaluated food intake and the prevalence of nutritional deficiencies in 231 obese patient (72.3% women, 45.6 ± 9.9 years, BMI 48.2 ± 7.8 kg/m2) candidates for bariatric surgery. Forty-six normal weight individuals with similar demographic variables except BMI were included for comparison of deficiencies.

Results

In obese subjects, the mean estimated energy intake was 2,584 ± 987 kcal/day in males and 2,094 ± 669 kcal/day in females (p < 0.05). After adjusting for kilocalorie intake, carbohydrate intake was of 38.7% [CI 36.2 to 41.1] and 39.9% [CI 37.8 to 40.8] (n.s.), lipid intake was 41.9% [CI 39.6 to 44.2] and 43.0% [CI 41.7 to 44.8] (n.s.) and protein intake was 19.1% [CI 17.7 to 20.5] and 17.3% [CI 16.4 to 18.1] (n.s.) for men and women, respectively. The most prevalent deficiency was vitamin D25(OH): obese 94%, control 24%; (p < 0.0001). Above normal PTH levels were observed in 41.0% and 20.0% of obese and normal weight subjects, respectively (p < 0.0497). Increased prevalence of deficiencies in obese patients included magnesium, vitamin B6 and anaemia (p < 0.05). Other vitamin deficiencies were observed although did not reach statistical significance.

Conclusions

Nutritional deficiencies are commonly found in the Spanish obese population undergoing bariatric surgery and are significantly more prevalent than in normal weight individuals.

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Conflicts of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Functional Unit of Obesity, Department of Endocrinology and Nutrition, Hospital Clinic Universitari, Villarroel 170, 08036, Barcelona, Spain

    Violeta Moizé & Josep Vidal

  2. Laboratory of Biostatistics and Epidemiology, Universitat Autonoma de Barcelona, Barcelona, Spain

    Ferran Torres

  3. Statistics and Methodology Support Unit (USEM), IDIBAPS, Hospital Clinic Universitari, Barcelona, Spain

    Ferran Torres

  4. Biochemistry and molecular genetics CDB, Hospital Clinic Universitari, Barcelona, Spain

    Ramon Deulofeu & Jesus Martinez de Osaba

Authors
  1. Violeta Moizé
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  2. Ramon Deulofeu
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  3. Ferran Torres
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  4. Jesus Martinez de Osaba
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  5. Josep Vidal
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Correspondence to Violeta Moizé.

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Moizé, V., Deulofeu, R., Torres, F. et al. Nutritional Intake and Prevalence of Nutritional Deficiencies Prior to Surgery in a Spanish Morbidly Obese Population. OBES SURG 21, 1382–1388 (2011). https://doi.org/10.1007/s11695-011-0360-y

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