Do specialized bariatric multivitamins lower deficiencies after RYGB?

Wendy Schijns*, Lisanne T. Schuurman, Alida Melse-Boonstra, Cees J.H.M. van Laarhoven, Frits J. Berends, Edo O. Aarts

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Scopus)

Abstract

Background: One of the side effects of bariatric surgery is the risk of vitamin and mineral deficiencies. Vitamin B12, vitamin D, folate, and iron deficiencies are especially common among Roux-en-Y gastric bypass patients. Objective: To examine the effectiveness of a specialized multivitamin supplement for Roux-en-Y gastric bypass patients on deficiencies the first 3 years postoperatively, retrospectively in a large, prospectively collected cohort. Setting: Large specialized bariatric hospital. Results: One thousand one hundred sixty patients were included, 883 users and 258 who were nonusers of the specialized multivitamin. Patient characteristics and total weight were comparable. Higher serum concentrations of ferritin (124.7 ± 96.2 µg/L versus 106.0 ± 83.0 µg/L, P =.016), vitamin B12 (347.3 ± 145.1 pmol/L versus 276.8 ± 131.4 pmol/L, P<.001), folic acid (34.9 ± 9.6 nmol/L versus 25.4 ± 10.7 nmol/L, P<.001), and vitamin D (98.4 ± 28.7 nmol/L versus 90.0 ± 34.5 nmol/L, P =.002) were observed in users compared with nonusers after 1 year. Less new deficiencies were found for ferritin (1% versus 4%, P =.029), vitamin B12 (9% versus 23%, P<.001), and vitamin D (0% versus 4%, P<.001) in users compared with nonusers. Two and 3 years after the surgery these findings remained almost identical. Conclusions: The use of specialized multivitamin supplements resulted in less deficiencies of vitamin B12, vitamin D, folic acid, and ferritin. The study showed that Roux-en-Y gastric bypass patients benefited from the specialized multivitamin supplements and it should be advised to this patient group.
Original languageEnglish
Pages (from-to)1005-1012
JournalSurgery for Obesity and Related Diseases
Volume14
Issue number7
Early online date3 Apr 2018
DOIs
Publication statusPublished - Jul 2018

Keywords

  • Bariatric surgery
  • Deficiency
  • Mineral
  • Multivitamin
  • Obesity
  • Roux-en-Y gastric bypass
  • Specialized
  • Vitamin

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    Schijns, W., Schuurman, L. T., Melse-Boonstra, A., van Laarhoven, C. J. H. M., Berends, F. J., & Aarts, E. O. (2018). Do specialized bariatric multivitamins lower deficiencies after RYGB? Surgery for Obesity and Related Diseases, 14(7), 1005-1012. https://doi.org/10.1016/j.soard.2018.03.029