减肥手术后维生素D度的变化
Vanessa Mayana Alves Baad1, Narriane Chaves Pereira de Holanda1,2, Juliana Fonseca Nogueira Alves3
1Faculty of Medical Sciences, University of Pernambuco, Recife, Pernambuco, Brazil.
Journal of obesity
|September 29, 2023
概括
减肥手术会影响维生素D水平和身体成分. 路克斯-en-Y胃绕道和垂直袖胃切除术都有效地减少脂肪质量,具有类似的术后维生素D结果.
科学领域:
- 腹腔外科手术是什么意思
- 内分泌学 在内分泌学.
- 营养科学 营养科学
背景情况:
- 腹腔外科手术改变了胃肠道的吸收,可能会影响营养状况,特别是维生素D.
- 了解不同减肥手术对维生素D和身体成分的影响,对于患者管理至关重要.
研究的目的:
- 为了比较经过Roux-en-Y胃绕道 (RYGB) 和垂直袖子胃切除术 (VSG) 的患者之间的维生素D水平和身体组成.
主要方法:
- 120名肥胖患者 (II/III类,18-65岁) 的回顾性队列研究,接受了VSG或RYGB.
- 收集的数据包括人口统计数据,手术后的时间,肥胖指标,身体成分 (脂肪质量),体力活动和食物频率.
- 分析了血清25-氧维生素D (25OHD) 和胰岛素变量.
主要成果:
- 在VSG和RYGB组之间,身体组成或手术后维生素D水平没有显著差异.
- 在类甲状腺激素 (PTH),总骨矿物密度 (BMD) 和胰岛素变量之间观察到显著的差异.
- 组内分析显示,体质指数 (BMI) 和维生素D对VSG的显著变化,BMI对RYGB.
结论:
- 无论是VSG还是RYGB都有效地减少脂肪质量.
- 这些手术显示了与手术后维生素D水平相似的结果,在PTH,BMD和胰岛素中发现了差异.
- 可能需要进一步的研究来充分阐明长期营养影响.
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